Conservative Treatment in Patients With Symptomatic Femoroacetabular Impingement

NCT02368483 | Completed

• 1 other identifier: FAI conservative treatment 1
• Study Type: interventional
• Target: 34
• Locations: 1 country
• Sites: 1

Brief Summary

This is a single-group, prospective, intervention study. A total of 30 participants with unilateral symptomatic femoroacetabular impingement will be included into the study. The intervention consists in neuromuscular training for the lower limb muscles (12 weeks, 2 times/week supervised training, 2 times/week home training). The training includes physical exercises routinely used worldwide in clinical settings. No control intervention group was included into the study because nowadays there is no standard conservative treatment for patients with symptomatic femoroacetabular impingement. Assessments will be performed at (1) baseline, (2) mid-intervention, (3) end-intervention, and (4) follow-up. Clinical, functional, neuromuscular and self-reported parameters will be collected during assessments.

Conditions

Symptomatic Femoroacetabular Impingement

Outcome Measures

Primary Outcomes (1)

• Hip Function as measured using the Hip Outcome Score questionnaire

  Hip Function was assessed using the Hip Outcome Score. The Hip Outcome score is a questionnaire used to evaluate hip function during daily and sport activities. Two independent scores are obtained: one for activities of daily living and one for sport activities.

  Change from Baseline in Hip Function at 12 weeks

Secondary Outcomes (2)

• Hip Muscle Strength as measured using dynamometry

  Change from Baseline in Hip Muscle Strength at 12 weeks

• Movement Control Quality as measured using a visual rating scale

  Change from Baseline in Movement Control Quality at 12 weeks

Study Arms (1)

Neuromuscular training

EXPERIMENTAL

Other: Neuromuscular training

Interventions

Neuromuscular training OTHER

Neuromuscular training for the hip and lower limb muscles.The training program is divided into 3 phases, and includes specific exercises for improving the hip range of motion, muscle strength of the hip and lower limb muscles, as well as the trunk stability and coordination. The intervention lasts 12 weeks. Patients will train 2 times/week with a physical therapist and 2 times/weeks alone at home.

Neuromuscular training

Eligibility Criteria

• Age: 18 Years - 35 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Diagnosis of unilateral symptomatic FAI according to clinical, radiographic and magnetic resonance imaging criteria
• Living place: Canton of Zurich or neighbouring Cantons
• Signed written informed consent to participate into the study

You may not qualify if:

• Previous hip surgery
• Any surgery to the lower limbs in the prior 6 months
• Congenital/developmental dysplasia
• Hip osteoarthritis
• Initiation of opioid analgesia and corticosteroid injection for hip pain within the prior 30 days
• BMI \>35 kg/m2
• Significant cardiorespiratory diseases

Sponsors & Collaborators

• Schulthess Klinik: lead

Study Sites (1)

Schulthess Clinic

Zurich, 8008, Switzerland

Location

Related Publications (1)

• Casartelli NC, Bizzini M, Maffiuletti NA, Sutter R, Pfirrmann CW, Leunig M, Naal FD. Exercise Therapy for the Management of Femoroacetabular Impingement Syndrome: Preliminary Results of Clinical Responsiveness. Arthritis Care Res (Hoboken). 2019 Aug;71(8):1074-1083. doi: 10.1002/acr.23728. Epub 2019 Jul 9.

  PMID: 30133164 DERIVED

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD

Study Record Dates

• First Submitted: January 29, 2015
• First Posted: February 23, 2015
• Study Start: October 1, 2014
• Primary Completion: March 1, 2017
• Study Completion: March 1, 2017
• Last Updated: June 18, 2019

Record last verified: 2019-06

Locations

CH (1)