Athletic Pubalgia, Osteitis Pubis
Conditions
Brief summary
Athletic osteitis pubis is a pathologic entity that can cause functional impairment. Scientific evidence have noticed that athletes experiment pain and a decrease on strength. Moreover, this symptomathology can affect daily life and functionality. There is no scientific evidence about the influence of manual therapy (MT) as a single treatment to improve this condition. The investigators decided to conduct a randomized controlled trial to compare the effects of a MT technique with placebo technique.
Interventions
OTHERHigh force lateral distraction
High force lateral distraction on the affected hip.
OTHERPlacebo distraction group
Placebo lateral distraction on the affected hip.
Sponsors
University of Valladolid
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
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 |
|---|---|---|
| Strength | Baseline | Strength evaluate for internal and external hip rotators with a conical pulley. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain in sports activities | Baseline | Appearance time of pain during activities |
| Pain intensity during/after 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. |
| Pain intensity after pain provocation tests: Single adductor, squeeze and bilateral adductor tests | Through study completion, an average of two weeks | 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. |
| 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. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Treatment expectancy and credibility | Through study completion, an average of two weeks | 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. |
Countries
Spain
Outcome results
None listed