Clinical trial NCT06851793: Investigating Postural Parameters in Different Hip Pathologies
Official title: Investigation of Postural Parameters, Physical Functions, Balance and Quality of Life in Different Hip Pathologies
Study type: OBSERVATIONAL
Overall status: NOT_YET_RECRUITING
Conditions: Hip Injuries and Disorders
Keywords: Hip Injuries and Disorders
Posture
Hip Functions
Physical Function
Pelvis
Lead sponsor: Hacettepe University
Sponsor class: OTHER
First posted: 2025-02-28
Enrollment: 66
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: CASE_CONTROL
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Individuals with different hip pathologies (hip osteoarthritis, hip impingement syndrome, hip labrum tear, hip dysplasia, hip avascular necrosis) who volunteered the participate the study

Brief summary: "It is known that pelvic parameters affect physical hip functions in hip pathologies. Depending on the type and severity of hip pathologies, posture, muscle strength, balance, and pain parameters may change, thereby impacting an individual's quality of life. This study aimed to examine the postural parameters, muscle strength, balance, quality of life, pain intensity, and pain localization of individuals with different hip pathologies, including hip osteoarthritis, hip impingement syndrome, hip labrum tear, hip dysplasia, and hip avascular necrosis."

Detailed description: Volunteers with hip pathologies, such as hip osteoarthritis, hip impingement syndrome, hip labrum tear, hip dysplasia, and hip avascular necrosis, will be included in the study. Prior to the study, the responsible researcher will provide detailed face-to-face information regarding the study's content, the scales to be applied, the importance of these scales, and the evaluation processes. Individuals who agree to participate will sign an informed consent form before the evaluations begin. Demographic information will be recorded, and the dominant extremity for both the upper and lower extremities will be determined.

The measurements and evaluations will be conducted by the same researcher using a consistent evaluation method for all participants included in the study.

Volunteers with hip joint pathologies who apply to the Orthopedic Unit of Hacettepe University Faculty of Physical Therapy will be included in the study. During the initial interview, participants will be informed about the surveys and the parameters to be evaluated. The sample size was calculated using the G\*Power 3.1 program, with an effect size of 0.74, an alpha error rate of 0.05, and a test power of 0.80. This included individuals with various hip pathologies (hip osteoarthritis, hip impingement syndrome, hip labrum tear, hip dysplasia, and hip avascular necrosis). The sample size for the study was determined to be 30 individuals with hip pathologies and 30 healthy individuals. To account for potential incomplete evaluations, a total of 66 participants, with an additional 10%, will be included.

Inclusion Criteria:

Diagnosed with one of the following: hip osteoarthritis, hip impingement syndrome, hip labrum tear, hip dysplasia, or hip avascular necrosis, experiencing mechanical impact on the hip joint, symptoms ongoing for at least 6 months, aged between 18 and 65 years

Exclusion Criteria:

Diagnosed with scoliosis by a physician, diagnosed with any developmental disorder (e.g., Scheuermann's/Calve disorder), diagnosed with a neurological and/or cognitive disease that may affect cognitive functions, diagnosed with inflammatory arthritis, underwent surgery on the spine or extremities, diagnosed with an infection (e.g., spinal tuberculosis) or tumor (e.g., multiple myeloma), epilepsy or use of antidepressants/attention-enhancing drugs.

Eligibility criteria: Inclusion Criteria:

* Being diagnosed with any of the following: hip osteoarthritis, hip impingement syndrome, hip labrum tear, hip dysplasia, hip avascular necrosis.
* Having mechanical impact on the hip joint
* Symptoms have been ongoing for at least 6 months
* Being between the ages of 18-65

Exclusion Criteria:

* Being diagnosed with scoliosis by a physician
* Being diagnosed with any developmental disorder (Scheuermann's/Calve Disorder etc.),
* Being diagnosed with a neurological and/or cognitive disease that may affect cognitive functions
* Being diagnosed with Inflammatory Arthritis
* Having undergone surgery on the spine and extremities,
* Getting diagnosed with Infection (Spinal Tuberculosis etc.), Tumor (Multiple Myeloma)
* Epilepsy, Antidepressant / Attention enhancing drug use

