Aktuelle Evidenz physiotherapeutischer Maßnahmen bei Hüftarthrose ^{[ 1 ]}

Zusammenfassung

Hüftarthrose ist eine häufig auftretende degenerative Erkrankung. Aufgrund der steigenden Lebenserwartung gewinnt sie im Gesundheitsmanagement zunehmend an Bedeutung.

Das Ziel der vorliegenden Literaturstudie war, die wissenschaftliche Evidenz hinsichtlich der Wirkung der gängigen Therapiemaßnahmen Manuelle Therapie, Trainingstherapie und eine Kombination beider Maßnahmen aufzuzeigen.

Für den effektiven Einsatz von Manueller Therapie und Trainingstherapie ergaben sich gute Anhaltspunkte. Dagegen blieb der zusätzliche Nutzen einer Kombination aus beiden Maßnahmen fraglich. Alle Therapiemaßnahmen zeigten eine positive Wirkung auf Schmerz und Funktion, jedoch nur einen geringen positiven Effekt auf die Lebensqualität.

Für die Therapiewahl und Interventionswirkung ist eine umfassende ICF-basierte Diagnostik ausschlaggebend. Weitere hüftspezifische Studien sollten dies zusammen mit patientenspezifischen Charakteristika und dem Erkrankungsstadium berücksichtigen.

Abstract

Hip osteoarthritis is a common degenerative disease. It is gaining growing relevance in health care management due to the increasing life expectancy.

The aim of this literature review was to outline the scientific evidence of the effects of the established therapy options manual therapy, training therapy and a combination of both measures.

Good evidence was found for the effective application of manual therapy and training therapy. The additional benefit of a combination of both modalities, however, remained doubtful. All treatment modalities had positive effects on pain and function, however only poor positive effects on quality of life could be shown.

A comprehensive ICF-based diagnosis is crucial for first choice treatment and therapy effects. Future hip-specific studies should considerate this along with patient-specific characteristics and the stage of the disease.

Schlüsselwörter

Hüftarthrose - Physiotherapie - Manuelle Therapie - Trainingstherapie

Key words

Hip osteoarthritis - physiotherapy - manual therapy - training therapy

¹ Der Review wurde im Rahmen einer Bachelor-Arbeit für den Bachelor-Studiengang Physiotherapie der Fachhochschule St. Pölten/Österreich verfasst.

