Evidence map›Paper›PMID 35192442›Full record

SynthesisThe Journal of manual & manipulative therapy2022

The influence of manual therapy dosing on outcomes in patients with hip osteoarthritis: a systematic review.

Mark H Shepherd, Joshua Shumway, Robert T Salvatori, Daniel I Rhon, Jodi L Young

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in The Journal of manual & manipulative therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Mark H ShepherdDepartment of Physical Therapy Bellin College, Doctor of Science in Physical Therapy Program, Green Bay, WI, USA.
Joshua ShumwayDepartment of Physical Therapy Bellin College, Doctor of Science in Physical Therapy Program, Green Bay, WI, USA.
Robert T SalvatoriDepartment of Physical Therapy Bellin College, Doctor of Science in Physical Therapy Program, Green Bay, WI, USA.
Daniel I RhonDepartment of Physical Therapy Bellin College, Doctor of Science in Physical Therapy Program, Green Bay, WI, USA.
Jodi L YoungDepartment of Physical Therapy Bellin College, Doctor of Science in Physical Therapy Program, Green Bay, WI, USA.
Bellin College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo 1) Determine if specific dosing parameters of manual therapy are related to improved pain, disability, and quality of life outcomes in patients with hip osteoarthritis and 2) to provide recommendations for optimal manual therapy dosing based on our findings.

designA systematic review of randomized controlled trials from the PubMed, CINAHL, and OVID databases that used manual therapy interventions to treat hip osteoarthritis was performed. Three reviewers assessed the risk of bias for included studies and extracted relevant outcome data based on predetermined criteria. Baseline and follow-up means and standard deviations for outcome measures were used to calculate effect sizes for within and between-group differences.

resultsTen studies were included in the final analyses totaling 768 participants, and half were graded as high risk of bias. Trends emerged: 1) large effect sizes were seen using long-axis distraction, mobilization and thrust manipulation, 2) mobilization with movement showed large effects for pain and range of motion, and (3) small effects were associated with graded mobilization. Durations of 10 to 30 minutes per session, and frequency 2-3 times per week for 2-6 weeks were the most common dosing parameters.

conclusionsThere were varied effect sizes associated with pain, function, and quality of life for both thrust and non-thrust mobilizations, and mobilization with movement into hip flexion and internal rotation. Due to the heterogeneity of MT dosage, it is difficult to recommend a specific manual therapy dosage for those with hip osteoarthritis.

Indexed as

Musculoskeletal ManipulationsOsteoarthritis, HipHumansPainPain MeasurementQuality of Lifedisabilitydosagehip osteoarthritisManual therapy

Identifiers

PMID35192442
PMCPMC9621225
OpenAlexW4213029088

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.