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Effectiveness of Nonpharmacological and Nonsurgical Interventions for Hip Osteoarthritis: An Umbrella Review of High-Quality Systematic Reviews

RH Moe, PT, is Research Fellow, National Resource Centre for Rehabilitation in Rheumatology, Diakonhjemmet Hospital, PO Box 23 Vindern, 0319 Oslo, Norway
EA Haavardsholm, MD, is Research Fellow, Department of Rheumatology, Diakonhjemmet Hospital
A Christie, PT, MSc, is Research Fellow, National Resource Centre for Rehabilitation in Rheumatology, Diakonhjemmet Hospital
G Jamtvedt, PT, MPH, is Researcher, Norwegian Knowledge Centre for the Health Services, St Olavs Plass, 0103 Oslo, Norway
KT Dahm, PT, MSc, is Research Assistant, Norwegian Knowledge Centre for the Health Services
KB Hagen, PT, PhD, is Researcher, National Resource Centre for Rehabilitation in Rheumatology, Diakonhjemmet Hospital

Address all correspondence to Dr Moe at: rikke.moe{at}nrrk.no

An increasing number of systematic reviews are available regarding nonpharmacological and nonsurgical interventions for hip osteoarthritis (OA). The objectives of this article are to identify high-quality systematic reviews on the effect of nonpharmacological and nonsurgical interventions for hip OA and to summarize available high-quality evidence for these treatment approaches. The authors identified and screened 204 reviews. Two independent reviewers using a previously pilot-tested quality assessment form assessed the full text of 58 reviews. Six reviews were of sufficient high quality and could be included for further analyses. There was moderate-quality evidence that acupuncture and diacerein have no effect on pain and function. There was low-quality evidence that strengthening exercises and avocado/soybean unsaponifiables reduce pain and that diacerein decreases radiographic OA progression. There was insufficient high-quality evidence regarding nonpharmacological and nonsurgical interventions for hip OA, and further primary studies and reviews are needed.

This article has been cited by other articles:

				B. F Leeb and B. Rintelen On "Effectiveness of nonpharmacological and nonsurgical interventions..." Moe et al. Phys Ther. 2008;88: 1716-1727. Physical Therapy, March 1, 2008; 88(3): 407 - 408. [Full Text] [PDF]

				R. H Moe, E. A Haavardsholm, A. Christie, G. Jamtvedt, K. T. Dahm, and K. B. Hagen Author Response Physical Therapy, March 1, 2008; 88(3): 408 - 408. [Full Text] [PDF]

				M. D. Iversen CARE IV Series: State of Knowledge, Practice, and Translation in Interdisciplinary Arthritis Research and Care Physical Therapy, December 1, 2007; 87(12): 1574 - 1576. [Full Text] [PDF]