the Horsens Aarhus FemoroAcetabular Impingement Syndrome Training Pilot Study

Horsens Hospital15 enrolled

Overview

The aim of the study is to investigate the feasibility of a training intervention in patients with femoroacetabular impingement syndrome (FAIS).

The aim of this study is to investigate the feasibility of a 12-weeks (progressive) exercise program in patients with FAIS. Feasibility is evaluated on the recruitment strategy, patient adherence to the exercises and their experiences with and motivation for performing exercises. Furthermore, the investigators wish to investigate the variation of data before and after the exercise program to help estimate a suitable sample size for a future randomized controlled trial.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Femoroacetabular Impingement

Interventions

Physiotherapist-led trainingPROCEDURE

Patients will undergo a 12-week physiotherapist-led training program consisting of 8 supervised sessions and home-based training in between

Eligibility

Sex: ALLMin age: 18 YearsMax age: 50 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Patients aged 18-50 years old 2. Diagnosed with FAIS according to the Warwick agreement 3. Patients having cam morphology should have an alpha angle of \> 55 degrees on an anterior-posterior radiograph. 4. Patients having pincer should have a lateral centre edge angle of \>39 degrees on an anterior-posterior radiograph. 5. Lateral joint space width should be \>3 mm. 6. Body mass index is below 30. 7. Motivated for participation in a 12 week training program with 8 physical attendances. Exclusion Criteria: 1. Received physiotherapist-led treatment in the past 3 months, 2. Previous hip surgery in included hip or other major hip injury, 3. Systemic conditions e.g. rheumatoid arthritis, cancer, 4. Chronical pain syndromes, 5. Unable to perform testing procedures, 6. Unable to attend a 12-week treatment program or baseline and follow-up assessments 7. Contraindications to radiographs (e.g. pregnancy) 8. Unable to read or understand questionnaires and/or instructions

Locations (1)

Signe Kierkegaard

Horsens, Danmark, Denmark

Outcomes

Primary Outcomes

Number of completed exercise sessions

Number of completed exercise sessions. A high adherence is defined as attendance of \> 75% of planned sessions

Time frame: 0-12 weeks

Completion of training program

The training program is considered completed if patients are not dropping out of the study before the end of the 12 weeks. Completion rate will be calculated as % patients who completed the study

Time frame: 0-12 weeks

Secondary Outcomes

The Copenhagen Hip and Groin Outcome Score (HAGOS)

HAGOS is a questionnaire developed for young, active persons experiencing hip and/or groin pain. It consists of 6 subscales: Pain, Symptoms, Activities of Daily Living, Sport, Participation in Sport and Hip-related quality of life. The main subscales used in this study are HAGOS pain and sport.

Time frame: Change from 0-12 weeks

The International Hip Outcome Tool (iHOT-33)

iHOT-33 is a questionnaire focussing at patients' hip related quality of life in 33 questions. Both a total score and sub scales: "Symptoms and functional limitations", "Sports and recreational activities", "Job related concerns" and "Social, emotional and lifestyle concerns", are extracted from the questionnaire.

Time frame: Change from 0-12 weeks

The Hip Sports Activity Scale (HSAS)

Current physical activity measured from 0 to 8 points, 0 being no activity and 8 being an athlete

Time frame: Change from 0-12 weeks

Maximal hip muscle strength

Change (Nm/kg) in maximal hip flexion, extension, abduction and adduction from 0-12 weeks

Time frame: Change from 0-12 weeks

Data from ClinicalTrials.gov

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