Conservative Treatment in Patients With Symptomatic Femoroacetabular Impingement

NCT ID: NCT02368483

Last Updated: 2019-06-18

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 34 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2014-10-31
• Study Completion Date: 2017-03-31

Brief Summary

This is a single-group, prospective, intervention study. A total of 30 participants with unilateral symptomatic femoroacetabular impingement will be included into the study. The intervention consists in neuromuscular training for the lower limb muscles (12 weeks, 2 times/week supervised training, 2 times/week home training). The training includes physical exercises routinely used worldwide in clinical settings. No control intervention group was included into the study because nowadays there is no standard conservative treatment for patients with symptomatic femoroacetabular impingement. Assessments will be performed at (1) baseline, (2) mid-intervention, (3) end-intervention, and (4) follow-up. Clinical, functional, neuromuscular and self-reported parameters will be collected during assessments.

Conditions

Symptomatic Femoroacetabular Impingement

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Neuromuscular training

Group Type: EXPERIMENTAL

Neuromuscular training

Intervention Type: OTHER

Neuromuscular training for the hip and lower limb muscles.The training program is divided into 3 phases, and includes specific exercises for improving the hip range of motion, muscle strength of the hip and lower limb muscles, as well as the trunk stability and coordination. The intervention lasts 12 weeks. Patients will train 2 times/week with a physical therapist and 2 times/weeks alone at home.

Interventions

Neuromuscular training

Neuromuscular training for the hip and lower limb muscles.The training program is divided into 3 phases, and includes specific exercises for improving the hip range of motion, muscle strength of the hip and lower limb muscles, as well as the trunk stability and coordination. The intervention lasts 12 weeks. Patients will train 2 times/week with a physical therapist and 2 times/weeks alone at home.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Diagnosis of unilateral symptomatic FAI according to clinical, radiographic and magnetic resonance imaging criteria
• Living place: Canton of Zurich or neighbouring Cantons
• Signed written informed consent to participate into the study

Exclusion Criteria

• Previous hip surgery
• Any surgery to the lower limbs in the prior 6 months
• Congenital/developmental dysplasia
• Hip osteoarthritis
• Initiation of opioid analgesia and corticosteroid injection for hip pain within the prior 30 days
• BMI >35 kg/m2
• Significant cardiorespiratory diseases

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 35 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Schulthess Klinik

OTHER

Sponsor Role: lead

Responsible Party

Nicola Maffiuletti

PhD

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Schulthess Clinic

Zurich, , Switzerland

Countries

Switzerland

References

Casartelli NC, Bizzini M, Maffiuletti NA, Sutter R, Pfirrmann CW, Leunig M, Naal FD. Exercise Therapy for the Management of Femoroacetabular Impingement Syndrome: Preliminary Results of Clinical Responsiveness. Arthritis Care Res (Hoboken). 2019 Aug;71(8):1074-1083. doi: 10.1002/acr.23728. Epub 2019 Jul 9.

Reference Type: DERIVED

PMID: 30133164 (View on PubMed)

Other Identifiers

FAI conservative treatment 1

Identifier Type: -

Identifier Source: org_study_id