Categorized PT for Non-arthritic Hip and Groin Pain

Study Overview
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Brief Summary
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There is currently limited literature on a categorized physical therapy protocol for management of hip pain. Only a handful of studies have looked at the treatment of osteoarthritis of the hip with a standardized physical therapy treatment, primarily looking at manual therapy versus exercise therapy protocols. However, there are no studies observing the effect of a standardized physical therapy program on patients presenting with non-arthritic hip and groin pain. Based on the gap in the literature, this study will aim to assess the effect of matrix-based standard of care therapy in patients presenting with non-arthritic hip and groin pain.

Official Title
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Assessment of a Categorized Physical Therapy Protocol for Non-arthritic Hip and Groin Pain: a Randomized Controlled Study

Conditions
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Hip Pain, Groin Pain

Intervention / Treatment
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* Other: Matrix-based physical therapy
* Other: Standard-of-care physical therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: New patient presenting with non-arthritic hip impingement, hip pain, and groin pain (Tonnis 0-1) 18-60 years old Exclusion Criteria: Arthritic hip pain (Tonnis 2+) <18 and >60 years old History of spinal fusion surgery History of low back pain with radicular pain History of hip arthroscopy History of inflammatory conditions, and other concurrent problems interfering with hip therapy (i.e., concurrent back/knee/foot/ankle/shoulder issues) Patients currently taking TNF-alpha inhibitors for inflammatory conditions History of prior knee osteotomy Non-English speakers

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Control<br>Patients will receive standard-of-care physical therapy. | Other: Standard-of-care physical therapy<br>* Physical therapy that is being conducted as standard-of-care<br>|
| Experimental: Matrix-Based PT<br>Patients will receive matrix-based physical therapy, in addition to standard-of-care physical therapy. | Other: Matrix-based physical therapy<br>* Matrix-based physical therapy will be physical therapy that is based on the matrix categorization of the patient (stiff vs. mobile hips, weak vs. strong hips) and involves instructions on the amount of time that should be spent doing stretching and strengthening therapy.<br>Other: Standard-of-care physical therapy<br>* Physical therapy that is being conducted as standard-of-care<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| iHOT-12 (International Hip Outcome Tool-12) | iHOT-12 is used to assess quality of life in patients with hip disorders. Scores range from 0 to 100; a higher score represents a better quality of life. | Up to 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| NRS (numerical rating scale) pain | NRS pain will be used to assess pain. Scores range from 0-10, with 10 representing the worst pain imaginable. | Up to 6 months | 
| Home exercise completion | This will be defined as the number of times patients completed their home exercises during the previous week. | Up to 6 months |