Vaarbakken Kjartan, Ljunggren Anne Elisabeth
Section for Physiotherapy Science, Department of Public Health and Primary Health Care, Faculty of Medicine, University of Bergen, Kalfarveien 31, 5018 Bergen, Norway.
Adv Physiother. 2007 Sep;9(3):117-128. doi: 10.1080/14038190701395739.
one including forceful traction mobilizations, the other including traction with unknown force, in patients with hip disability according to ICF (the International Classification of Functioning, Disability and Health, 2001; WHO), using a block randomized, controlled trial with two parallel treatment groups in a regular private outpatient physiotherapy practice. In the experimental group (E; n = 10) and control group (C; n = 9), the mean (+/-SD) age for all participants was 59 +/- 12 years. They were recruited from outpatient physiotherapy clinics, had persistent pain located at the hip joint for >8 weeks and hip hypomobility. Both groups received exercise, information and manual traction mobilization. In E, the traction force was progressed to 800 N, whereas in C it was unknown. Major outcome measure was the median total change score >/=20 points or >/=50% of the disease- and joint-specific Hip disability and Osteoarthritis Outcome Score (HOOS), compiled of Pain, Stiffness, Function and Hip-related quality of life (ranging 0-100). The mean (range) treatments received were 13 (7-16) over 5-12 weeks and 20 (18-24) over 12 weeks for E and C, respectively. The experimental group showed superior clinical post-treatment effect on HOOS (>/=20 points), in six of 10 participants compared with none of nine in the control group (p = 0.011). The effect size was 1.1. The results suggest that a compiled physiotherapy program including forceful traction mobilizations are short-term effective in reducing self-rated hip disability in primary healthcare. The long-term effect is to be documented.
一种包括强力牵引松动术，另一种包括力度未知的牵引，针对国际功能、残疾和健康分类（ICF，2001年；世界卫生组织）所定义的髋关节残疾患者，在一家普通私立门诊物理治疗诊所进行一项整群随机对照试验，设有两个平行治疗组。实验组（E组；n = 10）和对照组（C组；n = 9）中，所有参与者的平均（±标准差）年龄为59 ± 12岁。他们从门诊物理治疗诊所招募而来，髋关节持续疼痛超过8周且髋关节活动度降低。两组均接受运动、信息指导和手法牵引松动术。在E组中，牵引力量逐渐增加至800 N，而在C组中牵引力量未知。主要结局指标是疾病和关节特异性的髋关节残疾和骨关节炎疗效评分（HOOS）的总变化中位数≥20分或≥50%，该评分由疼痛、僵硬、功能和髋关节相关生活质量组成（范围为0 - 100）。E组和C组分别在5 - 12周内平均（范围）接受13（7 - 16）次治疗，在12周内平均接受20（18 - 24）次治疗。实验组在HOOS（≥20分）方面显示出优于对照组的临床治疗后效果，E组10名参与者中有6名达到，而对照组9名参与者中无人达到（p = 0.011）。效应大小为1.1。结果表明，包括强力牵引松动术的综合物理治疗方案在初级医疗保健中对于降低自评髋关节残疾具有短期效果。长期效果有待记录。
