title: Immediate effects of hip mobilization with movement in patients with hip osteoarthritis: A randomised controlled trial.
abstract: BACKGROUND
  Mobilization with movement (MWM) has been shown to reduce pain, increase range of motion (ROM) and physical function in a range of different musculoskeletal disorders. Despite this evidence, there is a lack of studies evaluating the effects of MWM for hip osteoarthritis (OA).
  
  
  OBJECTIVE
  To determine the immediate effects of MWM on pain, ROM and functional performance in patients with hip OA.
  
  
  METHODS
  Randomized controlled trial with immediate follow-up.
  
  
  METHODS
  Forty consenting patients (mean age 78 ± 6 years; 54% female) satisfied the eligibility criteria. All participants completed the study. Two forms of MWM techniques (n = 20) or a simulated MWM (sham) (n = 20) were applied.
  
  
  METHODS
  pain recorded by numerical rating scale (NRS).
  
  
  RESULTS
  hip flexion and internal rotation ROM, and physical performance (timed up and go, sit to stand, and 40 m self placed walk test) were assessed before and after the intervention.
  
  
  RESULTS
  For the MWM group, pain decreased by 2 points on the NRS, hip flexion increased by 12.2°, internal rotation by 4.4°, and functional tests were also improved with clinically relevant effects following the MWM. There were no significant changes in the sham group for any outcome variable.
  
  
  CONCLUSIONS
  Pain, hip flexion ROM and physical performance immediately improved after the application of MWM in elderly patients suffering hip OA. The observed immediate changes were of clinical relevance. Future studies are required to determine the long-term effects of this intervention.
authors.affiliation: Chronic Care Unit of Sernancelhe, Viseu, Portugal; Orthopedic Manual Therapy Clinic, Penedono, Portugal. Electronic address: carlosbeselga@gmail.com.
authors.forename: Carlos
authors.initials: C
authors.lastname: Beselga
authors.affiliation: Formaterapia-Fisioterapia & Formação, Póvoa de Varzim, Portugal. Electronic address: francisco.r.neto@gmail.com.
authors.forename: Francisco
authors.initials: F
authors.lastname: Neto
authors.affiliation: Biomedical Research Institute of Salamanca (IBSAL), Salamanca, Spain; Department of Nursing and Physical Therapy, Universidad de Salamanca, Salamanca, Spain. Electronic address: pacoalbu@usal.es.
authors.forename: Francisco
authors.initials: F
authors.lastname: Alburquerque-Sendín
authors.affiliation: School of Physiotherapy and Exercise Science, Curtin University, Perth, Australia. Electronic address: halltm@netspace.net.au.
authors.forename: Toby
authors.initials: T
authors.lastname: Hall
authors.affiliation: Department of Physical Therapy, Escola Superior de Tecnologia de Saúde, Instituto Politécnico do Porto, Vila Nova de Gaia, Portugal. Electronic address: ncampelo.estsp.ipp@gmail.com.
authors.forename: Natália
authors.initials: N
authors.lastname: Oliveira-Campelo
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D009068:Movement / Q000502:physiology*; D026201:Musculoskeletal Manipulations / Q000379:methods*; D015207:Osteoarthritis, Hip / Q000534:rehabilitation*; D010146:Pain / Q000534:rehabilitation*; D026741:Physical Therapy Modalities; D011174:Portugal; D016059:Range of Motion, Articular / Q000502:physiology*; D012399:Rotation
keywords: Articular; Manual therapy; Osteoarthritis hip; Pain; Range of motion