Eccentric Biased Exercises Effect on Functional Outcomes in Iliopsoas Tendonitis

NCT07426601 | Completed DMC

• 1 other identifier: REC/RCR & AHS/24/0184
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

Hip and pelvis injuries represent 2-5% of all injuries. Among these injuries, groin pain is the most common finding. The most common injuries in the hip, pelvis, and thigh area are musculotendinous, (eg, quadriceps strain, adductor tendinitis) and, less commonly, iliopsoas tendinitis). Iliopsoas tendonitis is an inflammation of the tendon or area surrounding the tendon. Major causes of iliopsoas tendinitis are acute trauma and overuse resulting from repetitive hip flexion. Patients often present with anterior hip or groin pain of insidious onset. Initially, the patient may note pain after the onset of aggravating activity with resolution soon afterward. The hip may be held in slight flexion and external rotation to ease tension on the musculotendinous unit. The patient's gait may demonstrate a shortened stride length on the affected side and increased knee flexion in the heel strike and midstance phases.This study aims to determine effects of eccentric biased exercises on pain ,ROM and quality of life in patients with iliopsoas tendonitis. This Randomised controlled trial will be conducted at Riphah Rehab Training and Research Center in Lahore over time span of 9-month period. A sample size of 44 Participants age 20 to 55 meeting the inclusion criteria will be selected informed consent will be signed by the participants. Participants will be divided into two groups . Group A will be controlled group receiving the standard physical therapy. Group B will be experimental group which will receive eccentric biased exercises. Outcome measures will be pain measured by Numeric Pain Rating scale, Range of Motion will be assessed by universal goniometer and quality of Life will be measured by HAGOS Score. Inclusion criteria include patients within age group 20-55 both male, female and trangenders included who have pain in hip groin region Exclusion criteria Include patients with any sign of inflammation ,severe pain ,trauma and fracture are excluded. Data will be analyzed using IBMM SPSS 25.0

Conditions

Iliopsoas Syndrome; Eccentric Exercise Training

Keywords

pain; range of motion; quality of life

Outcome Measures

Primary Outcomes (3)

• universal goniometer

  iometer for Range of Motion Goniometry is the art and science of measuring the joint ranges in each plane of the joint. A goniometer is the most common instrument used to measure range of motion. Here are some steps for measuring hip flexion with a goniometer: Have the patient lie on their back Flex the patient's hip while supporting their lower back with your hand Use landmarks on the pelvis to ensure that the measurement doesn't include motion in the lumbar spine Make sure the patient's pelvis is neutral at the beginning and end of the measurement The normal range of motion for hip flexion is 100-120 degrees, depending on the source. .

  6 weeks

• Numeric PAIN RATING SCALE

  NPRS used to assess the pain representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable(21) The Numeric Pain Rating Scale (NPRS) is an 11-point scale used to measure pain intensity: 0: No pain 1-3: Mild pain 4-6: Moderate pain 7-10: Severe pain

  6 weeks

• HAGOS QUALITY OF LIFE QUESTIONNAIRE

  The Copenhagen Hip and Groin Outcome Score is a patient-reported questionnaire that has six discrete subscales to assess Pain (10 items), Symptoms (7 items), Physical function in daily living (5 items), physical function in Sport and Recreation (8 items), Participation in Physical Activities (2 items) and hip and/or groin related Quality of Life (5 items). It has 37 items in total. Method of Use Six subscales make up the HAGOS questionnaire: Symptoms, Pain, ADL, Sport/Rec, PA, and QOL. Each subscale is rated independently, with a score ranging from 0 to 4 for each item. After the results are added together, the subscale scores are converted to a 0-100 scale. A score of 100 indicates the absence of hip and/or groin issues, while a score of 0 indicates significant hip and/or groin issues. The percentage of the total possible score attained is represented by the scores, which range from 0 to 100. There is no calculation of an overall score; instead, the subscales were examined.

