Eccentric Biased Exercises Effect on Functional Outcomes in Iliopsoas Tendonitis

Overview

Hip and pelvis injuries represent 2-5% of all injuries. Among these injuries, groin pain is the most common finding. The most common injuries in the hip, pelvis, and thigh area are musculotendinous, (eg, quadriceps strain, adductor tendinitis) and, less commonly, iliopsoas tendinitis). Iliopsoas tendonitis is an inflammation of the tendon or area surrounding the tendon. Major causes of iliopsoas tendinitis are acute trauma and overuse resulting from repetitive hip flexion. Patients often present with anterior hip or groin pain of insidious onset. Initially, the patient may note pain after the onset of aggravating activity with resolution soon afterward. The hip may be held in slight flexion and external rotation to ease tension on the musculotendinous unit. The patient's gait may demonstrate a shortened stride length on the affected side and increased knee flexion in the heel strike and midstance phases.This study aims to determine effects of eccentric biased exercises on pain ,ROM and quality of life in patients with iliopsoas tendonitis. This Randomised controlled trial will be conducted at Riphah Rehab Training and Research Center in Lahore over time span of 9-month period. A sample size of 44 Participants age 20 to 55 meeting the inclusion criteria will be selected informed consent will be signed by the participants. Participants will be divided into two groups . Group A will be controlled group receiving the standard physical therapy. Group B will be experimental group which will receive eccentric biased exercises. Outcome measures will be pain measured by Numeric Pain Rating scale, Range of Motion will be assessed by universal goniometer and quality of Life will be measured by HAGOS Score. Inclusion criteria include patients within age group 20-55 both male, female and trangenders included who have pain in hip groin region Exclusion criteria Include patients with any sign of inflammation ,severe pain ,trauma and fracture are excluded. Data will be analyzed using IBMM SPSS 25.0

Iliopsoas tendonitis is known to be an inflammatory condition of the iliopsoas tendon, this tendon connects the iliopsoas muscle to the hip bone and have a key role in hip flexion movement, inflammation of this tendon results in groin pain that causes significant pain and impaired mobility. Inflammation of this tendon is usually due to overuse injury, repetitive movement on hip joint or trauma. The current literatures suggest less prevalence of iliopsoas tendonitis and showed it as an uncommon condition because it is most often overlapped with the symptoms of other hip pathologies, especially anterior hip and groin pain. Early assessment and appropriate physiotherapy management is essential for recovery. Objective: To determine the effects of Eccentric biased exercises on pain, range of motion and quality of life in patients with Iliopsoas Tendonitis. Methods: A randomized clinical trial was conducted at Riphah Rehabilitation Clinic Lahore on 44 participants. Participants were assigned randomly into two groups: Group A received standardized physical therapy and Group B received standardized physical therapy combined with eccentric biased exercises. Both groups underwent 3 therapeutic appointments a week for a course of 6-weeks. Numeric Pain Rating Scale (NPRS), Universal Goniometer (UG) and HAGOS scale were utilized to determine pain, range of motion and hip related quality of life at baseline and post treatment values were calculated.