Non-operative management of femoroacetabular impingement: A prospective, randomized controlled clinical trial pilot study

Journal of Science and Medicine in Sport
Alexis A WrightAllston J Stubbs

Abstract

To determine the efficacy of physical therapy on pain and physical function in patients with femoroacetabular impingement. Randomized, participant- and assessor blinded controlled trial pilot study. This trial was registered at ClinicalTrials.gov (NCT01814124) and reported according to Consolidated Standards of Reporting Trials (CONSORT) requirements. Patients were randomly assigned to receive either a combination of manual therapy and supervised exercise (MTEX), plus advice and home exercise or advice and home exercise alone (Ad+HEP) over six weeks. Primary outcomes were average pain (Visual Analog Scale) and physical function (Hip Outcome Score) at week seven. Fifteen patients, mean age 33.7 (SD 9.5, 73% female) satisfied the eligibility criteria and completed week seven measurements. The between group differences for changes in pain or physical function were not significant. Both groups showed statistically significant improvements in pain: the MTEX group improved a mean of 17.6mm and the Ad+HEP group, 18.0mm. The results of this pilot study provide preliminary evidence that symptomatic femoroacetabular impingement may be amenable to conservative treatment strategies however further full-scale randomized controlled trials ar...Continue Reading

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Citations

Nov 3, 2016·The Journal of Orthopaedic and Sports Physical Therapy·Daniel Camara AzevedoLinda R Van Dillen
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Jun 21, 2017·Journal of Hip Preservation Surgery·Luke Spencer-GardnerJohn O'Donnell
Jan 5, 2021·Sports Medicine and Arthroscopy Review·Christopher M LarsonAsheesh Bedi

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