Clinical Assessment of Two Manipulative Protocols in Treatment of Hip Osteoarthritis

Status unconfirmed · Early Phase 1

Conditions studied: Osteoarthritis, Hip

In brief

Purpose of this study is to examine the effect of chiropractic adjusting (manipulative therapy) and rehabilitation on hip osteoarthritis (hip OA) in older adults.

Key facts

Study ID

NCT00523172

Run by

Cleveland Chiropractic College

People needed

120

Starts

2007-10-01

Expected to finish

2010-10-01

Last updated by the study team

2010-07-19

Who can join

Age: 40 and older, up to 85. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Hip pain and < 15° internal rotation and < than 115° flexion or
• Hip pain with >15° internal rotation causing hip pain and morning stiffness ≤ 60 minutes Note: Hip x-rays will be taken in each case (after a clinical diagnosis of hip osteoarthritis has been made and to rule out and exclude severe pathology) to determine grades (0-4) Kellgren Lawrence x-ray scale. If medically necessary, lumbosacral pelvic x-rays will be obtained-- see exclusions below)
• Age ≥ 60 and ≤ 85 years of age
• Diagnosis of concurrent subluxation complex
• Diagnosis of subluxation complex (aka segmental joint dysfunction) will be supported throughout using the PART(S) system.
• Additionally, OAH patients, who demonstrate a + One Legged Standing Test (OLST) and + Berg Balance Scale (BBS) will be monitored as a subgroup (with OLST and BBS) at all assessments.

You may not qualify if…

• General and internal medical disorders such as:
• Significant visual disorders
• Severe vestibular disorders (i.e., Meniere's)
• Neurological (including Alzheimer's and other degenerative brain and mental disorders, disease and dysfunction) peripheral sensory disorders (severe insulin dependent diabetes)
• Hip joint replacement
• RA
• Instability
• Fracture/ and severe osteoporosis
• Frank avascular necrosis with or without moderate or severe deformity
• Lumbar herniated disc and injury
• Severe balance and proprioception problems (i.e., inability to stand with and/or without marked spinal or hip deformity) etc.
• Symptoms (moderate to severe) in both hips.
• Marked or severe fear of chiropractic adjustments/manipulative and or exercise procedures.
• Breaks for treatment longer than 3-4 weeks depending on each circumstance or merit may be construed as non-compliance and may be excluded.

Where it is running

• Cleveland Chiropractic College Health Center — Los Angeles, California, United States
• Macquarie University — Sydney, Australia
• Durban University of Technology — Durban, South Africa

Full record on ClinicalTrials.gov

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