Clinical trial NCT05687955: Exercise Rehabilitation for Hip-related Pain and Dysfunction in Student Circus Arts Performers
Official title: Exercise Rehabilitation for Hip-related Pain and Dysfunction in Full Time Student Circus Arts Performers: a Pilot Trial
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Hip Dysplasia
Femoro Acetabular Impingement
Lead sponsor: Swinburne University of Technology
Sponsor class: OTHER
Collaborators: name: National Institute of Circus Arts
First posted: 2023-01-18
Enrollment: 20
Sex: ALL
Minimum age (years): 18
Maximum age (years): 35
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: Hip injuries are reported to account for 71% and 29% of all injuries reported in female and male performers, respectively, at the National Institute of Circus Arts. There are no reports on hip pathology in circus performers, nor are there any reported exercise interventions for hip pain in circus performers.

This study aims to:

To assess the effect of an exercise rehabilitation program on patient-reported outcome measures, hip strength and range of movement, and functional assessments in circus arts students with clinically and radiologically diagnosed hip pain-related disorders.

Participants will undertake a 12-week strength exercise protocol that has been specifically designed to focus on hip rehabilitation appropriate for circus performance. Expected outcome: Improvements in patient reported outcome measure (PROM) scores and an increase in function, strength and hip range of movement in people with hip pain


Eligibility criteria: Inclusion Criteria:

* 3-month history hip/groin pain +/- symptoms including clicking, giving way, locking, or catching, one or more of a positive
* positive FADIR pain provocation test
* positive HEER test (hip extension and external rotation)
* positive prone instability test
* imaging to support a pathological hip (e.g., CAM morphology, hip dysplasia)

Exclusion Criteria:

* OA degree \>1 on classification of Tönnis
* Centre Edge-angle \<10 degrees
* Legg-Calvé-Perthes or epiphysiolysis
* history of hip joint surgery or significant hip trauma (fracture +/- dislocation)
* neurologic motor deficit (lower limb power, strength or reflex deficit)
* hip pain from a lumbar origin (positive passive straight leg raise, combined lumbar extension and rotation)
* connective tissue disorder (e.g., Ehlers-danlos or Marfan syndrome)
* pregnancy or breastfeeding.

Primary outcomes:
measure: The Copenhagen Hip and Groin Outcome Score (HAGOS)
timeFrame: Baseline
measure: The Copenhagen Hip and Groin Outcome Score (HAGOS)
timeFrame: 3-months
measure: The Copenhagen Hip and Groin Outcome Score (HAGOS)
timeFrame: 6-months
measure: The Copenhagen Hip and Groin Outcome Score (HAGOS)
timeFrame: 9-months
measure: International Hip Outcome Tool (iHOT-12)
timeFrame: Baseline
measure: International Hip Outcome Tool (iHOT-12)
timeFrame: 3-months
measure: International Hip Outcome Tool (iHOT-12)
timeFrame: 6-months
measure: International Hip Outcome Tool (iHOT-12)
timeFrame: 9-months
measure: European Quality of life questionnaire (EQ-5D-5L)
timeFrame: Baseline
measure: European Quality of life questionnaire (EQ-5D-5L)
timeFrame: 3-months
measure: European Quality of life questionnaire (EQ-5D-5L)
timeFrame: 6-months
measure: European Quality of life questionnaire (EQ-5D-5L)
timeFrame: 9-months
measure: Tampa Scale of Kinesiophobia (TSK)
timeFrame: Baseline
measure: Tampa Scale of Kinesiophobia (TSK)
timeFrame: 3-months
measure: Tampa Scale of Kinesiophobia (TSK)
timeFrame: 6-months
measure: Tampa Scale of Kinesiophobia (TSK)
timeFrame: 9-months
measure: Hip Strength assessment
timeFrame: Baseline
measure: Hip Strength assessment
timeFrame: 9-months
measure: Hip Range of Motion
timeFrame: Baseline
measure: Hip Range of Motion
timeFrame: 9-months
Secondary outcomes:
measure: Functional movement screen Y-balance test
timeFrame: Baseline
measure: Functional movement screen Y-balance test
timeFrame: 9-months
measure: Single leg Hop for distance
timeFrame: Baseline
measure: Single leg Hop for distance
timeFrame: 9-months
measure: Trunk Muscle Endurance Test
timeFrame: Baseline
measure: Trunk Muscle Endurance Test
timeFrame: 9-months
measure: One leg rise test
timeFrame: Baseline
measure: One leg rise test
timeFrame: 9-months
Other outcomes:
Locations:
city: Hawthorn
country: Australia
facility: Swinburne University of Technology
state: Victoria
Study officials:
References: