Comparing Hands-On and Hands-Off Treatments for Hip Pain
Author Information
Author(s): Franceschi Giulia, Scotto Irene, Maselli Filippo, Mourad Firas, Gallotti Marco
Primary Institution: Department of Human Neurosciences, Sapienza University of Rome
Hypothesis
Which treatment is more effective for hip nonspecific musculoskeletal diseases: manual therapy combined with therapeutic exercise or therapeutic exercise alone?
Conclusion
There seems to be no difference in effectiveness between manual therapy combined with therapeutic exercise and therapeutic exercise alone in individuals with hip nonspecific musculoskeletal diseases.
Supporting Evidence
- Ten articles were analyzed in this systematic review.
- Preliminary evidence seems to favor the combined intervention for pain, range of motion, and patient satisfaction.
- Only one study claims that therapeutic exercise alone is more effective for quality of life.
- Manual therapy does not seem to bring any benefit in addition to therapeutic exercise in mid- and long-term functionality.
Takeaway
Doctors are trying to find out if using hands-on treatment with exercises helps hip pain more than just doing exercises alone, but so far, it looks like both work the same.
Methodology
This systematic review followed the PRISMA guidelines and included studies from Pubmed, Cinahl, and Web Of Science from 2004 to 2023.
Potential Biases
Some studies had a low risk of bias, while others had some concerns or high risk.
Limitations
The variability in interventions and outcome measures across studies limits the reliability of the results.
Participant Demographics
Adults aged 18 to 65 with hip-related musculoskeletal disorders.
Digital Object Identifier (DOI)
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