Pre-arthritic, intra-articular hip pain and femoroacetabular impingement (FAI) Musculoskeletal Diseases
Conditions
Interventions
1. Residential group. Participants randomised to the MDT inpatient group will receive comprehensive multidisciplinary inpatient rehabilitation. The intervention duration is 7 days anchored by admissio
Sponsors
Arthritis Research UK Centre for Sport, Exercise and Osteoarthritis (UK)
Eligibility
Sex/Gender
Male
Inclusion criteria
Inclusion criteria: 100 male military participants aged 18 to 50 will be recruited from patients attending the centre for lower-limb rehabilitation outpatient injury assessment clinic (DMRC Headley Court), with symptoms of intra-articular hip pain. The specific inclusion criteria are: 1. Anterior or lateral hip pain for at least 3 months 2. Clinical signs and symptoms of pre-arthritic intra-articular hip pathology/FAI diagnosed by a specialist Rehabilitation/Rheumatology/Sports and Exercise Medicine Consultant Physician 3. Physical examination findings or reproduction of pain in the groin or lateral hip with the log roll, anterior hip impingement test, or resisted straight leg-raise test (see figures 2, 3 and 4 below) 4. Sufficient time to keep therapeutic appointments 5. Aged = 18 years
Exclusion criteria
Exclusion criteria: 1. Ipsilateral hip surgery 2. Inflammatory arthropathy 3. Hip infection or tumour 4. Hip fracture 5. Existing extra-articular hip disorders and/or any other pre-existing hip pathology 6. Major structural deformity of the hip 7. Advanced degenerative disease of the hip (Tönnis classification 2-3) 8. Any physical impairment or co-morbidities (including cardiovascular disease) precluding the safe participation in the rehabilitation programme and/or assessment procedures 9. History of congenital/adolescent hip disease 10. Corticosteroid or analgesic injection intervention for hip within the previous 30 days 11. Clinical signs of lumbar spine disease including radiculopathy 12. Aged = 50 years 13. Insufficient capacity to provide informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. The Copenhagen Hip and Groin Outcome Score (HAGOS) 2. The Non-arthritic Hip Scores (NAHS) 3. The Visual Analogue Pain Scale All measures will be taken at baseline (pre-treatment), post treatment (1 week for MDT Group; 6 weeks for Outpatient Group), and 3 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. The EuroQuol-5D (EQ-5D-3L) 2. The Hospital Anxiety and Depression Scale (HADS) 3. The 6-Minute Walk Test 4. The Modified Star-Excursion Balance (Y-Balance) Test 5. Hip Range of Motion (ROM) 6. The Sports Injury Rehabilitation Beliefs Survey (SIRBS) All measures will be taken at baseline (pre-treatment), post treatment (1 week for MDT Group; 6 weeks for Outpatient Group), and 3 months. | — |
Countries
United Kingdom
Outcome results
None listed