Year 2020 / Volume 27 / Number 6


Effectiveness and current recommendation of manual therapy on hip osteoarthritis. An overview

Rev. Soc. Esp. Dolor. 2020; 27(6): 375-391 / DOI: 10.20986/resed.2021.3835/2020

Mathias Orellana, Juan José Valenzuela, Martín Díaz, Marjorie Gold, Juan Rubio


Introduction: Osteoarthritis (OA) is the most common joint disease, increases with age and it is estimated that in those over 60 years of age more than 80 % have OA in at least one joint. Currently, the evidence regarding manual therapy (MT) in hip OA has had unclear results. Therefore, the main objective of this study is to determine the effectiveness and recommendation of MT in the hip OA. And secondary objectives, (I) review the existing literature on the intervention of MT in hip OA, (II) calculate the effectiveness of MT techniques in hip OA and (III) determine if there are benefits after the MT intervention in hip OA.
Methods: A systematic search was carried out in electronic databases, in order to compile the available literature between the years 2000 and 2019, taking as reference the PRISMA statement for systematic reviews. Letters to the editor, bibliographic reviews and gray literature were excluded.
Results: After reviewing 30 articles, we included 7 RS and 14 RCTs. 7 RCTs measured pain intensity of OA in response to MT vs. a control group. 4 RCTs measuring pain intensity in hip OA using MT + exercises Seven RCTs measured function in subjects with hip OA in response to MT vs. CG. Two RCTs evaluated the effects of MT + Ex on function.
Discussion: Although the results were in favor of manual therapy, compared to the control group, these were not statistically significant, so we propose to carry out new primary studies to eliminate some biases in program execution and improve intervention in both groups.


Introducción: La osteoartritis (OA) es la enfermedad articular más frecuente, aumenta con la edad y se estima que en los mayores de 60 años más del 80 % tienen OA en, al menos, una articulación. Actualmente, la evidencia respecto a la terapia manual (TM) en la OA de cadera ha tenido resultados poco claros, por lo que el objetivo principal de este estudio es determinar la efectividad y recomendación de TM en la OA cadera. Los objetivos secundarios son: a) revisar la literatura existente sobre la intervención de TM en OA de cadera; b) calcular la efectividad de las técnicas de TM en OA de cadera, y c) determinar si hay beneficios después de la intervención de TM en OA cadera.
Métodos: Se realizó una búsqueda sistemática en bases de datos electrónicas, con el fin de recopilar la literatura disponible entre los años 2000 y 2019, tomando como referencia la declaración PRISMA para revisiones sistemáticas. Se excluyeron las cartas al editor, revisiones bibliográficas y literatura gris.
Resultados: Después de revisar 30 artículos, incluimos 7 RS y 14 ECA. 7 ECA midieron la intensidad del dolor de la OA en respuesta a TM vs. un grupo de control. 4 ECA que midieron la intensidad del dolor en la OA de cadera que usaban TM + ejercicios Siete ECA midieron la función en sujetos con OA de cadera en respuesta a TM vs. CG. Dos ECA evaluaron los efectos de TM + Ex en la función.
Discusión: Si bien los resultados estuvieron a favor de la terapia manual, en comparación con el grupo control estos no fueron estadísticamente significativos, por lo cual proponemos realizar nuevos estudios primarios para eliminar algunos sesgos en la ejecución del programa y mejorar la intervención en ambos grupos.

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Orellana M, Valenzuela J, Díaz M, Gold M, Rubio J. Effectiveness and current recommendation of manual therapy on hip osteoarthritis. An overview. Rev Soc Esp Dolor 2020; 27(6): 375-391 / DOI: 1020986/resed20213835/2020

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Recibido: 11/07/2020

Aceptado: 02/12/2020

Prepublicado: 22/01/2021

Publicado: 27/01/2021

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