Hip Pain Chronic, Incontinence, Incontinence Stress
Conditions
Keywords
pelvic floor, women health, ultrasound, incontinence
Brief summary
This study examines the relationship between pelvic floor muscle (PFM) function and self-perception of PFM contraction with hip pain, their severity, and hip muscle strength. In addition, it will examines the association between PFM function, and anxiety.
Detailed description
This cross-sectional study will include women with symptoms of hip-related pain persisting \> three months(research group), and women without hip pain (control group). A single session will include various assessments as follows: abdominal ultrasound examination to evaluate PFM function and endurance, in addition, each participant will evaluate her ability to perform correct contraction of PFM, hand-held dynamometer testing for hip rotator muscle strength, the International Consultation on Incontinence Questionnaire (ICIQ) for evaluating symptoms and impact of urinary incontinence, the International Hip Outcome Tool 12 for assessing hip function and pain, the Hospital Anxiety & Depression Scale (HADS), and a functional performance task involving the hip muscles - a single-leg squat.
Interventions
DIAGNOSTIC_TESTpelvic floor muscle assessment
no intervention will be performed - several diagnostic assessments tools
Sponsors
University of Haifa
Study design
Observational model
CASE_CONTROL
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
for Research Group: * complaints of hip related pain, * Visual Analog Scale (VAS) \>3 for three months, * with one or more of the symptoms relevant to the syndrome - (1) hip or groin pain produced by a certain movement or position, stiffness and limitation of movement or clicks from the hip joint, (2) examination A positive FADIR performed by the researcher before conducting the study
Exclusion criteria
* the presence of additional diagnoses of the slipped capital femoral epiphysis, * Perthes disease, * avascular necrosis, and osteoarthritis-Calve-Legg, * neurological or Metabolism, * surgery/fracture in the hip joint of which the woman complains, * pregnancy or childbirth in the last year, * Treatment of the pelvic floor in the last year. control group - health women without any pain or symptoms in the spine and lower extremities
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| International Consultation on Incontinence Questionnaire | baseline | evaluating the frequency, severity and impact on quality of life of urinary incontinence. The score ranges from 0-21, with a higher score indicating greater severity |
| pelvic floor muscle function assessed as correct movement of the urinary bladder | baseline | upward or downward displacement of urinary bladder will be measured via diagnostic ultrasound. Upward movement is considered the correct direction describing good function of pelvic floor muscles |
| urinary bladder displacement in millimeters | baseline | bladder displacement will be measured via diagnostic ultrasound using the on screen caliper tool |
| pelvic floor muscles endurance of contraction in seconds | baseline | The participant is instructed to contract pelvic floor muscle and hold the contraction as long as possible. bladder status on ultrasound is assessed. When the bladder starts to move downward from its position the examination ends. (measured in sec). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| muscle strength | baseline | hip muscle abduction sill be measure via hand held dynamometer |
| hip function assessment | baseline | International Hip Outcome Tool 12 questionnaire. range 0-100, with a high score indicates a high quality of life |
| self-reporting of fear and anxiety of hip pain regarding quality of life | baseline | Hospital Anxiety \& Depression Scale |
| hip range of motion | baseline | range of motion will be assessed with goniometer |
| function assesment | baseline | single leg squat |
Countries
Israel
Contacts
PRINCIPAL_INVESTIGATORGali Dar, Prof.
University of Haifa
Outcome results
None listed