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

 
Wellington Rugby Zeroes: Sevens To Move To Hamilton

Wellington Mayor Justin Lester: “The Sevens has been a big part of recent Wellington history but it was time for the event to move on… Wellingtonians have been voting with their feet in the last few years and we’ve seen the result in dwindling crowd numbers and lower ticket sales.” More>>

ALSO:

Matafeo & Dravid: The Billy T And Fred Award Winners For 2017

At the final show of the 2017 NZ International Comedy Festival powered by Flick Electric Co. the Festival came to a close after 115 shows in Auckland and 68 shows in Wellington. More>>

Scoop Review Of Books: What’s Fair? Tax and Fairness

This is an excellent and timely book, since apart from general statements about increasing or mostly reducing tax, there has been very little comment or debate as to whether we should pay tax at all and how much tax should each of us pay. More>>

Ockham Awards: Globally Lauded Novelist Wins NZ’s Biggest Fiction Prize

Internationally renowned Ngāruawāhia resident Catherine Chidgey has won New Zealand’s richest writing award, the $50,000 Acorn Foundation Fiction Prize, for her novel The Wish Child. More>>

ALSO:

 
 
 
 

LATEST HEADLINES

  • CULTURE
  • HEALTH
  • EDUCATION
 
 
  • Wellington
  • Christchurch
  • Auckland