Primary outcomes:
measure: Postural Parameter
timeFrame: Up to 4 weeks
Secondary outcomes:
measure: Pain Threshold
timeFrame: Baseline
measure: Hip and Hip Related Pain
timeFrame: Baseline
measure: Muscle Strength
timeFrame: Baseline
measure: Hip Functions
timeFrame: Baseline
measure: Hip Functions
timeFrame: Baseline
Other outcomes:
measure: Balance
timeFrame: Up to 4 weeks
measure: Quality of Life Level
timeFrame: Baseline
measure: Dominant extremity
timeFrame: Baseline
Locations:
Study officials:
affiliation: Hacettepe University
name: Melike Naz GÜREL, MSc
role: STUDY_CHAIR
affiliation: Hacettepe University
name: Gürsoy COŞKUN, Prof
role: STUDY_CHAIR
References:
citation: Kechagias VA, Grivas TB, Papagelopoulos PJ, Kontogeorgakos VA, Vlasis K. Truncal Changes in Patients Suffering Severe Hip or Knee Osteoarthritis: A Surface Topography Study. Clin Orthop Surg. 2021 Jun;13(2):185-195. doi: 10.4055/cios20123. Epub 2021 Mar 16.
citation: Jain M, Mohapatra A, Tripathy SK, Mohakud S, Das A, Sethy SS. Do Spinopelvic Parameters Relate with Secondary Hip Spine Syndrome in Secondary Hip Arthritis? Indian J Orthop. 2022 Sep 10;56(11):1937-1943. doi: 10.1007/s43465-022-00741-1. eCollection 2022 Nov.
citation: Lanza MB, Arbuco B, Ryan AS, Shipper AG, Gray VL, Addison O. Systematic Review of the Importance of Hip Muscle Strength, Activation, and Structure in Balance and Mobility Tasks. Arch Phys Med Rehabil. 2022 Aug;103(8):1651-1662. doi: 10.1016/j.apmr.2021.12.008. Epub 2022 Jan 5.
citation: Degenhardt BF, Starks Z, Bhatia S. Reliability of the DIERS Formetric 4D Spine Shape Parameters in Adults without Postural Deformities. Biomed Res Int. 2020 Feb 13;2020:1796247. doi: 10.1155/2020/1796247. eCollection 2020.
citation: Mayne E, Memarzadeh A, Raut P, Arora A, Khanduja V. Measuring hip muscle strength in patients with femoroacetabular impingement and other hip pathologies: A systematic review. Bone Joint Res. 2017 Jan;6(1):66-72. doi: 10.1302/2046-3758.61.BJR-2016-0081.
citation: Philippi MT, Kahn TL, Adeyemi TF, Maak TG, Aoki SK. Leg dominance as a risk factor for femoroacetabular impingement syndrome. J Hip Preserv Surg. 2020 Feb 13;7(1):22-26. doi: 10.1093/jhps/hnaa007. eCollection 2020 Jan.
citation: Euasobhon P, Atisook R, Bumrungchatudom K, Zinboonyahgoon N, Saisavoey N, Jensen MP. Reliability and responsivity of pain intensity scales in individuals with chronic pain. Pain. 2022 Dec 1;163(12):e1184-e1191. doi: 10.1097/j.pain.0000000000002692. Epub 2022 May 18.
citation: Kinser AM, Sands WA, Stone MH. Reliability and validity of a pressure algometer. J Strength Cond Res. 2009 Jan;23(1):312-4. doi: 10.1519/jsc.0b013e31818f051c.
citation: Romero-Franco N, Jimenez-Reyes P, Montano-Munuera JA. Validity and reliability of a low-cost digital dynamometer for measuring isometric strength of lower limb. J Sports Sci. 2017 Nov;35(22):2179-2184. doi: 10.1080/02640414.2016.1260152. Epub 2016 Nov 24.
citation: Polat G, Celik D, Cil H, Erdil M, Asik M. Evidence for reliability, validity and responsiveness of Turkish version of Hip Outcome Score. Acta Orthop Traumatol Turc. 2017 Jul;51(4):319-324. doi: 10.1016/j.aott.2017.05.001. Epub 2017 Jun 9.
citation: Celik D, Can C, Aslan Y, Ceylan HH, Bilsel K, Ozdincler AR. Translation, cross-cultural adaptation, and validation of the Turkish version of the Harris Hip Score. Hip Int. 2014 Sep-Oct;24(5):473-9. doi: 10.5301/hipint.5000146. Epub 2014 Sep 10.