Video | Business Headlines | Internet | Science | Scientific Ethics | Technology | Search

 


Osteoarthritis improved by extra physiotherapy programmes

Wednesday 24 July 2013

Osteoarthritis improved by extra physiotherapy programmes

Manual physiotherapy or regular exercise programmes make a significant difference for people with painful osteoarthritis in the knee and hip joints, and are cost-effective, new research from the University of Otago shows.

The randomised clinical trial involved 207 Dunedin patients over one year and used three protocols of treatment provided by physiotherapists in addition to usual care by their GP.

One group was given seven manual physiotherapy sessions, in addition to usual care, for 40-50 minutes over nine weeks, followed by two boosters after a further seven weeks. The second group involved a programme of exercise both in the clinic and at home, while the third group was treated with a combination of manual and exercise therapy. A control group received only usual care from their GP or other health providers.

Lead researcher Associate Professor Haxby Abbott of the Centre for Musculoskeletal Outcomes Research says that the results show that individually supervised exercise therapy or manual therapy provided by a physiotherapist, in addition to usual care, improve pain and physical function for at least one year.

“However, given a time constraint of a 40-50 minute clinic visit, there is no additional benefit gained from providing both manual and exercise therapy on top of usual care for osteoarthritis,” Associate Professor Abbott says.

A further study, published this week in the international journal Osteoarthritis and Cartilage, looked at the economics of the additional treatment in this trial. It found that both additional exercise therapy and manual therapy are more cost effective for the health system and for individuals than just applying usual care management to osteoarthritis.

“Exercise therapy provided the best cost-effectiveness from a health system perspective, while manual therapy was best, and was actually cost-saving, from a societal perspective,” he says.

“On our main measure, we found that additional manual therapy provided the best symptom relief of the three treatments we studied. On the other hand, the exercise programme also produced very good results on physical tests and on quality of life gains. So each has its strengths, there is no clear best choice for everyone. What’s clear is that either is better than usual care only.”

The researchers conclude at present there is quite low use of non-surgical and non-drug therapies for osteoarthritis in primary care, and these studies point to a way of preventing or delaying pain and disability at significant cost effectiveness for society and the health system.

“These results suggest that GPs should refer patients with hip or knee arthritis for individually supervised exercise or manual therapy provided by a physiotherapist, in addition to continuing to provide usual care.”

The researchers say the Management of Osteoarthritis trial demonstrates for the first time the value of individually prescribed and supervised programmes involving manual care or exercise in relieving symptoms of hip or knee osteoarthritis.

The exercise programme involved stationary cycling, muscle strengthening, stretching and balance and agility exercises both in the clinic and at home.

Both the Management of Osteoarthritis trial and the economic evaluation have been published in the international journal Osteoarthritis and Cartilage.

The studies were funded by the Health Research Council of New Zealand and the Lottery Grants Board.

ends

© Scoop Media

 
 
 
 
 
Business Headlines | Sci-Tech Headlines

 

Power Outages, Roads Close: Easter Storm Moving Down Country

The NZ Transport Agency says storm conditions at the start of the Easter break are making driving hazardous in Auckland and Northland and it advises people extreme care is needed on the regions’ state highways and roads... More>>

ALSO:

Houses (& Tobacco) Lead Inflation: CPI Up 0.3% In March Quarter

The consumers price index (CPI) rose 0.3 percent in the March 2014 quarter, Statistics New Zealand said today. Higher tobacco and housing prices were partly countered by seasonally cheaper international air fares, vegetables, and package holidays. More>>

ALSO:

Notoriously Reliable Predictions: Budget To Show Rise In Full-Time Income To 2018: English

This year’s Budget will forecast wage increases through to 2018 amounting to a $10,500 a year increase in average full time earnings over six years to $62,200 a year, says Finance Minister Bill English in a speech urging voters not to “put all of this at risk” by changing the government. More>>

ALSO:

Prices Up, Volume Down: March NZ House Sales Drop 10% As Loan Curbs Bite

New Zealand house sales dropped 10 percent in March from a year earlier as the Reserve Bank’s restrictions on low-equity mortgages continue to weigh on sales of cheaper property. More>>

ALSO:

Scoop Business: Chorus To Appeal Copper Pricing Judgment

Chorus will appeal a High Court ruling upholding the Commerce Commission’s determination setting the regulated prices on the telecommunications network operator’s copper lines. More>>

ALSO:

Earlier:

Cars: Precautionary Recalls Announced For Toyota Vehicles

Toyota advises that a number of its New Zealand vehicles are affected by a series of precautionary global recalls. Toyota New Zealand General Manager Customer Services Spencer Morris stressed that the recalls are precautionary. More>>

ALSO:

'Gardening Club': Air Freight Cartel Nets Almost $12 Million In Penalties

The High Court in Auckland has today ordered Swiss company Kuehne + Nagel International AG to pay a penalty of $3.1 million plus costs for breaches of the Commerce Act. Kuehne + Nagel’s penalty brings the total penalties ordered in this case to $11.95 million ... More>>

ALSO:

Crown Accounts: Revenue Below Projections

Core Crown tax revenue has increased by $1.9 billion (or 5.0%) compared to the same time last year. However this was $1.1 billion less than expected and is reflected across most tax types, continuing the pattern of recent months. More>>

ALSO:

Get More From Scoop

 
 
Computer Power Plus
 
 
 
 
 
 
 
 
Sci-Tech
Search Scoop  
 
 
Powered by Vodafone
NZ independent news