• Literatur

• 1 Vos T, Barber RM, Bertozzi-Villa A. et al. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 2015; 386: 743-800
• 2 Dölken M. Bewegen wie geschmiert. physiopraxis 2005; 3: 26-30 26–30
• 3 Hüter-Becker A, Dölken M. Physiotherapie in der Osteopathie. Stuttgart: Thieme; 2015
• 4 Berenbaum F. Osteoarthritis as an inflammatory disease (osteoarthritis is not osteoarthrosis!). Osteoarthritis Cartilage 2013; 21: 16-21
• 5 Bennell K. Physiotherapy management of hip osteoarthritis. J Physiother 2013; 59: 145-157
• 6 Krauss I, Steinhilber B, Haupt G. et al. Exercise therapy in hip osteoarthritis-a randomized controlled trial. Dtsch Arztebl Int 2014; 111: 592-599
• 7 Zhang Y, Jordan JM. Epidemiology of Osteoarthritis. Clin Geriatr Med 2010; 26: 355-369
• 8 Bretschneider H, Günther KP. Hüftgelenk – Arthrose und Arthritis. Radiol Up2date 2015; 15: 359-383
• 9 Loureiro A, Mills PM, Barrett RS. Muscle weakness in hip osteoarthritis: A systematic review. Arthritis Care Res 2013; 65: 340-352
• 10 Kim C, Nevitt MC, Niu J. et al. Association of hip pain with radiographic evidence of hip osteoarthritis: diagnostic test study. BMJ 2015; 351: h5983
• 11 Eitzen I, Fernandes L, Nordsletten L. et al. Sagittal plane gait characteristics in hip osteoarthritis patients with mild to moderate symptoms compared to healthy controls: a cross-sectional study. BMC Musculoskelet Disord 2012; 13: 258
• 12 Sturnieks DL, Tiedemann A, Chapman K. et al. Physiological risk factors for falls in older people with lower limb arthritis. J Rheumatol 2004; 31: 2272-2279
• 13 Lee WK, Kong KA, Park H. Effect of Preexisting Musculoskeletal Diseases on the 1-Year Incidence of Fall-related Injuries. J Prev Med Pub Health 2012; 45: 283-290
• 14 Kellgren JH, Lawrence JS. Radiological assessment of osteo-arthrosis. Ann Rheum Dis 1957; 16: 494-502
• 15 Borchers M, Kröling P, Sigl T. et al. ICF-basiertes Assessment in der rehabilitativen Therapie – dargestellt anhand des ICF-Modellblatts am Beispiel Kniegelenksarthrose. manuelletherapie 2006; 10: 31-37
• 16 Cibulka MT, White DM, Woehrle J. et al. Hip Pain and Mobility Deficits — Hip Osteoarthritis: Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Healthfrom the Orthopaedic Section of the American Physical Therapy Association. J Orthop Sports Phys Ther 2009; 39: A1-A25
• 17 Peter WF, Jansen MJ, Hurkmans EJ. et al. Physiotherapy in hip and knee osteoarthritis: development of a practice guideline concerning initial assessment, treatment and evaluation. Acta Reumatol Port 2011; 36: 268-281
• 18 Altman R, Alarcón G, Appelrouth D. et al. The American College of Rheumatology criteria for the classification and reporting of osteoarthritis of the hip. Arthritis Rheum 1991; 34: 505-514
• 19 Davis AM, MacKay C. Osteoarthritis year in review: outcome of rehabilitation. Osteoarthritis Cartilage 2013; 21: 1414-1424
• 20 Zhang W, Moskowitz RW, Nuki G. et al. OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines. Osteoarthritis Cartilage 2008; 16: 137-162
• 21 Zuber S. Bringt die Manuelle Therapie in Kombination mit Trainingstherapie bei Patienten mit Gonarthrose einen Mehrwert gegenüber der alleinigen Trainingstherapie?. manuelletherapie 2011; 15: 50-59
• 22 Bennell KL, Egerton T, Martin J. et al. Effect of Physical Therapy on Pain and Function in Patients With Hip Osteoarthritis: A Randomized Clinical Trial. JAMA 2014; 311: 1987
• 23 Fransen M, McConnell S, Hernandez-Molina G. et al. Exercise for osteoarthritis of the hip. Cochrane Database Syst Rev 2014; 22: CD007912
• 24 Abbott JH, Robertson MC, Chapple C. et al. 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; 21: 525-534
• 25 Hoeksma HL, Dekker J, Ronday HK. et al. Comparison of manual therapy and exercise therapy in osteoarthritis of the hip: a randomized clinical trial. Arthritis Rheum 2004; 51: 722-729
• 26 Poulsen E, Hartvigsen J, Christensen HW. et al. Patient education with or without manual therapy compared to a control group in patients with osteoarthritis of the hip. A proof-of-principle three-arm parallel group randomized clinical trial. Osteoarthritis Cartilage 2013; 21: 1494-1503
• 27 French HP, Cusack T, Brennan A. et al. Exercise and Manual Physiotherapy Arthritis Research Trial (EMPART) for Osteoarthritis of the Hip: A Multicenter Randomized Controlled Trial. Arch Phys Med Rehabil 2013; 94: 302-314
• 28 Juhakoski R, Tenhonen S, Malmivaara A. et al. A pragmatic randomized controlled study of the effectiveness and cost consequences of exercise therapy in hip osteoarthritis. Clin Rehabil 2011; 25: 370-383
