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Table 6.17Patient function

Function outcomeReferenceInterventionAssessment timeOutcome/effect size
Manual therapy vs other exercise
Harris Hip scores1 RCT (Hoeksma et al. 2004) (N=109)Manual therapy vs strengthening exerciseStudy endpoint (5 weeks) and 6 months follow-upBoth: p<0.05
Favours manual
Improvements in WOMAC physical function scores1 RCT (Dracoglu et al. 2005) (N=66)Kinaesthesia + balancing + strengthening exercises vs strengthening exercisesStudy endpoint (8 weeks)p=0.042
Favours manual
Improvement in mean total WOMAC scores1 RCT (Deyle et al. 2000) (N=83)Manual therapy + strengthening exercise vs control group (sub- therapeutic US)Study endpoint (8 weeks)Mean improvement mm, % CI 197 to 1002 mm
Improvement in total WOMAC scores (change from baseline)1 RCT (Deyle et al. 2005) (N=134)Clinic-based manual therapy + strengthening exercises vs home-based strengthening exercise1 year follow-up32% (manual) vs 28% (home)

From: 6, Non-pharmacological management of osteoarthritis

Cover of Osteoarthritis
Osteoarthritis: National Clinical Guideline for Care and Management in Adults.
NICE Clinical Guidelines, No. 59.
National Collaborating Centre for Chronic Conditions (UK).
Copyright © 2008, Royal College of Physicians of London.

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