Conservative Intervention of Femoroacetabular Impingement Syndrome

Duke University

Overview

1. Purpose: 1) compare three conservative treatment approaches for subjects with femoroacetabular impingement syndrome (FAI), and 2) analyze functional outcome comparatively across groups. 2. Interventions will be provided based on randomized assignment. Group 1 will receive treatment based on identified impairments and treated twice weekly to address said impairments with hip manual therapy and exercise, as well as a prescriptive exercise for strengthening and mobility of the hip. Group 2 will receive only the prescriptive exercise program. Group 3 will be a control group (supervised neglect) 3. Primary outcomes data analysis will involve a mixed design (repeated measures) ANOVA for assessment of the primary outcome measure of the HAGOS. Secondary analyses will include chi square analyses (PASS, surgery at 6 months, adverse events), ANCOVA (PPMs, and expectations measures), or other appropriate comparative measures. None of the proposed treatment is considered outside of 'standard of practice'.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Conditions

Femoroacetabular Impingement

Interventions

Manual therapyOTHER

Hip joint and spine manual therapy techniques applied toward the impairments of the subject.

ExerciseOTHER

Prescriptive exercise program of self-mobilization and/or strengthening program to address impairments of the subject.

Education and adviceOTHER

All three groups will receive standardized education on the current state of FAI interventions (with both conservative and surgical care).

Eligibility

Sex: ALLMin age: 18 YearsMax age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Individuals age 18 to 60 years, * diagnosed with FAI by an orthopedic surgeon and exhibiting * hip/groin symptoms for at least 3 months (symptomatic); and * signs, symptoms and imaging findings conducive to FAI will be recruited from a surgical practice of an orthopedic surgeon in Durham, North Carolina. Exclusion Criteria: * subjects that have radiographic evidence of hip osteoarthritis that is more than mild in severity defined as Tonnis \>grade 1 or Kellgren-Lawrence \>2; * have other concurrent injury/conditions that will affect their ability to participate in the rehabilitation program and/or assessment procedures; * exhibit hip dysplasia (center edge angle \<20 degrees on AP radiograph * are unable to attend a study physiotherapist or participate in the rehabilitation program if randomized to the PT group; * are unable to understand English.

Outcomes

Primary Outcomes

Did subject elect to undergo surgery?

Determination of whether the subject had surgery for femoroacetabular impingement or not

Time frame: up to 6 months after intervention