Manual & exercise therapy received separately effective in treating hip & knee OA .
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Manual therapy, exercise therapy, or both, in addition to usual care, for osteoarthritis of the hip or knee: a randomized controlled trial. 1: clinical effectiveness
Osteoarthritis Cartilage. 2013 Apr;21(4):525-34. doi: 10.1016/j.joca.2012.12.014. Epub 2013 Jan 8Exclusive Author Interview
Dr. Haxby Abbott discusses manual and exercise therapy option for the management of OA.
60 patients with hip or knee osteoarthritis (OA) were randomized to one of four groups, in order to compare the efficacy of different non-surgical procedures on OA. Patients either received usual care, usual care plus manual therapy, usual care plus exercise therapy, or usual care plus a combination of exercise and manual therapy. Following treatment over a 1 year period, results indicated that the greatest improvement in pain and disability was achieved with manual physiotherapy. Although not as large, a significant improvement was also seen with exercise therapy. There was no added benefit of a combination treatment with manual and exercise physiotherapy.
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