MacDonald Cameron W, Whitman Julie M, Cleland Joshua A, Smith Marcia, Hoeksma Hugo L
Centennial Physical Therapy, Colorado Sport and Spine Centers, 5731 Silverstone Terrace #120, Colorado Springs, CO 80919, USA.
J Orthop Sports Phys Ther. 2006 Aug;36(8):588-99. doi: 10.2519/jospt.2006.2233.
Case series describing the outcomes of individual patients with hip osteoarthritis treated with manual physical therapy and exercise.
Seven patients referred to physical therapy with hip osteoarthritis and/or hip pain were included in this case series. All patients were treated with manual physical therapy followed by exercises to maximize strength and range of motion. Six of 7 patients completed a Harris Hip Score at initial examination and discharge from physical therapy, and 1 patient completed a Global Rating of Change Scale at discharge.
Three males and 4 females with a median age of 62 years (range, 52-80 years) and median duration of symptoms of 9 months (range, 2-60 months) participated in this case series. The median number of physical therapy sessions attended was 5 (range, 4-12). The median increase in total passive range of motion of the hip was 82 degrees (range, 70 degrees-86 degrees). The median improvement on the Harris Hip Score was 25 points (range, 15-38 points). The single patient who completed the Global Rating of Change Scale at discharge reported being "a great deal better." Numeric pain rating scores decreased by a mean of 5 points (range, 2-7 points) on 0-to-10-point scale.
All patients exhibited reductions in pain and increases in passive range of motion, as well as a clinically meaningful improvement in function. Although we can not infer a cause and effect relationship from a case series, the outcomes with these patients are similar to others reported in the literature that have demonstrated superior clinical outcomes associated with manual physical therapy and exercise for hip osteoarthritis compared to exercise alone.
病例系列，描述接受手法物理治疗和运动治疗的髋骨关节炎个体患者的治疗结果。
本病例系列纳入了7例因髋骨关节炎和/或髋部疼痛而接受物理治疗的患者。所有患者均接受手法物理治疗，随后进行锻炼以最大化力量和活动范围。7例患者中有6例在初次检查和物理治疗出院时完成了Harris髋关节评分，1例患者在出院时完成了整体变化评定量表。
3名男性和4名女性参与了本病例系列，年龄中位数为62岁（范围52 - 80岁），症状持续时间中位数为9个月（范围2 - 60个月）。接受物理治疗的疗程中位数为5次（范围4 - 12次）。髋关节总被动活动范围的中位数增加了82度（范围70度 - 86度）。Harris髋关节评分的中位数改善为25分（范围15 - 38分）。唯一一名在出院时完成整体变化评定量表的患者报告称“好多了”。在0至10分的量表上，数字疼痛评分平均下降了5分（范围2 - 7分）。
所有患者均表现出疼痛减轻、被动活动范围增加，以及功能上具有临床意义的改善。尽管我们不能从病例系列中推断出因果关系，但这些患者的治疗结果与文献中报道的其他结果相似，文献表明与单独运动相比，手法物理治疗和运动对髋骨关节炎具有更好的临床效果。
