Conservative Treatment in Patients With Symptomatic Femoroacetabular Impingement

Symptomatic Femoroacetabular Impingement Clinical Trial

Official title:

The Effectiveness of Neuromuscular Training of the Lower Limb Muscles in Reducing the Hip Symptoms in Patients With Symptomatic Femoroacetabular Impingement: a Prospective Intervention Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02368483
• Other study ID #: FAI conservative treatment 1
• Status: Completed
• Phase: N/A
• Start date: October 2014
• Est. completion date: March 2017

Study information

• Verified date: June 2019
• Source: Schulthess Klinik
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 34
• Est. completion date: March 2017
• Est. primary completion date: March 2017
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 35 Years

Eligibility

Inclusion Criteria:

• 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

Exclusion Criteria:

• 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

Related Conditions & MeSH terms

• Femoracetabular Impingement
• Symptomatic Femoroacetabular Impingement

Intervention

Other:
• Neuromuscular training
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.

Locations

Country	Name	City	State
Switzerland	Schulthess Clinic	Zurich

Sponsors (1)

Lead Sponsor	Collaborator
Schulthess Klinik

Country where clinical trial is conducted

Switzerland, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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	Hip Muscle Strength as measured using dynamometry	Hip abduction, adduction, internal rotation and external rotation isometric maximal voluntary contraction strength is evaluated with hand-held dynamometry. Hip flexion and extension isometric maximal voluntary contraction strength is evaluated with isokinetic dynamometry.	Change from Baseline in Hip Muscle Strength at 12 weeks
Secondary	Movement Control Quality as measured using a visual rating scale	Overall body movement pattern quality is visually assessed during the performance of 5 lower extremity functional tests (single-leg squat, lunge, hop lunge, single-leg bridge, single-leg ventral plank).	Change from Baseline in Movement Control Quality at 12 weeks