Movement pattern training compared with standard strengthening and flexibility among patients with hip-related groin pain: Results of a pilot multicentre randomised clinical trial
Marcie Harris-Hayes,Karen Steger-May,Allyn M Bove,Stefanie N Foster,Michael J. Mueller,John C. Clohisy,G. Kelley Fitzgerald +6 more
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The experience in completing this RCT confirmed that a larger, multicentre RCT is feasible and highlighted modifications the team will implement to optimise the future RCT.Abstract:
Study design Pilot, multicentre randomised clinical trial (RCT). Objectives Assess viability of performing a definitive RCT and compare preliminary effects of movement pattern training (MoveTrain) and strengthening/flexibility (Standard) to improve function in people with chronic hip-related groin pain (HRGP). Background To determine the best physical therapist-led intervention for patients with HRGP, we must understand treatment effects of different treatment modes. Methods Forty-six patients (17M:29F; 29±5.3 years; body mass index 25.6±6.3 kg/m2) with HRGP were randomised. MoveTrain included task-specific training to optimise biomechanics during daily tasks. Standard included strengthening/flexibility. Treatment included 10 visits/12 weeks and home exercise programme (HEP). Primary outcomes for feasibility were recruitment, retention, treatment adherence and treatment fidelity. Secondary outcomes were patient-reported function (Hip disability and Osteoarthritis Outcome Score (HOOS)), lower extremity kinematics and hip muscle strength. Results We achieved target recruitment, and retention was excellent (91%). Patient session attendance was high (93%); however, reported HEP adherence (62%) was lower than expected. Physical therapists’ adherence to treatment protocols was high (90%). Patients demonstrated high treatment receipt; 91% of exercises performed were rated independent. Both groups demonstrated clinically important improvements in function (HOOS) and muscle strength; however, there were no between-group differences (HOOS subscales, p≥0.13, strength, p≥0.34). Compared with Standard, MoveTrain demonstrated greater reductions in hip adduction (p=0.016) and pelvic drop (p=0.026) during a single leg squat. No adverse events were noted. Conclusion Our experience in completing this RCT confirmed that a larger, multicentre RCT is feasible and highlighted modifications we will implement to optimise the future RCT. Trial registration number NCT02913222.read more
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Arthroscopic hip surgery compared with physiotherapy and activity modification for the treatment of symptomatic femoroacetabular impingement: multicentre randomised controlled trial.
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TL;DR: In this article, the authors compared the efficacy of motor control exercises (MCE) compared to strengthening exercises for adults with upper or lower extremity musculoskeletal disorders (MSKDs).
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TL;DR: In this paper, the authors compared skeletal geometry, muscle volumes, intramuscular fatty infiltration, moment arms, and isometric strength in patients with dysplasia of the hip to healthy controls.
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One-year outcomes following physical therapist-led intervention for chronic hip-related groin pain: Ancillary analysis of a pilot multicenter randomized clinical trial.
Marcie Harris-Hayes,Karen Steger-May,Allyn M Bove,Michael J. Mueller,John C. Clohisy,G. Kelley Fitzgerald +5 more
TL;DR: In this paper, the authors performed an ancillary analysis of a pilot multicenter, randomized clinical trial (RCT) with patients with chronic hip-related groin pain (HRGP) undergoing two physical therapist-led interventions.
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Lasse Ishøi,Lasse Ishøi,Mathias F Nielsen,Kasper Krommes,Rasmus Skov Husted,Rasmus Skov Husted,Per Hölmich,Lisbeth Lund Pedersen,Kristian Thorborg +8 more
TL;DR: In this paper, the authors evaluated the evidence on diagnostic tests and clinical information, and non-operative treatment of femoroacetabular impingement (FAI) syndrome and labral injuries.
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