• 29 Teirlinck CH, Luijsterburg PAJ, Dekker J. et al. Effectiveness of exercise therapy added to general practitioner care in patients with hip osteoarthritis: a pragmatic randomized controlled trial. Osteoarthritis Cartilage 2016; 24: 82-90
• 30 Harris JD, Quatman CE, Manring MM. et al. How to Write a Systematic Review. Am J Sports Med 2014; 42: 2761-2768
• 31 Maher CG, Sherrington C, Herbert RD. et al. Reliability of the PEDro Scale for Rating Quality of Randomized Controlled Trials. Phys Ther 2003; 83: 713-721
• 32 Shea BJ, Grimshaw JM, Wells GA. et al. Development of AMSTAR: a measurement tool to assess the methodological quality of systematic reviews. BMC Med Res Methodol 2007; 7: 10
• 33 Faggion CM. Critical appraisal of AMSTAR: challenges, limitations, and potential solutions from the perspective of an assessor. BMC Med Res Methodol 2015; 15: 63
• 34 Kung J. From Systematic Reviews to Clinical Recommendations for Evidence-Based Health Care: Validation of Revised Assessment of Multiple Systematic Reviews (R-AMSTAR) for Grading of Clinical Relevance. Open Dent J 2010; 4: 84-91
• 35 Langer G, Meerpohl JJ, Perleth M. et al. GRADE-Leitlinien: 1. Einführung – GRADE-Evidenzprofile und Summary-of-Findings-Tabellen. ZEFQ 2012; 106: 357-368
• 36 Ziemainz H, Peters S. Gesundheitsbezogene Lebensqualität bei Arthrose der unteren Extremität – Messverfahren. B & G 2010; 26: 159-166
• 37 Dobson F, Hinman RS, Roos EM. et al. OARSI recommended performance-based tests to assess physical function in people diagnosed with hip or knee osteoarthritis. Osteoarthritis Cartilage 2013; 21: 1042-1052
• 38 Dreinhöfer K, Stucki G, Ewert T. et al. ICF Core Sets for osteoarthritis. J Rehabil Med 2004; 36: 75-80
• 39 Fernandes L, Hagen KB, Bijlsma JWJ. et al. EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis. Ann Rheum Dis 2013; 72: 1125-1135
• 40 Patel C, Vinod Babu K, Sai Kumar N. et al. Effect of Hip Mobilization with Exercises for Subjects with Chronic Non Specific Low Back Pain Associated with Hip Impairment. Int J Physiother 2015; 2: 376
• 41 Jackson KA, Glyn-Jones S, Batt ME. et al. Assessing risk factors for early hip osteoarthritis in activity-related hip pain: a Delphi study. BMJ Open 2015; 5: e007609
• 42 Pisters MF, Veenhof C, van Meeteren NLU. et al. Long-Term effectiveness of exercise therapy in patients with osteoarthritis of the hip or knee: A systematic review. Arthritis Rheum 2007; 57: 1245-1253
• 43 Day SJ. Statistics Notes: Blinding in clinical trials and other studies. BMJ 2000; 321: 504-504
• 44 Wang Q, Wang T, Qi X. et al. Manual Therapy for Hip Osteoarthritis: A Systematic Review and Meta-analysis. Pain Physician 2015; 18: E1005-1020
• 45 Reid SA, Rivett DA, Katekar MG. et al. Comparison of Mulligan Sustained Natural Apophyseal Glides and Maitland Mobilizations for Treatment of Cervicogenic Dizziness: A Randomized Controlled Trial. Phys Ther 2014; 94: 466-476
• 46 Sambandam EC, Sejal NS, Jagatheesan A. Effect of Mulligan Mobilization and Maitland Mobilization in Subjects with Unilateral Tibiofemoral Osteoarthritis – Randomized Controlled Trial. J Pharm Biomed Sci 2011; 11: 17
• 47 Delarue Y, de Branche B, Anract P. et al. Physical exercise supervised or not by a physiotherapist in the treatment of lower-limb osteoarthritis. Elaboration of French clinical practice guidelines. Ann Réadapt Médecine Phys 2007; 50: 759-768
• 48 Bennell KL, Buchbinder R, Hinman RS. Physical therapies in the management of osteoarthritis: current state of the evidence. Curr Opin Rheumatol 2015; 27: 304-311
• 49 Sampath KK, Mani R, Miyamori T. et al. The effects of manual therapy or exercise therapy or both in people with hip osteoarthritis: a systematic review and meta-analysis. Clin Rehabil 2016; 30: 1141-1155
• 50 Van Baar ME, Dekker J, Oostendorp RA. et al. Effectiveness of exercise in patients with osteoarthritis of hip or knee: nine months’ follow up. Ann Rheum Dis 2001; 60: 1123-1130
• 51 Campbell M, Fitzpatrick R, Haines A. et al. Framework for design and evaluation of complex interventions to improve health. BMJ 2000; 321: 694-696
• 52 Slade SC, Dionne CE, Underwood M. et al. Consensus on Exercise Reporting Template (CERT): Modified Delphi Study. Phys Ther 2016; 96: 1514-1524
• 53 Balthazard P, de Goumoens P, Rivier G. et al. Manual therapy followed by specific active exercises versus a placebo followed by specific active exercises on the improvement of functional disability in patients with chronic non specific low back pain: a randomized controlled trial. BMC Musculoskelet Disord 2012; 13: 162