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The effect of mobilization with movement and passive stretching on hip range of motion: a randomized controlled trial
Torres D, Hanney WJ, Velazquez L, Pabian PS, Pilkington C
Orthopaedic Physical Therapy Practice 2021;33(3):150-154
clinical trial
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND AND PURPOSE: A decrease in hip range of motion (ROM) is a risk factor for multiple orthopedic conditions; however, little evidence exists to determine the most effective treatment. The purpose of this study was to determine if hip mobilization with movement (MWM) is superior to passive stretching for increasing hip ROM. METHODS: Fifty-eight participants with impaired hip ROM were randomized to a control group or received a single bout of either a hip MWM or hip passive stretch (HPS). Measurements for hip ROM were taken immediately before and after the intervention. FINDINGS: No significant differences were noted between groups at baseline (p > 0.05). Group-by-time analysis revealed a significant difference between the control and treatment groups; however, no significant difference was noted between the hip MWM and hip stretch groups (p < 0.01). CONCLUSION: Improvements in ROM were achieved in both stretching and MWM groups indicating comparable efficacy. CLINICAL RELEVANCE: Hip MWM and stretching have comparable treatment effects on ROM. Clinicians may consider patient comfort when choosing the most appropriate approach to treating limitations in hip ROM.

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