External snapping hip is characterised by an audible and painful snap during hip movement among physical active people around 15-40 years old. Progressive resistance training has been suggested as a new potential treatment path in treating patients with external snapping hip. The investigators conducted a feasibility study and found that patients reported less pain and improved their physical function, quality of life and muscle strength after 12 weeks of progressive resistance training. The overall aim of the project is to compare hip pain in patients with external snapping hip treated with progressive resistance training to a wait-and-see approach, in a randomised controlled trial. This study has the potential to establish a new and specific treatment option for patients with external snapping hip, to be used nationally and internationally.
This trial is an international multicentre randomised controlled assessor-blinded crossover trial, following the CONSORT guidelines. The intervention is a 12-week progressive resistance training programme, and the trial is designed with three follow-up time points. After the baseline test, the patients will be randomised in a 1:1 ratio to either the intervention or the control group using the Research Electronic Data Capture (REDCap) source hosted at Aarhus University. For both groups, the first test will be the baseline test, conducted before the randomisation. The second test will be conducted 6 weeks after randomisation, the third test will be conducted 12 weeks after randomisation and the fourth and last test will be conducted 24 weeks after randomisation. The primary outcome will be the change from baseline to the third follow-up, and the trial will be powered based on this period. The lasting effect of the intervention will be evaluated from baseline to the fourth follow-up test for the intervention group.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
100
The progressive resistance program consist of a five-minute aerobic warm-up on either an ergometer bike, treadmill or rowing machine followed by six resistance training exercises: landmine twist, walking lunges, leg press, hip abduction, hip adduction and hip flexion. All training sessions (three per week) will be supervised for the first two weeks. After that, there will be one weekly supervised training session and two self-directed sessions. The subjects will be scheduled for 36 training sessions over 12 weeks, of which 16 will be supervised. Each training session is designed based on the findings from the feasibility study and is expected to last approximately one hour. If a subject cannot perform all scheduled sessions in a week, additional sessions will be planned for the following week to obtain the 16 supervised sessions.
12 weeks of waiting time
12 weeks of self guided exercise
Aalborg Universitetshospital
Aalborg, Denmark
NOT_YET_RECRUITINGAarhus University Hospital
Aarhus N, Denmark
RECRUITINGRigshospitalet
Copenhagen, Denmark
NOT_YET_RECRUITINGBispebjerg og Frederiksberg Hospital
Copenhagen, Denmark
NOT_YET_RECRUITINGRegionshospitalet Gødstrup
Herning, Denmark
NOT_YET_RECRUITINGNordsjællands Hospital - Hillerød
Hillerød, Denmark
NOT_YET_RECRUITINGRegionshospitalet Horsens
Horsens, Denmark
RECRUITINGHvidovre Hospital
Hvidovre, Denmark
NOT_YET_RECRUITINGSjællands Universitetshospital - Køge
Køge, Denmark
NOT_YET_RECRUITINGNæstved, Slagelse og Ringsted Hospital
Næstved, Denmark
NOT_YET_RECRUITING...and 3 more locations
HAGOS Pain
The HAGOS is a patient-reported questionnaire consisting of six different subscales. The pain subscale consists of 10 questions, which are all answered using standardised answer options following a 0-4-point Likert Scale. The scores are transformed into a subscale score ranging from 0 (worst) to 100 (best). A minimal clinically relevant difference of the HAGOS pain subscale has been reported to be 9.7 points among a group of patients undergoing hip arthroscopy for femoroacetabular impingement.
Time frame: Baseline, week 6, week 12 and week 24
HAGOS
The remaining five subscales of HAGOS: symptoms, function in daily living (ADL), function in sport and recreation (Sports/Rec), participation in physical activities (PA) and hip and/or groin-related quality of life (QOL). The scores are transformed into a subscale score ranging from 0 (worst) to 100 (best).
Time frame: Baseline, week 6, week 12 and week 24
UCLA-AS
The patient-reported questionnaire: the University of California Los Angeles Activity Scale. There is only one question with 10 answers, ranging from 1 (worst) to 10 (best).
Time frame: Baseline, week 12 and week 24
GPE
The patient-reported questionnaire: the Global Perceived Effect, where the participant answers four questions about the effect of the treatment received. Each question has 7 possible answers, ranging from 1 (best) to 7 (worst).
Time frame: Baseline, week 12 and week 24
Single leg hop test
The objective measures include the single-leg hop for a distance test to test hip function. The hop distance is measured in cm.
Time frame: Baseline, week 12 and week 24
30 second unilateral sit-to-stand test
The unilateral 30 second Sit to Stand test (unilateral 30STS) is a clinical test of lower extremity function. The unilateral 30STS tests how many correct repetitions of a sit to stand from a chair, a participant can complete in 30 seconds.
Time frame: Baseline, week 12 and week 24
Number of training sessions the participant participated in
Adherence to the exercise protocol will be evaluated based on information from the physiotherapists and a self-reported training diary. Good adherence will be defined as participation in more than ≥70% of all training sessions (both supervised and self-training).
Time frame: Throughout the study, summed in week 24
Adverse events
The physiotherapist will record any adverse events occurring during the study period.
Time frame: Throughout the study, summed in week 24
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