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

 

NZ on Air: More Funding For TV Captions To Increase Access

More funding for TV captions to increase access NZ On Air has increased funding to provide more captions and audio description on television programmes for the hearing and sight impaired. More>>

Music: So Laid Back Country China Album Release

On Friday night, So Laid Back Country China held a gig at Meow for the release of their new album With Knees of Honey in Goodbye Canyon. I briefly spoke with Harriet lead vocals, keyboard) and Michael (lead vocals, guitar) before the gig More>>

Art: Wellington Region Celebrates Matariki

Eight Wellington museums and galleries have joined forces to present a major programme of exhibitions and events to celebrate Matariki 2015, the Māori New Year. The Wellington Matariki Festival will host more than 60 free events and activities between Saturday ... More>>

Wellington: TEDxWellingtonWomen Speakers Unveiled

The lineup is announced today for the highly anticipated upcoming event TEDxWellingtonWomen. Speakers include local women and men who have lived extraordinary lives and have ideas worth spreading. More>>

Culture: RNZB Showcases NZ Artists With Two World Premieres

The Royal New Zealand Ballet’s mixed bill Salute - Remembering WW1 which opens on 22 May will showcase the talents of New Zealand artists working at the top of their field. More>>


Books: Witi Ihimaera To Address ‘State Of NZ Literature’at Festival

6 May 2015 MEDIA RELEASE Witi Ihimaera to Address ‘State of NZ Literature’ at Dunedin Writers and Readers Festival The New Zealand Book Council has chosen the 2015 Dunedin Writers and Readers Festival as the stage for its annual address, which ... More>>

Culture: Historic Māori Portraits Travel To The Czech Republic

Image credit: Gottfried Lindauer, Wahanui Reihana Te Huatare, oil on canvas, Auckland Art Gallery Toi o Tāmaki, gift of Mr H E Partridge, 1915 More>>

Art: Something Felt, Something Shared - Enjoy

Gabrielle Amodeo, Ruby Joy Eade, Clare McLean, Kalya Ward Curated by Emma Ng May 7 – 30, 2015 Opening: Wednesday May 6, 5.30pm Strange frequencies are channelled through personal narratives and poetic placeholders in Something felt, something ... More>>

Culture: Pukeahu Park ANZAC Day Commemoration 2015

Pukeahu Park ANZAC Day Commemoration 2015 Images from New Zealand Defence Force Click for big version A bugler plays The Last Post Click for big version A View from the top of the Carillion Click for big version Faces old and young Click for big ... More>>

Television: MediaWorks Announces Dancing With The Stars Hosts

MediaWorks and BBC Worldwide ANZ are delighted to announce host Dominic Bowden alongside co-host Sharyn Casey for the hit series Dancing with the Stars. More>>

Get More From Scoop

 
 

LATEST HEADLINES

 
 
 
 
Health
Search Scoop  
 
 
Powered by Vodafone
NZ independent news