None listed
Conditions
Brief summary
Research Question Hip and/or groin pain is common in young and middle-aged people, and may represent hip osteoarthritis (OA) in its early stages. These people have persistent pain, difficulty participating in work and functional activity and have worse quality of life compared to healthy people. This is at a time of peak work and family commitments. Improving the capacity of these individuals to participate fully in work and functional activity will have large positive personal and societal benefits. If modifiable risk factors associated with pain, quality of life, functional and work participation limitations are identified in the early stages of hip OA, the impact of the disease could be reduced. This study aims to establish modifiable risk factors associated with worsening of pain and quality of life in people aged 18-55 years with hip and/or groin pain Methodology This prospective longitudinal cohort study will be conducted in Tasmania, Australia. 100 people aged 18-55 years with hip and/or groin pain, fulfilling eligibility criteria will be recruited. Participants will undergo baseline radiographs, clinical and demographic assessment and complete patient-reported outcome measures. Participants will be followed up at 6 and 12 (primary endpoint) months. Modifiable risk factors at baseline that predict increase in pain and worsening of quality of life (primary outcome) and changes in physical activity, sports participation, work participation and progression to hip surgery (secondary outcomes) at 6 and 12 months will be determined. Signficance of the project to physiotherapy This information will assist physiotherapists and other health professionals in providing targeted rehabilitation programs, and will enable informed decisions regarding resource provision to optimise future health care.
Interventions
Hip and/or groin pain is common in young and middle-aged people, and may represent arthritis in its early stages. These people have persistent pain, difficulty participating in work and functional activity and have worse quality of life compared to healthy people. This is at a time of peak work and family commitments. Improving the capacity of these individuals to participate fully in work and functional activity will have large positive personal and societal benefits. 100 people aged 18-55 years with hip and/or groin pain will be recruited. Participants will undergo baseline radiographs, clinical and demographic assessment and complete patient-reported outcome measures. Participants will be followed up at 6 and 12 (primary endpoint) months. Modifiable risk factors at baseline that predict increase in pain and worsening of quality of life (primary outcome) and changes in physical activity, sports participation, work participation and progression to hip surgery (secondary outcomes) at 6 and 12 months will be determined.
Sponsors
Eligibility
Inclusion criteria
Patients must: (i) be aged 18-55 years; (ii) Self-reported hip and/or groin pain for greater than 6 weeks; (iii) Self-reported average hip and/or groin pain over previous month of >3/10 on a 11-point numerical pain rating scale
Exclusion criteria
Patients will be excluded if they meet any of the following criteria: (i) inability to understand English; (ii) prior history of significant hip and/or groin condition such as congenital dislocation of the hip, Legg-Calve Perthes’ disease, slipped capital femoral epiphysis, avascular necrosis, acetabular fracture, hip dislocation or femoral neck fracture (iv) prior history of hip and/or groin surgery (i.e. hip arthroscopy) (v) physical inability to undertake testing procedures (vi) expected increased likelihood of non-compliance such as a result of cognitive impairment, drug abuse or similar.