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

 

Gordon Campbell: On Tiwai Point (And Saying “No” In Greece)

Its hard to see how Rio Tinto’s one month delay in announcing its intentions about the Tiwai Point aluminium smelter is a good sign for (a) the jobs of the workers affected or (b) for the New Zealand taxpayer. More>>

ALSO:

Half Empty: Dairy Product Prices Extend Slide To Six-Year Low

Dairy product prices continued their slide, paced by whole milk power, in the latest GlobalDairyTrade auction, weakening to the lowest level in six years. More>>

ALSO:

Copper Broadband: Regulator Set To Keep Chorus Pricing Largely Unchanged

The Commerce Commission looks likely to settle on a price close to its original decision on what telecommunications network operator Chorus can charge its customers, though it probably won’t backdate any update. More>>

ALSO:

Lower Levy For Safer Cars: ACC Backtracks On Safety Assessments

Dog and Lemon: “The ACC has based the entire levy system on a set of badly flawed data from Monash University. This Monash data is riddled with errors and false assumptions; that’s the real reason for the multiple mistakes in setting ACC levies.” More>>

ALSO:

Fast Track: TPP Negotiations Set To Accelerate, Groser Says

Negotiations for the Trans-Pacific Partnership will accelerate in July, with New Zealand officials working to stitch up a deal by the month's end, according to Trade Minister Tim Groser. More>>

ALSO:

Floods: Initial Assessment Of Economic Impact

Authorities around the region have compiled an initial impact assessment for the Ministry of Civil Defence, putting the estimated cost of flood recovery at around $120 million... this early estimate includes social, built, and economic costs to business, but doesn’t include costs to the rural sector. More>>

ALSO:

Get More From Scoop

 
 
 
 
 
 
 
 
 
Sci-Tech
Search Scoop  
 
 
Powered by Vodafone
NZ independent news