Femoroacetabular Impingement Syndrome
Conditions
Brief summary
The aim of the clinical trial is to investigate the characteristics of patients, who respond vs. not respond to exercise therapy for the nonsurgical management of femoroacetabular impingement syndrome (FAIS).
Detailed description
Patients with a diagnosis of FAIS will be recruited from 2 clinical centers and will receive exercise therapy (study intervention). Exercise therapy is a semi-standardized intervention and will last 12 weeks (3 months). Hip pain, function and quality of life will be assessed using a patient-reported questionnaire at baseline, 3, 6 and 12 months' follow-up. Hip joint contact pressure will be evaluated using motion analysis and modelling at baseline, 3 and 12 months' follow-up. Hip morphology will be evaluated using imaging at baseline and hip surgery rate will be evaluated at 6 and 12 months' follow-up.
Interventions
* Education * Hip-specific strengthening exercises * Functional lower limb strengthening exercises * Core stability exercises * Postural balance exercises
Sponsors
Study design
Eligibility
Inclusion criteria
* Age: 18 to 50 years; * Diagnosis of FAIS; * Availability of magnetic resonance arthrography and anteroposterior pelvic radiography of the involved hip; * Signed informed consent form.
Exclusion criteria
* Previous hip surgery; * Any surgery on the lower extremities in the last 6 months; * Hip dysplasia: lateral center edge angle \<25°; * Hip osteoarthritis: Tönnis grade \>1; * BMI: \>35 kg/m2; * Significant cardiopulmonary diseases.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in hip pain, function and quality of life | Baseline to 6 months' follow-up | Hip pain, function and quality of life will be assessed using the International Hip Outcome Tool - 33 Items |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in hip joint contact stress | Baseline to 3 months' follow-up | Hip joint contact pressure will be assessed using modelling |
| Hip morphology | Baseline | Hip morphology will be assessed using imaging |
| Change in hip pain, function and quality of life | Baseline to 12 months' follow-up | Hip pain, function and quality of life will be assessed using the International Hip Outcome Tool - 33 Items |
| Hip surgery rate | 6 months' follow-up | Number of patients who will decide to undergo hip surgery |
| Dropout | 3 months' follow-up | Number of patients who will not complete the non-surgical intervention protocol |
| Change in sport activity level | Baseline to 3 months' follow-up | Sport activity level will be assessed using the Hip Sports Activity Scale |
Countries
Switzerland