Exercise Rehabilitation for Hip-related Pain and Dysfunction in Student Circus Arts Performers

NCT05687955 | Unknown

• 1 other identifier: SwinburneUT
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

Hip injuries are reported to account for 71% and 29% of all injuries reported in female and male performers, respectively, at the National Institute of Circus Arts. There are no reports on hip pathology in circus performers, nor are there any reported exercise interventions for hip pain in circus performers. This study aims to: To assess the effect of an exercise rehabilitation program on patient-reported outcome measures, hip strength and range of movement, and functional assessments in circus arts students with clinically and radiologically diagnosed hip pain-related disorders. Participants will undertake a 12-week strength exercise protocol that has been specifically designed to focus on hip rehabilitation appropriate for circus performance. Expected outcome: Improvements in patient reported outcome measure (PROM) scores and an increase in function, strength and hip range of movement in people with hip pain

Conditions

Hip Dysplasia; Femoro Acetabular Impingement

Outcome Measures

Primary Outcomes (20)

• The Copenhagen Hip and Groin Outcome Score (HAGOS)

  Patient Reported Outcome Measure, score on 0-100 scale, with zero representing extreme hip and/or groin problems and 100 representing no hip and/or groin problems.

  Baseline

• The Copenhagen Hip and Groin Outcome Score (HAGOS)

  Patient Reported Outcome Measure, score on 0-100 scale, with zero representing extreme hip and/or groin problems and 100 representing no hip and/or groin problems.

  3-months

• The Copenhagen Hip and Groin Outcome Score (HAGOS)

  Patient Reported Outcome Measure, score on 0-100 scale, with zero representing extreme hip and/or groin problems and 100 representing no hip and/or groin problems.

  6-months

• The Copenhagen Hip and Groin Outcome Score (HAGOS)

  Patient Reported Outcome Measure, score on 0-100 scale, with zero representing extreme hip and/or groin problems and 100 representing no hip and/or groin problems.

  9-months

• International Hip Outcome Tool (iHOT-12)

  Patient Reported Outcome Measure, scored using a visual analog scale from 0 to 100, with a score of 100 being the best function and least amount of symptoms

  Baseline

• International Hip Outcome Tool (iHOT-12)

  Patient Reported Outcome Measure scored using a visual analog scale from 0 to 100, with a score of 100 being the best function and least amount of symptoms

  3-months

• International Hip Outcome Tool (iHOT-12)

  Patient Reported Outcome Measure scored using a visual analog scale from 0 to 100, with a score of 100 being the best function and least amount of symptoms

  6-months

• International Hip Outcome Tool (iHOT-12)

  Patient Reported Outcome Measure scored using a visual analog scale from 0 to 100, with a score of 100 being the best function and least amount of symptoms

  9-months

• European Quality of life questionnaire (EQ-5D-5L)

  Patient Reported Outcome Measure

  Baseline

• European Quality of life questionnaire (EQ-5D-5L)

  Patient Reported Outcome Measure

  3-months

• European Quality of life questionnaire (EQ-5D-5L)

  Patient Reported Outcome Measure

  6-months

• European Quality of life questionnaire (EQ-5D-5L)

  Patient Reported Outcome Measure

  9-months

• Tampa Scale of Kinesiophobia (TSK)

  Patient Reported Outcome Measure

  Baseline

• Tampa Scale of Kinesiophobia (TSK)

  Patient Reported Outcome Measure

  3-months

• Tampa Scale of Kinesiophobia (TSK)

  Patient Reported Outcome Measure

  6-months

• Tampa Scale of Kinesiophobia (TSK)

  Patient Reported Outcome Measure

  9-months

• Hip Strength assessment

  Strength of hip abduction, adduction, sitting hip flexion at 90deg, prone extension with knee extended, prone external and internal rotation will be measured using a hand-held dynamometer.

  Baseline

• Hip Strength assessment

  Strength of hip abduction, adduction, sitting hip flexion at 90deg, prone extension with knee extended, prone external and internal rotation will be measured using a hand-held dynamometer.

  9-months

• Hip Range of Motion

  Hip flexion, Hip internal rotation and external rotation will be measured using an inclinometer

  Baseline

• Hip Range of Motion

  Hip flexion, Hip internal rotation and external rotation will be measured using an inclinometer

  9-months

Secondary Outcomes (8)

• Functional movement screen Y-balance test

  Baseline

• Functional movement screen Y-balance test

  9-months

• Single leg Hop for distance

  Baseline

• Single leg Hop for distance

  9-months

• Trunk Muscle Endurance Test

  Baseline

Study Arms (1)

Hip Exercise Program

EXPERIMENTAL

A 12-week strength exercise protocol has been specifically designed to focus on hip rehabilitation appropriate for circus performance.

Other: Hip Exercise Program

Interventions

Hip Exercise Program OTHER

The exercise intervention is being implemented 3 times per week. Two sessions can be completed at home by the participant, and one session per week will be attended by a physiotherapist that will monitor exercise technique and progress the exercise program for each participant. The exercise protocol has been specifically designed to focus on hip rehabilitation appropriate for circus performance. The exercise program will involve hip strength exercises in the sagittal, coronal and transverse planes using weights and elastic bands (Theraband). It will also include trunk strength and postural correction exercises to address swayback posture which is a common clinical presentation in those with hip dysplasia.

Hip Exercise Program

Eligibility Criteria

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

You may qualify if:

• month history hip/groin pain +/- symptoms including clicking, giving way, locking, or catching, one or more of a positive
• positive FADIR pain provocation test
• positive HEER test (hip extension and external rotation)
• positive prone instability test
• imaging to support a pathological hip (e.g., CAM morphology, hip dysplasia)

You may not qualify if:

• OA degree \>1 on classification of Tönnis
• Centre Edge-angle \<10 degrees
• Legg-Calvé-Perthes or epiphysiolysis
• history of hip joint surgery or significant hip trauma (fracture +/- dislocation)
• neurologic motor deficit (lower limb power, strength or reflex deficit)
• hip pain from a lumbar origin (positive passive straight leg raise, combined lumbar extension and rotation)
• connective tissue disorder (e.g., Ehlers-danlos or Marfan syndrome)
• pregnancy or breastfeeding.

Sponsors & Collaborators

• Swinburne University of Technology: lead
• National Institute of Circus Arts: collaborator

Study Sites (1)

Swinburne University of Technology

Hawthorn, Victoria, 3122, Australia

RECRUITING

MeSH Terms

Conditions

Hip Dislocation; Femoracetabular Impingement

Condition Hierarchy (Ancestors)

Joint Dislocations; Joint Diseases; Musculoskeletal Diseases; Wounds and Injuries; Hip Injuries; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 4, 2023
• First Posted: January 18, 2023
• Study Start: March 28, 2023
• Primary Completion: March 30, 2024
• Study Completion: March 30, 2024
• Last Updated: May 12, 2023

Record last verified: 2023-05

Data Sharing

• IPD Sharing: Will not share

Locations

AU (1)