Journal of Complementary and Integrative Medicine, 2016/10, 13(4):eA24. doi: 10.1515/jcim-2016-0102, type of study: ,los,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Full text    (https://www.degruyter.com/document/doi/10.1515/jcim-2016-0102/html)

Keywords:

ballet [4]
dancing [6]
hip [394]
longitudinal study [37]
OMT [3924]
osteopathic manipulative treatment [3945]
snapping hip syndrome [1]
sports [158]

Abstract:

Background: Snapping hip is characterized by snapping sensation felt when the hip is flexed and extended. Research shows the lack of recognition and treatment among dancers. Objectives: This study aims to document effects of osteopathic treatment on (1) pain and discomfort using the visual analog scale (VAS), (2) quality of life using the International hip outcome tool 12 (iHOT-12), and (3) abnormal displacement of the structures of the hip, using ultrasound on dancers with snapping hip syndrome. Methods: The study uses a longitudinal design. Baseline measurements include ultrasound evaluation performed by a physiatrist, iHOT-12, VAS, and scale of the intensity of hip snapping. Subjects then received individual osteopathic treatments with focus on pelvis and hip dysfunctions once a week over a three-week period. Post treatment measurements include iHOT-12, ultrasound, VAS, and intensity of snap. The iHOT-12 was repeated two and three weeks post-treatment. Significance was set at p=0.05 for statistical analyses. Results: Twenty-five dancers met inclusion criteria and were included in the study. Post treatment results indicate reduction of pain (p=0.01) and intensity of snap (p=0.02), using paired t-tests. Greatest improvements of quality of life on iHOT-12 were noted three weeks after the last treatment, using ANOVA tests. Ultrasounds were analysed using the Wilcoxon signed rank test and revealed statistically significant improvement for psoas snapping at the end of hip extension (p=0.01), end hip flexion (p=0.014) and for snapping of the tensor fascia lata (TFL) (p=0.017). Conclusion: Osteopathic treatment has positive effects on snapping hip syndrome in these dancers.