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

Swinburne University of Technology20 enrolled

Overview

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

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Hip Dysplasia Femoro Acetabular Impingement

Interventions

Hip Exercise ProgramOTHER

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.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 35 Years

Medical Language ↔ Plain English

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.

Locations (1)

Swinburne University of Technology

Hawthorn, Victoria, Australia

RECRUITING

Outcomes

Primary Outcomes

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.

Time frame: Baseline

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.

Time frame: 3-months

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.

Time frame: 6-months

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.

Time frame: 9-months

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

Time frame: Baseline

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

Time frame: 3-months

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

Time frame: 6-months

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

Time frame: 9-months

European Quality of life questionnaire (EQ-5D-5L)