  6 weeks

Study Arms (2)

INTERVENTIONAL GROUP

EXPERIMENTAL

ECCENTRIC BIASED EXERCISES FOR ILIOPSOAS TENDONITIS he subject assumed the right side lying position with a Perform Better. ● black monster band secured around the left ankle and the other end attached to a sturdy object behind her at about knee height. * The left hip will be maximally flexed with the knee flexed as well. This start position is similar to a running position. * To start the exercise, the subject slowly extended the hip, controlling against the pull into hip extension provided by the monster band for a count of "3" while keeping the knee flexed, until the hip was fully extended . * stretch on the iliopsoas at end range hip extension will be done * The subject will made a quick concentric contraction to the count of "1" quickly flexed the hip against the resistance of the band to move the left hip into full hip flexion to the start position. * The subject will be cued not to arch her back and to keep her abdominals engaged in order to stabilize the spine again

Other: ECCENTRIC BIASED EXERCISES FOR ILIOPSOAS TENDONITIS

traditional physical therapy

PLACEBO COMPARATOR

traditional physical therapy Description: Rest Icing for 7mins compression Elevation Subacute phase Hip stretches (iliopsoas, piriformis, hamstring, gluteals) Eccentric hip flexion of 15 reps. Lumbo-pelvic dislocation on Swiss ball (pelvic tilting anterior-posterior, medial lateral, clockwise/counter clockwise) Prone and supine core stability exercises ( 3 sets of 20 repetition for each arm and leg for endurance and control) twice per day over the course of 12 weeks pre and post intervention values will be taken on 1st day and after 12 weeks .The patients will be instructed to exercise into moderate pain, 5/10 on VAS which will be tolerated well without increase in the reactivity of the tendon.

Other: ECCENTRIC BIASED EXERCISES FOR ILIOPSOAS TENDONITIS

Interventions

ECCENTRIC BIASED EXERCISES FOR ILIOPSOAS TENDONITIS OTHER

Experimental: INTERVENTIONAL GROUP Arm Description: ECCENTRIC BIASED EXERCISES FOR ILIOPSOAS TENDONITIS he subject assumed the right side lying position with a Perform Better. ● black monster band secured around the left ankle and the other end attached to a sturdy object behind her at about knee height. ● The left hip will be maximally flexed with the knee flexed as well. This start position is similar to a running position. ● To start the exercise, the subject slowly extended the hip, controlling against the pull into hip extension provided by the monster band for a count of "3" while keeping the knee flexed, until the hip was fully extended . ● stretch on the iliopsoas at end range hip extension will be done ● The subject will made a quick concentric contraction to the count of "1" quickly flexed the hip against the resistance of the band to move the left hip into full hip flexion to the start position. ● The subject will be cued not to arch her back and to keep her abdominals engag

INTERVENTIONAL GROUP; traditional physical therapy

Eligibility Criteria

• Age: 20 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patient with age group 20 to 45
• Male ,female and transgenders.
• Patient with positive Thomas test for Iliopsoas tightness.
• Patient with positive left Ober test for ITB tightness.
• Patient with significant weakness (in MMT scores) of all hip musculature
• Patient with groin pain on the resisted side will be included with average 4-7 .

You may not qualify if:

• Patient with severe osteoarthritis.
• patient with recent history of trauma.
• patient with any fracture of hip and pelvis.
• patient with any signs of infection in the hip or groin region and will represent with warmth,fever,redness.
• Patients with other severe medical conditions like high vascular diseases should be contraindicated.
• Patient with recent surgery of hip.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah International University

Lahore, Punjab Province, 54000, Pakistan

Location

MeSH Terms

Conditions

Pain

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Saba Rafique, PhD

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Masking Details: both accessor and the participant was blind
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 17, 2026
• First Posted: February 23, 2026
• Study Start: January 10, 2025
• Primary Completion: November 10, 2025
• Study Completion: December 22, 2025
• Last Updated: February 23, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)