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Trial registered on ANZCTR
Registration number
ACTRN12611000681954
Ethics application status
Approved
Date submitted
17/03/2008
Date registered
6/07/2011
Date last updated
6/07/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
Chiropractic manipulation for osteoarthritis of the hip.
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Scientific title
Chiropractic manipulation for osteoarthritic hip pain for changes in pain, range of motion, quality of life, cost, and risk for falls in subjects with hip osteoarthritis
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Secondary ID [1]
262562
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hip osteoarthritis
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Condition category
Condition code
Alternative and Complementary Medicine
3069
3069
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0
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Other alternative and complementary medicine
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Musculoskeletal
268373
268373
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0
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Osteoarthritis
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Group A: will receive 9 manipulative therapy treatments (adjustments) to one area: the hip with pre-manipulative static and post active-assisted stretch of tight hip muscles. After the last (or 9th) treatment these patients will receive general advice and recommendations on managing hip osteoarthritis and how to gently and safely increase general exercise. Chiropractic treatment will be provided as one on one therapy, of 20 minutes duration, at a frequency of two time per week for the first four weeks.
Group B: will receive 9 treatments with manipulative therapy treatments (adjustments) to the entire kinetic chain (five areas): the lumbosacral, sacroiliac, hip, knee, ankle and foot joints with pre-manipulative static and post active-assisted stretch of tight hip muscles. Chiropractic treatment will be provided as one on one therapy, of 20 minutes duration, at a frequency of two time per week for the first four weeks.
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Intervention code [1]
2662
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Treatment: Other
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Comparator / control treatment
Group A
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Control group
Active
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Outcomes
Primary outcome [1]
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Western Ontario and McMaster Universities Osteoarthritis Index (functional quality of life)
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Assessment method [1]
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Timepoint [1]
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9th Treatment, 3 month, 6 month, 9 month
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Secondary outcome [1]
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Overall Treatment Effect (OTE) (general improvement and patient satisfaction)
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Assessment method [1]
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Timepoint [1]
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9th Treatment, 3 month, 6 month, 9 month
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Secondary outcome [2]
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Harris Hip Score (osteoarthritis functional changes)
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Assessment method [2]
6643
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Timepoint [2]
6643
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9th Treatment, 3 month, 6 month, 9 month
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Secondary outcome [3]
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Berg Balance Scale (risk for falls)
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Assessment method [3]
6644
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Timepoint [3]
6644
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9th Treatment, 3 month, 6 month, 9 month
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Secondary outcome [4]
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Visual Analog Scale (pain) and long arm goniometry (range of motion)
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Assessment method [4]
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Timepoint [4]
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9th Treatment, 3 month, 6 month, 9 month
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Eligibility
Key inclusion criteria
Diagnosis is made based upon the American College of Rheumatology guidelines, daily hip pain and/or stiffness for > 60 mins, radiographic diagnosis of hip osteoarthritis made using the ACR guidelines, <15 internal rotation and < 115 flexion.
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Minimum age
40
Years
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Maximum age
85
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Previous hip surgery, visual/ vestibular/ neurological/ peripheral or sensory disorders, rheumatoid arthritis, severe osteoporosis, lumbar herniated disc.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Participants will contact a research assistant in response to print advertisement. Particiapnst will then be telephone screened, upon passing they will be invited for a physical and radiographic screening. Upon the diagnosis of osteoarthritis participant will then be randomised into Group A or Group B by concealed allocation via central randomisation by computer.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Random Number generator by using a randomisation table created by a computer software.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/04/2008
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
60
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
612
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2122
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Recruitment postcode(s) [2]
792
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2113
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Henry Pollard
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Address [1]
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84 The Kingsway
Cronulla NSW 2230
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Henry Pollard
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Address
84 The Kingsway
Cronulla NSW 2230
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Country
Australia
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Secondary sponsor category [1]
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Other Collaborative groups
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Name [1]
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Cleveland College of Chiropractic
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Address [1]
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Cleveland Chiropractic College
590 North Vermont Avenue
Los Angeles, California 90004
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Country [1]
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United States of America
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Macquarie University
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Ethics committee address [1]
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Research Office Level 3, Research HUB, Building C5C Macquarie University NSW 2109
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
5166
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Approval date [1]
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22/02/2008
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Ethics approval number [1]
5166
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HE22FEB2008-R05639
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Summary
Brief summary
The primary purpose of this study was to investigate if chiropractic treatment for the entire lower limb kinetic chain (lumbar spine, hip, knee, ankle and foot joints) has better outcomes than treatment of the symptomatic hip alone. Our hypothesis is that full lower limb kinetic chain treatment is better for changes in pain, range of motion, quality of life and risk for falls in subjects with hip osteoarthritis. The intervention tested was chiropractic manipulation performed at one area (symptomatic osteoarthritic hip) versus chiropractic manipulation at various areas (ipsilateral lower limb kinetic chain).
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Trial website
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Trial related presentations / publications
Brantingham JW, Globe G, Cassa T, Globe D, de Luca K, Pollard H. Full kinetic chain manual and manipulative therapy plus exercise compared with targeted manual and manipulative therapy plus exercise for symptomatic osteoarthritis of the hip - a randomised clinical trial. In Press – Archives of Physical Medicine and Rehabilitation. de Luca K, Pollard H, Brantingham J, Cassa T, Globe G. A randomised controlled trial of chiropractic management for the lower limb kinetic chain in sufferers of hip osteoarthritis: a protocol. In Press – Journal of Chiropractic Medicine. Brantingham JW, Globe G, Cassa T, Globe D, de Luca K, Pollard H, Lee F, Bates C, Jensen M, Mayer S, Korporaal C. A single-group pre-test post-test design using full kinetic chain manipulative therapy with rehabilitation in the treatment of 27 patients with hip osteoarthritis. Journal of the American Chiropractic Association 2010; 47(6):8-26. de Luca K, Pollard H, Brantingham J, Cassa T, Globe G. Chiropractic management of the kinetic chain for the treatment of hip osteoarthritis: an Australian case series. Journal of Manipulative and Physiological Therapeutics 2010; 33(6):474-9. Brantingham J, Globe G, Cassa T, Globe D, de Luca K, Pollard H, et al. A single-group pre-test post-test design using full kinetic chain manipulative therapy with rehabilitation in the treatment of 18 patients with hip osteoarthritis. Journal of Manipulative and Physiological Therapeutics 2010; 33(6):445-57.
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Henry Pollard
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Address
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84 The Kingsway
Cronulla NSW 2230
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Country
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Australia
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Phone
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+61 2 9523 4600
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Henry Pollard
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Address
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84 The Kingsway
Cronulla NSW 2230
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Country
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Australia
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Phone
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+61 2 9523 4600
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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