Athletic osteitis pubis is a high prevalent pathology among athletes, especially in those who make quick change of direction of the movement, like runners or footballers. Despite the fact that there is evidence about conservative treatments, there is a lack of evidence about manual therapy (MT) techniques applied in isolation and its consequences in pain and range of movement. The investigators decided to conduct a randomized controlled trial to compare the effects of a MT technique with placebo technique.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
36
Hip lateral distraction in adjusted position of maximun flexion and internal rotation, with neutral position of abduction/adduction applying high force of distraction.
Hip lateral distraction in adjusted position of maximun flexion and internal rotation, with neutral position of abduction/adduction applying placebo force of distraction.
Silvia Lahuerta Martín
Soria, Spain
Actual PAIN
actual pain reported by the patient using visual analog scale (VAS) from 0 to 10, in which higher scores are worse.
Time frame: Baseline
Actual PAIN
actual pain reported by the patient using visual analog scale (VAS)from 0 to 10, in which higher scores are worse.
Time frame: after to two weeks of treatment
Last week PAIN
past week pain reported by the patient using visual analog scale (VAS) from 0 to 10, in which higher scores are worse.
Time frame: Baseline
Last week PAIN
past week pain reported by the patient using visual analog scale (VAS) from 0 to 10, in which higher scores are worse.
Time frame: after to two weeks of treatment
Range of Movement (ROM)
Hip ROM as described by Pua et al. (2008)
Time frame: Baseline
Range of Movement (ROM)
Hip ROM as described by Pua et al. (2008)
Time frame: after to two weeks of treatment
Pain in sport activities
Appearance time of pain during activities
Time frame: Baseline
Pain in sport activities
Appearance time of pain during activities
Time frame: After two weeks of treatment
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Pain intensity in pain provocation tests: Single adductor, squeeze and bilateral adductor tests
Appearance of pain during or after the execution of Single adductor, squeeze and bilateral adductor tests. If pain appears it will be reported by the patient using visual analog scale (VAS) from 0 to 10, in which higher scores are worse.
Time frame: Baseline
Pain intensity in pain provocation tests: Single adductor, squeeze and bilateral adductor tests
Appearance of pain during or after the execution of Single adductor, squeeze and bilateral adductor tests. If pain appears it will be reported by the patient using visual analog scale (VAS) from 0 to 10, in which higher scores are worse.
Time frame: After two weeks of treatment
Muscle function
Velocity (m/s), force (N) and power (W) evaluated for internal and external hip rotators with a rotary axis flywheel-encoder system.
Time frame: Baseline
Muscle function
Velocity (m/s), force (N) and power (W) evaluated for internal and external hip rotators with a rotary axis flywheel-encoder system.
Time frame: After two weeks of treatment
Functional capacity
Evaluated with a patient reported outcome questionnaire called Copenhagen Hip and Groin Outcome score (HAGOS) which assesses pain, symptoms, physical function in daily living, physical function in sport and recreation, participation in physical activities and hip and groin -related quality of life. For each item answer range from "never" to "always".
Time frame: Baseline
Functional capacity
Evaluated with a patient reported outcome questionnaire called Copenhagen Hip and Groin Outcome score (HAGOS) which assesses pain, symptoms, physical function in daily living, physical function in sport and recreation, participation in physical activities and hip and groin -related quality of life. For each item answer range from "never" to "always".
Time frame: After two weeks of treatment
Treatment credibility and expectancy
Evaluated with Credibility and expectancy Questionaire (CEQ) in which the patient answer question related to the expectations of the intervention. Higher values mean better expectations on the therapy.
Time frame: Day 1, before treatment
Global Rating of Change
Subjective impression as described in GROC scale by Jaeschke, Singer \& Guyat (1989)
Time frame: after to two weeks of treatment
Group of treatment assignment
Question about which group of treatment was the patient assigned in.
Time frame: after to two weeks of treatment