News Video | Policy | GPs | Hospitals | Medical | Mental Health | Welfare | Search

 


Questions about physiotherapy for hip osteoarthritis

Tuesday 27 May 2014


Research raises questions about physiotherapy for hip osteoarthritis


A new study co-authored by a University of Otago researcher has found that combining several physiotherapy treatments does not produce greater improvements in pain or function than inactive ‘sham’ treatments among adults with hip osteoarthritis.

The findings appear in the prestigious Journal of the American Medical Association JAMA.

Hip osteoarthritis is a very common problem in adults. Exercise therapy, advice and education are recommended as first-line treatments by international clinical practice guidelines, with some more recent guidelines also recommending manual therapy. However there is little information how these treatments are best delivered.

The study, led by Professor Kim Bennell of the University of Melbourne, randomly assigned patients with hip osteoarthritis to attend 10 sessions of either active physiotherapy treatment (which included education and advice, manual therapy, exercise therapy, home exercises, and walking with an aid, if needed) or placebo treatments (which included inactive ‘sham’ ultrasound therapy and topical gel, education and advice).

Co-investigator Associate Professor Haxby Abbott of the University of Otago’s Department of Surgical Sciences says the research contains an important message for physiotherapists treating patients with hip osteoarthritis.

“The physiotherapy protocol we tested contained several different treatments all delivered at the same time. This ‘multi-modal’ approach is common practice by physiotherapists, but may not deliver the best results,” says Associate Professor Abbott.

“This study follows research we published last year, conducted in Dunedin, which showed physiotherapy protocols consisting primarily of manual therapy, or primarily of exercise therapy, was highly cost-effective and produced greater improvements than usual medical care. In contrast we found that a multi-modal combined manual therapy and exercise therapy protocol did not produce such improvements.

“This new study used essentially the same multi-modal combined manual therapy and exercise therapy protocol as was used in our previous study,” he says.

“It shows that this approach delivers results no better than an equivalent period of time spent with a caring, attentive physiotherapist delivering ‘sham’ inactive treatments, along with verbal advice in conversation. These results raise significant questions about the common multi-modal approach to physiotherapy, at least in this patient population.”

“My interpretation of the two studies together is that, when treating patients with osteoarthritis, physiotherapists should focus on delivering one mode of therapy at a time, do it well, and deliver an adequate dose of that therapy, rather than dividing their time up among many different modes of therapy.”

© Scoop Media

 
 
 
 
 
Culture Headlines | Health Headlines | Education Headlines

 
Sheep: Shearing Record Smashed In Hawke’s Bay

Three shearers gathered from around New Zealand have smashed a World record by 264 sheep despite the heat, the pumiced sheep of inland Hawke’s Bay and a year’s wool weighing an average of over 3.5kg a sheep. More>>

ALSO:

Carrie Fisher: Hollywood In-Breeding & The Velocity Of Being - Binoy Kampmark

There was always going to be a good deal of thick drama around Carrie Fisher, by her own confession, a product of Hollywood in-breeding. Her parents, Debbie Reynolds and the crooner Eddie Fisher, provided ample material for the gossip columns in a marriage breakup after Eddie sped away with Elizabeth Taylor. More>>

  • Image: Tracey Nearmy / EPA
  • Gordon Campbell: On The Best Albums Of 2016

    OK, I’m not even going to try and rationalise this surrender to a ‘best of’ listicle. Still…maybe there is an argument for making some semblance of narrative order out of a year that brought us Trump, Brexit and the deaths of Prince, David Bowie, Leonard Cohen and Alan Vega, who I missed just as much as the Big Three. So without further ado….oh, but first a word from the sponsor More>>

    Emojis: World’s First Māori Emoji App Launched

    It’s here - the world’s first Māori emoji app Emotiki has landed just in time for summer roadtrips and santa stockings, with 200 Māori and Kiwi cultural icons for people to share their kiwiana moments with each other and the world. More>>

    ALSO:

    Howard Davis: Album Of The Year - Van Morrison's 'Keep Me Singing'

    2016 was a grand year for Van The Man - The Belfast Cowboy turned 71, received a knighthood, and reissued an expanded set of soul-fired live recordings from 1973 ('It's Too Late to Stop Now'). In the game for 53 years now, Morrison's albums consistently open new windows into the heart and soul of one of the most enigmatic figures in modern music. More>>

    Review: The NZSO Performs Handel's Messiah

    Max Rashbrooke: Saturday night's performance took the piece back to something like the way it would have originally been performed when premiered in 1742, with an orchestra of 20-30 players and only a few more singers. More>>

    Culture: Rare Hundertwasser Conservation Posters Found After 40 Years

    When Jan and Arnold Heine put a roll of conservation posters into storage in 1974 they had no idea that 42 years later they would be collectors items. More>>

    Get More From Scoop

     
     

    LATEST HEADLINES

     
     
     
     
    Health
    Search Scoop  
     
     
    Powered by Vodafone
    NZ independent news