Exercise and Manual therapy Arthritis Research Trial (EMPART) for osteoarthritis of the hip: A Multicentre Randomised Controlled trial.

Hdl Handle:
http://hdl.handle.net/10147/254759
Title:
Exercise and Manual therapy Arthritis Research Trial (EMPART) for osteoarthritis of the hip: A Multicentre Randomised Controlled trial.
Authors:
French, Helen P; Cusack, Tara; Brennan, Ms Aisling; Caffrey, Ms Aoife; Conroy, Ronán; Cuddy, Ms Vanessa; Fitzgerald, Oliver M; Gilsenan, Ms Clare; Kane, David; O'Connell, Paul G; White, Mr Breon; McCarthy, G M
Affiliation:
Lecturer in Physiotherapy, School of Physiotherapy, Royal College of Surgeons in Ireland, Dublin 2, Ireland. Electronic address: hfrench@rcsi.ie.
Citation:
Exercise and Manual therapy Arthritis Research Trial (EMPART) for osteoarthritis of the hip: A Multicentre Randomised Controlled trial. 2012: Arch Phys Med Rehabil
Publisher:
Archives of physical medicine and rehabilitation
Journal:
Archives of physical medicine and rehabilitation
Issue Date:
16-Oct-2012
URI:
http://hdl.handle.net/10147/254759
DOI:
10.1016/j.apmr.2012.09.030
PubMed ID:
23084955
Abstract:
OBJECTIVE: To determine the effectiveness of exercise therapy (ET) compared to ET with adjunctive manual therapy (ET+MT) for people with hip osteoarthritis (OA). A secondary aim was to identify if immediate commencement of ET or ET+MT was more beneficial than a 9 week waiting period for either intervention. DESIGN: Assessor-blind randomised controlled trial with 9 and 18 week follow-ups. SETTING: Four academic teaching hospitals, Dublin, Ireland. PARTICIPANTS: 131 patients with hip OA recruited from general practitioners, rheumatologists, orthopaedic surgeons, and other hospital consultants were randomised to one of three groups: ET (n=45), ET+MT (n=43) and wait-list control (n=43). INTERVENTIONS: Participants in both ET and ET+ MT groups received up to 8 treatments over 8 weeks. Control group participants were re-randomised into either ET or ET+MT group after 9 week follow-up. Their data were pooled with original treatment group data: ET (n=66) and ET+MT (n=65). MAIN OUTCOME MEASURES: The primary outcome was the WOMAC physical function (PF) subscale. Secondary outcomes included physical performance, pain, hip range of motion (HROM), anxiety/depression, quality of life, medication usage, patient-perceived change and patient satisfaction. RESULTS: There was no significant difference in WOMAC PF between ET (n=66) and ET+MT (n=65) groups at 9 weeks (mean diff 0.09 (95% CI -4.41, 5.25)) or at 18 weeks (mean diff 0.42 (95% CI -3.98, 6.83)), or other outcomes, except 'patient satisfaction with outcome' which was higher in the ET+MT group (p=0.02). Improvements in WOMAC, HROM and patient-perceived change occurred in both treatment groups compared with the control group. CONCLUSION: Self-reported function, HROM and patient-perceived improvement occurred after an 8 week programme of ET for patients with hip OA MT as an adjunct provided no further benefit, except for higher patient satisfaction.
Item Type:
Article
Language:
en
ISSN:
1532-821X

Full metadata record

DC FieldValue Language
dc.contributor.authorFrench, Helen Pen_GB
dc.contributor.authorCusack, Taraen_GB
dc.contributor.authorBrennan, Ms Aislingen_GB
dc.contributor.authorCaffrey, Ms Aoifeen_GB
dc.contributor.authorConroy, Ronánen_GB
dc.contributor.authorCuddy, Ms Vanessaen_GB
dc.contributor.authorFitzgerald, Oliver Men_GB
dc.contributor.authorGilsenan, Ms Clareen_GB
dc.contributor.authorKane, Daviden_GB
dc.contributor.authorO'Connell, Paul Gen_GB
dc.contributor.authorWhite, Mr Breonen_GB
dc.contributor.authorMcCarthy, G Men_GB
dc.date.accessioned2012-12-06T10:56:10Z-
dc.date.available2012-12-06T10:56:10Z-
dc.date.issued2012-10-16-
dc.identifier.citationExercise and Manual therapy Arthritis Research Trial (EMPART) for osteoarthritis of the hip: A Multicentre Randomised Controlled trial. 2012: Arch Phys Med Rehabilen_GB
dc.identifier.issn1532-821X-
dc.identifier.pmid23084955-
dc.identifier.doi10.1016/j.apmr.2012.09.030-
dc.identifier.urihttp://hdl.handle.net/10147/254759-
dc.description.abstractOBJECTIVE: To determine the effectiveness of exercise therapy (ET) compared to ET with adjunctive manual therapy (ET+MT) for people with hip osteoarthritis (OA). A secondary aim was to identify if immediate commencement of ET or ET+MT was more beneficial than a 9 week waiting period for either intervention. DESIGN: Assessor-blind randomised controlled trial with 9 and 18 week follow-ups. SETTING: Four academic teaching hospitals, Dublin, Ireland. PARTICIPANTS: 131 patients with hip OA recruited from general practitioners, rheumatologists, orthopaedic surgeons, and other hospital consultants were randomised to one of three groups: ET (n=45), ET+MT (n=43) and wait-list control (n=43). INTERVENTIONS: Participants in both ET and ET+ MT groups received up to 8 treatments over 8 weeks. Control group participants were re-randomised into either ET or ET+MT group after 9 week follow-up. Their data were pooled with original treatment group data: ET (n=66) and ET+MT (n=65). MAIN OUTCOME MEASURES: The primary outcome was the WOMAC physical function (PF) subscale. Secondary outcomes included physical performance, pain, hip range of motion (HROM), anxiety/depression, quality of life, medication usage, patient-perceived change and patient satisfaction. RESULTS: There was no significant difference in WOMAC PF between ET (n=66) and ET+MT (n=65) groups at 9 weeks (mean diff 0.09 (95% CI -4.41, 5.25)) or at 18 weeks (mean diff 0.42 (95% CI -3.98, 6.83)), or other outcomes, except 'patient satisfaction with outcome' which was higher in the ET+MT group (p=0.02). Improvements in WOMAC, HROM and patient-perceived change occurred in both treatment groups compared with the control group. CONCLUSION: Self-reported function, HROM and patient-perceived improvement occurred after an 8 week programme of ET for patients with hip OA MT as an adjunct provided no further benefit, except for higher patient satisfaction.en_GB
dc.languageENG-
dc.language.isoenen
dc.publisherArchives of physical medicine and rehabilitationen_GB
dc.rightsArchived with thanks to Archives of physical medicine and rehabilitationen_GB
dc.titleExercise and Manual therapy Arthritis Research Trial (EMPART) for osteoarthritis of the hip: A Multicentre Randomised Controlled trial.en_GB
dc.typeArticleen
dc.contributor.departmentLecturer in Physiotherapy, School of Physiotherapy, Royal College of Surgeons in Ireland, Dublin 2, Ireland. Electronic address: hfrench@rcsi.ie.en_GB
dc.identifier.journalArchives of physical medicine and rehabilitationen_GB
dc.description.provinceLeinsteren

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