How to improve the care of hip osteoarthritis in low income countries as Benin ? Orthopaedic manual therapy as a new alternative
(2021)
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- Abstract
- Hip Osteoarthritis is one of the most disabling pathologies of the musculoskeletal system. Pain, the main symptom associated with stiffness, leads to activity limitations, and altered quality of life. The improvement of life conditions and the increase in life expectancy in low income countries would lead in the coming years to an increase in the number of cases and a strengthening of the disparity between the different social classes. However, hip replacement, the most effective treatment, remains inaccessible to much of the population in these countries. For several decades, several therapeutic alternatives have been used to treat hip osteoarthritis. Among these is orthopaedic manual therapy. Its implementation in countries such as Benin is proving to be important. This thesis therefore examined the feasibility of orthopedic manual therapy in the Beninese context. This thesis remains an important contribution to the evaluation and management of these patients. It showed that there was no significant difference between Beninese subjects with primary and secondary hip osteoarthritis in the three domains of the International Classification of Functioning, Disabilities and Health (ICF). Also, did it reveal that the more severe the osteoarthritis, the more the subject is affected. Finally, it showed that orthopedic manual therapy (Maitland passive joint mobilization and self-rehabilitation) improved all three domains of ICF and that Maitland passive joint mobilization was not superior to self-rehabilitation. However, the generalization of our results and conclusions requires more investigations using larger samples.
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Citations
Assogba, T. (2021). How to improve the care of hip osteoarthritis in low income countries as Benin ? Orthopaedic manual therapy as a new alternative. https://hdl.handle.net/2078.5/116626