Effects of Unrestrained Femoral Internal Rotation Manipulation on Hip External Rotation Strength in Individuals With Nonspecific Hip Pain: A One-Week Follow-Up Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 24
- 试验地点
- 1
- 主要终点
- Change in hip external rotation strength (measured in pounds using a hand-held dynamometer)
研究概览
简要总结
The purpose of this study is to investigate the potential effects of an unrestrained femoral internal rotation (UFIR) manipulation technique on hip external rotation strength in individuals with nonspecific hip pain. The results of this study may help physical therapists and other healthcare professionals to better understand the effectiveness of this technique in improving hip strength and function in patients with nonspecific hip pain.
详细描述
Background and Rationale
Hip pain is a prevalent and debilitating condition affecting adults of all ages and activity levels, with significant impact on daily function. In athletes, the rates of hip injuries are particularly high. The heterogeneity of nonspecific hip pain, coupled with limited research on accurate diagnosis and treatment, poses challenges for physical therapists.
This study focuses on the potential of joint manipulation, particularly the Unrestrained Femoral Internal Rotation (UFIR) technique, to improve hip external rotation strength in individuals with nonspecific hip pain and weakness. While strength training is commonly used to address hip weakness, there's a lack of research on alternative approaches like joint manipulation. This research seeks to bridge this gap and explore the potential benefits of UFIR manipulation in enhancing hip function and reducing pain.
Research Procedures
Design: Prospective, randomized, controlled trial Setting: SKYE Physiotherapy, Columbia, MD Sample: 24 adults (18-55 years) with nonspecific hip pain and ipsilateral hip external rotation weakness Intervention: Experimental group receives UFIR manipulation, control group receives sham manipulation Outcome Measures: Bilateral hip external rotation strength assessed by manual muscle testing (MMT) and hand-held dynamometer (HHD) at baseline, immediately post-intervention, and 1-week follow-up.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 55 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •individuals who meet the following inclusion criteria will be eligible to participate in this study: 1) nonspecific hip pain, 2) ipsilateral hip external rotation weakness (at or below 3+) based on the MMT test
排除标准
- •individuals who meet any of the following exclusion criteria will not be eligible to participate in this study: 1) do not speak English, 2) have an impaired cognition and are unable to follow multi-step commands, 3) require an assistive device for standing balance, 4) have complaints of intractable (intolerable) pain, 5) have a history of hip dislocation or total hip replacement, 6) have a history of hip fracture or arthroscopy in the past 6 months, 7) have a history of lumbar spine fracture or surgery (e.g., lumbar discectomy and fusion) in the past 6 months, 8) present with neurological condition (i.e., stroke, Parkinson's disease, or lumbar radiculopathy), 9) known congenital hip dysplasia/adolescent hip disease, and 10) known osteoporosis
研究组 & 干预措施
Experimental Group
Participants receiving the Unrestrained Femoral Internal Rotation (UFIR) manipulation.
干预措施: Unrestrained Femoral Internal Rotation (UFIR) manipulation (Other)
Control Group
Participants receiving a sham manipulation (gentle hand placement)
干预措施: Sham manipulation (Other)
结局指标
主要结局
Change in hip external rotation strength (measured in pounds using a hand-held dynamometer)
时间窗: Baseline (pre-intervention), immediately post-intervention, and one-week follow-up
次要结局
未报告次要终点