Femoroacetabular Impingement
Conditions
Brief summary
The aim of the study is to investigate the feasibility of a training intervention in patients with femoroacetabular impingement syndrome (FAIS).
Detailed description
The aim of this study is to investigate the feasibility of a 12-weeks (progressive) exercise program in patients with FAIS. Feasibility is evaluated on the recruitment strategy, patient adherence to the exercises and their experiences with and motivation for performing exercises. Furthermore, the investigators wish to investigate the variation of data before and after the exercise program to help estimate a suitable sample size for a future randomized controlled trial.
Interventions
PROCEDUREPhysiotherapist-led training
Patients will undergo a 12-week physiotherapist-led training program consisting of 8 supervised sessions and home-based training in between
Sponsors
University of Aarhus
La Trobe University
Horsens Hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
1. Patients aged 18-50 years old 2. Diagnosed with FAIS according to the Warwick agreement 3. Patients having cam morphology should have an alpha angle of \> 55 degrees on an anterior-posterior radiograph. 4. Patients having pincer should have a lateral centre edge angle of \>39 degrees on an anterior-posterior radiograph. 5. Lateral joint space width should be \>3 mm. 6. Body mass index is below 30. 7. Motivated for participation in a 12 week training program with 8 physical attendances.
Exclusion criteria
1. Received physiotherapist-led treatment in the past 3 months, 2. Previous hip surgery in included hip or other major hip injury, 3. Systemic conditions e.g. rheumatoid arthritis, cancer, 4. Chronical pain syndromes, 5. Unable to perform testing procedures, 6. Unable to attend a 12-week treatment program or baseline and follow-up assessments 7. Contraindications to radiographs (e.g. pregnancy) 8. Unable to read or understand questionnaires and/or instructions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of completed exercise sessions | 0-12 weeks | Number of completed exercise sessions. A high adherence is defined as attendance of \> 75% of planned sessions |
| Completion of training program | 0-12 weeks | The training program is considered completed if patients are not dropping out of the study before the end of the 12 weeks. Completion rate will be calculated as % patients who completed the study |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The International Hip Outcome Tool (iHOT-33) | Change from 0-12 weeks | iHOT-33 is a questionnaire focussing at patients' hip related quality of life in 33 questions. Both a total score and sub scales: Symptoms and functional limitations, Sports and recreational activities, Job related concerns and Social, emotional and lifestyle concerns, are extracted from the questionnaire. |
| The Hip Sports Activity Scale (HSAS) | Change from 0-12 weeks | Current physical activity measured from 0 to 8 points, 0 being no activity and 8 being an athlete |
| Y-balance board | 0-12 weeks | Change (cm) in ability to perform on the y balance board from 0-12 weeks |
| One-legged hop for distance | 0-12 weeks | Change (cm) i hop distance from 0-12 weeks |
| Patient Acceptable Symptom State | 0-12 weeks | Patient Acceptable Symptom State (yes/no): Change in number of patients reporting yes vs. no from baseline to 12 weeks |
| Maximal hip muscle strength | Change from 0-12 weeks | Change (Nm/kg) in maximal hip flexion, extension, abduction and adduction from 0-12 weeks |
| The Copenhagen Hip and Groin Outcome Score (HAGOS) | Change from 0-12 weeks | HAGOS is a questionnaire developed for young, active persons experiencing hip and/or groin pain. It consists of 6 subscales: Pain, Symptoms, Activities of Daily Living, Sport, Participation in Sport and Hip-related quality of life. The main subscales used in this study are HAGOS pain and sport. |
Countries
Denmark
Outcome results
None listed