Efficacy of an Exercise Program for Patients With Femoro-acetabular Impingement

Not Applicable

Active, not recruiting

• Conditions: Femoracetabular Impingement
• Interventions: Other: Exercise Group

• Registration Number: NCT03949127
• Lead Sponsor: Ottawa Hospital Research Institute

Brief Summary

The purpose of this study is to examine whether using an exercise regime on people with femoroacetabular impingement (FAI) can help reduce pain and improve function. Also, it examines whether the exercise regime will help prevent the worsening of hip cartilage deterioration.

Detailed Description

A significant proportion of adults from ages 18 to 50 have a deformity in the neck of their femur. This can be painful and is called a femoroacetabular impingement (FAI), and could lead to ones cartilage being destroyed and possibly lead to osteoarthritis of the hip. People with this deformity in their femur have been found to move their hips differently when doing tasks such as walking, squatting or climbing stairs compared to those without this problem. The investigators are testing whether exercise that targets this difference in movement can help reduce pain, improve function and prevent cartilage damage. There will recruit 84 patients with divided into 2 groups. 42 patients will do a 8 week exercise program on strengthening muscles responsible for extending the hip and stretching muscles that are associated with flexing the hip. The intensity of the program will change with visits to the physiotherapist through the course of their exercise program. This research hopes to develop an innovative, non-surgical, low-cost, highly feasible and accessible intervention for patients with FAI.

Study Timeline

• Study First Submitted: 2019-04-14
• Study First Submitted QC: 2019-05-10
• Study First Posted: 2019-05-14
• Study Start: 2019-09-06
• Primary Completion: 2023-07-04
• Status Verified: 2024-01
• Last Update Submitted: 2024-01-02
• Last Update Posted: 2024-01-05
• Study Completion: 2024-04

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 95

Inclusion Criteria

• Diagnosed with symptomatic FAI
• at least 3 months of groin pain
• increased pain with hip rotation
• an alpha angle greater than 60 degrees on multiplane imaging
• labral tear on MRI
• Tonnis grade of 0 or 1

Exclusion Criteria

• diagnosed health problems other than FAI interfering with capacity to accomplish the exercise program
• previous hip surgery on the affected side
• surgery will happen within 6 months

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Exercise Group	Exercise Group	The group who will exercise to manage pain.

Primary Outcome Measures

Name	Time	Method
iHOT-33	Change in Baseline before exercise program and 6 months	International Hip Outcome Tool-33, disease-specific function. Each answer will be measured on a scale of 100mm and the mean of the 33 questions will be taken as a final score. A higher score indicates a better quality of life.

Secondary Outcome Measures

Name	Time	Method
Patient-reported hip pain	Change in Baseline before exercise program and 6 months	Patient perceived pain on a VAS scale
EQ-5D-5L	Change in Baseline before exercise program and 6 months afterward	Generic quality of life, the scores for each question are summed up for a total with a higher score being a better quality of life.
Number of participants that receive hip surgery	Change in Baseline before exercise program and 1 year afterwards	If the participant has hip surgery in the time frame

Trial Locations

Locations (1)

The Ottawa Hospital; 🇨🇦 Ottawa, Ontario, Canada