November 11, 2019
Imagine Physical Therapy
Hip osteoarthritis (OA) is a very common degenerative joint disease that causes musculoskeletal pain and disability in the aging populations. The characteristic features of hip OA are loss of articular cartilage in the joint with space narrowing and capsule contracture and fibrosis. If you are having pain in your hips, feel like you have impaired mobility, and limitations in the activities of daily living, you might be experiencing hip OA. In a study by Beselga, Neto, Alburquerque-Sendín, et. al., they discuss the immediate effects of hip mobilization with movement (MWM) on patients with hip OA.1 MWM is a Mulligan technique which combines an accessory glide force with an active or passive movement of the joint. The purpose is to eliminate pain during movement enabling greater range and improved function. The purpose of this study was to determine the immediate effects of one single session of MWM on hip pain in individuals with hip OA, with a secondary objective being to evaluate the immediate effects on hip ROM and functional performance.1
The Mulligan techniques in this article included a hip flexion MWM and a hip internal rotation MWM. Hip flexion was performed with the therapist standing next to the patient with a therapy belt looped around the pelvis of the therapist and the patient’s thigh, closest to the hip joint. The therapist supported the leg while also stabilizing the pelvis. The patient’s hip is moved into flexion, knee to chest, passively by the therapist with a lateral glide occurring with help of the belt. The hip internal rotation MWM was similar to the hip flexion setup except that the hip was move passively through internal rotation, where the knee is moved inward, and the foot is moved outward. Each MWM was performed for 3 sets of 10 repetitions.1
The study consisted of individuals over the age of 65 years old and were clinically diagnosed with hip OA.1 The subjects were divided into one of two groups randomly, where one group received a hip flexion MWM and a hip internal rotation MWM and the other group received a simulated MWM technique with no force being applied with the belt and no repeated movement of passive hip flexion or internal rotation.1 The outcome measures used to assess progress included the Numeric Rating Pain Scale (NRPS), goniometer range of motion for hip flexion and internal rotation, the Timed-up and Go (TUG) test, the 30 second Sit to Stand (CS) test, and the 40-meter Self-Paced Walk (SPW).1 These outcome measures help to assess pain, range of motion, and functional balance and strength in the patient population.1 These objective measures were taken immediately after the patient’s treatment. The study resulted in improvements in pain, hip flexion, and physical performance immediately after the MWM’s were applied in elderly suffering from hip OA. Imagine Physical Therapy offers these therapy treatments so if you are having pain in your hip, come visit us so that you can get back to your everyday life of being pain-free.
1. Beselga C, Neto F, Alburquerque-Sendín F, Hall T, Oliveira-Campelo N. Immediate effects of hip mobilization with movement in patients with hip osteoarthritis: A randomised controlled trial. Manual Therapy. 2016;22:80-85. doi:10.1016/j.math.2015.10.007.