Clinical Predictors of Extracorporal Shockwave Therapy Efficacy in Patients Presenting With Lateral Hip Pain
1 other identifier
interventional
60
1 country
1
Brief Summary
This pragmatic clinical trial is considering the variable response to treatment outcome of individuals with Greater Trochanteric Pain Syndrome (GTPS). The aim of this study is to identify predictors of focused extracorporeal shockwave therapy (fESWT) efficacy in individuals with GTPS. Specifically, the ability of clinically applicable measurements including: Patient demographics, co-morbidity, oestrogen levels, pain characteristics, hip abductor strength, time to pain during single-leg stance test, low back pain, and immediate pain reduction to local anaesthetic injection at the trochanter major insertion of Gluteus medius (GMed) during walking.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Nov 2018
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 28, 2018
CompletedFirst Submitted
Initial submission to the registry
August 14, 2019
CompletedFirst Posted
Study publicly available on registry
August 15, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 30, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
July 30, 2020
CompletedAugust 15, 2019
August 1, 2019
1.1 years
August 14, 2019
August 14, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Global Rating of Change Scale
3 months follow-up
Secondary Outcomes (6)
EuroQoL
0, 12 and 26 weeks follow-up
Muscle strength Static
0, 12 and 26 weeks follow-up
Pain Pressure Threshold
0, 12 and 26 weeks follow-up
Patient-Specific Functional Scale).
0, 6, 12 and 26 weeks follow-up
PHQ9
0, 12 and 26 weeks follow-up
- +1 more secondary outcomes
Study Arms (1)
focused shockwave therapy
EXPERIMENTAL3 sessions of shock wave treatment.(Focused Shockwave Therapy).
Interventions
3 session of shockwave therapy. The wave is focused through a standoff and transmitted into the tissue. Enhanced Energy: 0.01 - 0.55mJ/mm2. Broad Frequency Range: 1 - 8Hz. 12.5 cm penetration with pinpoint focus. The patient will be treated in the lateral decubitus position. The shock wave will focus on the area of maximal tenderness, which will be treated in a circumferential pattern.
Eligibility Criteria
You may qualify if:
- Lateral hip pain, worst over the greater trochanter, present for a minimum of 3 months
- Age 35-70 years
- Female
- Pain at an average intensity of ≥3 out of 10 on most days of the last week.
- Tenderness on palpation of the greater trochanter
- Pain on one of the following:
- Reproduction of pain on 30 sec single leg stand OR Positive Faber test
You may not qualify if:
- Any known advanced hip joint pathology where groin pain is the primary complaint and/or reproduction of groin pain with Faber or FADDIR.
- Where range of pure hip joint flexion is \<90°
- Radiating pain distal to the Gluteus Max + positive Straight Leg Raise (SLR-test \< 30°)
- Known advanced knee pathology or restricted range of knee motion (must have minimum 90° flexion and full extension)
- Any systemic diseases affecting the muscular or nervous system, and uncontrolled diabetes
- Malignant tumour OR Systemic inflammatory disease
- Any factors that would preclude the participant from having an MRI (e.g. pacemaker, metal implants, pregnancy, claustrophobia)
- If the participant is involved in a legal/workcover or other injury claim
- Fear of needles (trypanophobia)
- If the participant is unable to write, read or comprehend Danish
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Aalborg University Hospitallead
- University of Canberracollaborator
Study Sites (1)
Aalborg University Hospital
Aalborg, 9000, Denmark
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Carsten M Molgaard, PhD
Aalborg University Hospital
Central Study Contacts
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
- Clinical research physiotherapist
Study Record Dates
First Submitted
August 14, 2019
First Posted
August 15, 2019
Study Start
November 28, 2018
Primary Completion
December 30, 2019
Study Completion
July 30, 2020
Last Updated
August 15, 2019
Record last verified: 2019-08