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the Horsens Aarhus FemoroAcetabular Impingement Syndrome Training Pilot Study

Not Applicable
Conditions
Femoroacetabular Impingement
Interventions
Procedure: Physiotherapist-led training
Registration Number
NCT05031390
Lead Sponsor
Horsens Hospital
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.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
15
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

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Physiotherapist-led trainingPhysiotherapist-led trainingPhysiotherapy-led training of patients with FAIS
Primary Outcome Measures
NameTimeMethod
Completion of training program0-12 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

Number of completed exercise sessions0-12 weeks

Number of completed exercise sessions. A high adherence is defined as attendance of \> 75% of planned sessions

Secondary Outcome Measures
NameTimeMethod
Maximal hip muscle strengthChange from 0-12 weeks

Change (Nm/kg) in maximal hip flexion, extension, abduction and adduction from 0-12 weeks

One-legged hop for distance0-12 weeks

Change (cm) i hop distance 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.

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

Patient Acceptable Symptom State0-12 weeks

Patient Acceptable Symptom State (yes/no): Change in number of patients reporting yes vs. no from baseline to 12 weeks

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.

Y-balance board0-12 weeks

Change (cm) in ability to perform on the y balance board from 0-12 weeks

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