Osteitis Pubis
Conditions
Brief summary
Athletic osteitis pubis is a high prevalent pathology among athletes, especially in those who make quick change of direction of the movement, like runners or footballers. Despite the fact that there is evidence about conservative treatments, there is a lack of evidence about manual therapy (MT) techniques applied in isolation and its consequences in pain and range of movement. The investigators decided to conduct a randomized controlled trial to compare the effects of a MT technique with placebo technique.
Interventions
OTHERHigh force hip Lateral distraction
Hip lateral distraction in adjusted position of maximun flexion and internal rotation, with neutral position of abduction/adduction applying high force of distraction.
OTHERPlacebo force hip lateral distraction
Hip lateral distraction in adjusted position of maximun flexion and internal rotation, with neutral position of abduction/adduction applying placebo force of distraction.
Sponsors
University of Valladolid
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
Double- blind
Eligibility
Sex/Gender
ALL
Age
18 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Athletes diagnosed with osteitis pubis stage 1 with at least 3 months of evolution. * Internal rotation ROM limited. * Positive provocation pain tests.
Exclusion criteria
* Pain due to intraarticular hip pathology. * Hip pain due to inflamatory diseases. * Previous surgical interventions in hip, pelvis or lumbar spine. * MRI results or provocation pain tests inconcluyent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Actual PAIN | Baseline | actual pain reported by the patient using visual analog scale (VAS) from 0 to 10, in which higher scores are worse. |
| Last week PAIN | Baseline | past week pain reported by the patient using visual analog scale (VAS) from 0 to 10, in which higher scores are worse. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Range of Movement (ROM) | Baseline | Hip ROM as described by Pua et al. (2008) |
| Pain in sport activities | Baseline | Appearance time of pain during activities |
| Pain intensity in pain provocation tests: Single adductor, squeeze and bilateral adductor tests | Baseline | Appearance of pain during or after the execution of Single adductor, squeeze and bilateral adductor tests. If pain appears it will be reported by the patient using visual analog scale (VAS) from 0 to 10, in which higher scores are worse. |
| Muscle function | Baseline | Velocity (m/s), force (N) and power (W) evaluated for internal and external hip rotators with a rotary axis flywheel-encoder system. |
| Functional capacity | Baseline | Evaluated with a patient reported outcome questionnaire called Copenhagen Hip and Groin Outcome score (HAGOS) which assesses pain, symptoms, physical function in daily living, physical function in sport and recreation, participation in physical activities and hip and groin -related quality of life. For each item answer range from "never" to "always". |
| Treatment credibility and expectancy | Day 1, before treatment | Evaluated with Credibility and expectancy Questionaire (CEQ) in which the patient answer question related to the expectations of the intervention. Higher values mean better expectations on the therapy. |
| Global Rating of Change | after to two weeks of treatment | Subjective impression as described in GROC scale by Jaeschke, Singer \& Guyat (1989) |
| Group of treatment assignment | after to two weeks of treatment | Question about which group of treatment was the patient assigned in. |
Countries
Spain
Contacts
PRINCIPAL_INVESTIGATORSilvia Lahuerta Martín
University of Valladolid
Outcome results
None listed