Femoracetabular Impingement
Conditions
Keywords
non-surgical treatment, exercise
Brief summary
The purpose of this study is to examine whether using an exercise regime on people with femoroacetabular impingement (FAI) can help reduce pain and improve function. Also, it examines whether the exercise regime will help prevent the worsening of hip cartilage deterioration.
Detailed description
A significant proportion of adults from ages 18 to 50 have a deformity in the neck of their femur. This can be painful and is called a femoroacetabular impingement (FAI), and could lead to ones cartilage being destroyed and possibly lead to osteoarthritis of the hip. People with this deformity in their femur have been found to move their hips differently when doing tasks such as walking, squatting or climbing stairs compared to those without this problem. The investigators are testing whether exercise that targets this difference in movement can help reduce pain, improve function and prevent cartilage damage. There will recruit 84 patients with divided into 2 groups. 42 patients will do a 8 week exercise program on strengthening muscles responsible for extending the hip and stretching muscles that are associated with flexing the hip. The intensity of the program will change with visits to the physiotherapist through the course of their exercise program. This research hopes to develop an innovative, non-surgical, low-cost, highly feasible and accessible intervention for patients with FAI.
Interventions
OTHERExercise Group
The group who will meet a physiotherapist who will show them strengthening and stretching muscles associated with pelvic tilt.
Sponsors
Canadian Orthopaedic Foundation
Ottawa Hospital Research Institute
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Intervention model description
There will be two groups, one will be the exercise group and one will be used as a control group.
Eligibility
Sex/Gender
ALL
Age
16 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Diagnosed with symptomatic FAI * at least 3 months of groin pain * increased pain with hip rotation * an alpha angle greater than 60 degrees on multiplane imaging * labral tear on MRI * Tonnis grade of 0 or 1
Exclusion criteria
* diagnosed health problems other than FAI interfering with capacity to accomplish the exercise program * previous hip surgery on the affected side * surgery will happen within 6 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| iHOT-33 | Change in Baseline before exercise program and 6 months | International Hip Outcome Tool-33, disease-specific function. Each answer will be measured on a scale of 100mm and the mean of the 33 questions will be taken as a final score. A higher score indicates a better quality of life. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| EQ-5D-5L | Change in Baseline before exercise program and 6 months afterward | Generic quality of life, the scores for each question are summed up for a total with a higher score being a better quality of life. |
| Number of participants that receive hip surgery | Change in Baseline before exercise program and 1 year afterwards | If the participant has hip surgery in the time frame |
| Patient-reported hip pain | Change in Baseline before exercise program and 6 months | Patient perceived pain on a VAS scale |
Countries
Canada
Outcome results
None listed