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

Hip Dysplasia Clinical Trial

Official title:

Exercise Rehabilitation for Hip-related Pain and Dysfunction in Full Time Student Circus Arts Performers: a Pilot Trial

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05687955
• Other study ID #: SwinburneUT
• Status: Recruiting
• Phase: N/A
• Start date: March 28, 2023
• Est. completion date: March 30, 2024

Study information

• Verified date: May 2023
• Source: Swinburne University of Technology
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 20
• Est. completion date: March 30, 2024
• Est. primary completion date: March 30, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 35 Years

Eligibility

Inclusion Criteria:

• 3-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)

Exclusion Criteria:

• 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.

Related Conditions & MeSH terms

• Developmental Dysplasia of the Hip
• Femoracetabular Impingement
• Femoro Acetabular Impingement
• Hip Dislocation
• Hip Dislocation, Congenital
• Hip Dysplasia

Intervention

Other:
• Hip Exercise Program
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.

Locations

Country	Name	City	State
Australia	Swinburne University of Technology	Hawthorn	Victoria

Sponsors (2)

Lead Sponsor	Collaborator
Swinburne University of Technology	National Institute of Circus Arts

Country where clinical trial is conducted

Australia, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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
Primary	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
Primary	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
Primary	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
Primary	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
Primary	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
Primary	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
Primary	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
Primary	European Quality of life questionnaire (EQ-5D-5L)	Patient Reported Outcome Measure	Baseline
Primary	European Quality of life questionnaire (EQ-5D-5L)	Patient Reported Outcome Measure	3-months
Primary	European Quality of life questionnaire (EQ-5D-5L)	Patient Reported Outcome Measure	6-months
Primary	European Quality of life questionnaire (EQ-5D-5L)	Patient Reported Outcome Measure	9-months
Primary	Tampa Scale of Kinesiophobia (TSK)	Patient Reported Outcome Measure	Baseline
Primary	Tampa Scale of Kinesiophobia (TSK)	Patient Reported Outcome Measure	3-months
Primary	Tampa Scale of Kinesiophobia (TSK)	Patient Reported Outcome Measure	6-months
Primary	Tampa Scale of Kinesiophobia (TSK)	Patient Reported Outcome Measure	9-months
Primary	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
Primary	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
Primary	Hip Range of Motion	Hip flexion, Hip internal rotation and external rotation will be measured using an inclinometer	Baseline
Primary	Hip Range of Motion	Hip flexion, Hip internal rotation and external rotation will be measured using an inclinometer	9-months
Secondary	Functional movement screen Y-balance test	This will measure a circus performers capacity to stand on one leg and reach their opposite leg as far as possible forwards, backwards and sideways. This provides a measure of both strength and flexibility, has been used in prior hip research, and shown to have excellent intra and inter-rater reliability.	Baseline
Secondary	Functional movement screen Y-balance test	This will measure a circus performers capacity to stand on one leg and reach their opposite leg as far as possible forwards, backwards and sideways. This provides a measure of both strength and flexibility, has been used in prior hip research, and shown to have excellent intra and inter-rater reliability.	9-months
Secondary	Single leg Hop for distance	The distance of a participant hop will be measured, taking off and landing on the same foot, maintaining their balance for about 2-3 seconds on landing. The best of three hops will be recorded.	Baseline
Secondary	Single leg Hop for distance	The distance of a participant hop will be measured, taking off and landing on the same foot, maintaining their balance for about 2-3 seconds on landing. The best of three hops will be recorded.	9-months
Secondary	Trunk Muscle Endurance Test	The duration of a side-plank will be recorded in seconds/minutes. The test will be ceased after 3 minutes.	Baseline
Secondary	Trunk Muscle Endurance Test	The duration of a side-plank will be recorded in seconds/minutes. The test will be ceased after 3 minutes.	9-months
Secondary	One leg rise test	The number of sit to stand movements on a single leg performed from a starting position where the knee is at 90deg will be recorded. The test will be ceased if the participant reaches 50 one leg rises.	Baseline
Secondary	One leg rise test	The number of sit to stand movements on a single leg performed from a starting position where the knee is at 90deg will be recorded. The test will be ceased if the participant reaches 50 one leg rises.	9-months