None listed
Conditions
Brief summary
Femoroacetabular impingement (FAI) is a common condition that can cause hip and/or groin pain in young active adults, as well as give rise to stiffness, muscle weakness, reduced physical function and lower quality of life. It has also been proposed as a possible risk factor for early onset of hip osteoarthritis. In symptomatic FAI, treatment often involves arthroscopic surgery. Currently, post-operative management is quite variable and dependent on surgeon preferences. Post-operative physiotherapy is not routine practice, largely because it has not been established if rehabilitation following surgery is needed to improve patient outcomes. Thus, this project primarily aims to investigate the effectiveness of physiotherapist-supervised rehabilitation following hip arthroscopy surgery for FAI in young adults.
Interventions
Arm 1: Physiotherapist-supervised rehabilitation group. Participants in the physiotherapy group will receive standard post-surgical care in addition to attending a project physiotherapist for seven treatment sessions. This will include one pre-operative visit approximately 30 minutes long and within two weeks prior to surgery. There will be six post-operative visits over 12 weeks, commencing approximately two weeks post-operatively. Each session will be an individual appointment of approximately
Arm 1: Physiotherapist-supervised rehabilitation group. Participants in the physiotherapy group will receive standard post-surgical care in addition to attending a project physiotherapist for seven treatment sessions. This will include one pre-operative visit approximately 30 minutes long and within two weeks prior to surgery. There will be six post-operative visits over 12 weeks, commencing approximately two weeks post-operatively. Each session will be an individual appointment of approximately 30 minutes. Participants in the physiotherapy group will receive a home exercise program, education and advice regarding activity, manual therapy and an unsupervised gym program.
Sponsors
Professor Kim Bennell
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Investigator)
Eligibility
Sex/Gender
All
Age
16 Years to 35 Years
Healthy volunteers
No
Inclusion criteria
Participants will be eligible if they are aged 16-35 years, have had hip/groin symptoms for at least 3 months, have been diagnosed with FAI by an orthopaedic surgeon based on symptoms, clinical signs and imaging findings and are scheduled for hip arthroscopy.
Exclusion criteria
Exclusion criteria will include: (i) radiographic evidence of hip osteoarthritis that is more than mild in severity defined as Tonnis >grade 1; (ii) professional athlete; (iii) planning to have bilateral surgery within 24 weeks; (iv) other concurrent injury/condition that would affect performance on the rehabilitation program and/or assessment procedures; (v) unable to attend a study physiotherapist or participate in the rehabilitation program if randomised to the physiotherapy group; (vi) planning to undertake formal supervised rehabilitation following hip arthroscopy; and (vii) inability to understand English.
Outcome results
None listed