一项关于手法治疗对疼痛性髋关节疼痛及被动和主动活动范围影响的临床交叉试验。
A clinical crossover trial of the effect of manipulative therapy on pain and passive and active range of motion of the painful hip.
作者信息
Kazemi Mohsen, Leguard Sydney Hubbel, Lilja Sebastian, Mahaise Steven
机构信息
Department of Graduate Studies and Research, Canadian Memorial Chiropractic College.
出版信息
J Can Chiropr Assoc. 2021 Dec;65(3):318-329.
OBJECTIVES
This study aims to determine whether manipulative therapy of the hip joint can increase range of motion (ROM) and/or decrease pain in individuals experiencing symptomatic hip pain.
METHODS
Non-disabled young adults were recruited on campus of a chiropractic college for this randomized crossover study. Subjects' hip active and passive ROM and pain perception were measured. Subjects then received a drop-piece hip manipulation (DPHM) or an alternative treatment, followed by measurement of active and passive ROM and pain.
RESULTS
Eight males and 12 females (n=20) between the ages of 21-32 years completed the study. Statistically significant improvements in numeric pain scale (NRS) and passive abduction were observed for the manipulation group when compared to the alternative treatment. No significant change was observed for all other hip ranges.
CONCLUSIONS
DPHM of the symptomatic hip joint in a small sample of young adults resulted in statistically significant improvements in pain and passive abduction when compared to sham manipulation. Due to low sample size, further research is recommended.
目的
本研究旨在确定髋关节手法治疗是否能增加有症状性髋关节疼痛个体的活动范围（ROM）和/或减轻疼痛。
方法
在一所脊椎按摩疗法学院的校园内招募非残疾青年成年人参与这项随机交叉研究。测量受试者的髋关节主动和被动活动范围以及疼痛感知。受试者随后接受落锤式髋关节手法治疗（DPHM）或替代治疗，之后再次测量主动和被动活动范围以及疼痛。
结果
20名年龄在21至32岁之间的男性和女性（n = 20）完成了该研究。与替代治疗相比，手法治疗组在数字疼痛量表（NRS）和被动外展方面有统计学上的显著改善。所有其他髋关节活动范围未观察到显著变化。
结论
与假手法治疗相比，在一小群年轻成年人中有症状的髋关节进行DPHM治疗后，疼痛和被动外展有统计学上的显著改善。由于样本量小，建议进一步研究。
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