Physical therapy aimed at self-management versus usual care physical therapy after hip arthroscopy for femoroacetabular impingement: study protocol for a randomized controlled trial

Femoroacetabular impingement has been recognized as a common cause of hip pain and dysfunction, especially in athletes. Femoroacetabular impingement can now be better treated by hip arthroscopy but it is unclear what postoperative rehabilitation of hip arthroscopy should look like. Several rehabilit...

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Bibliographic Details
Published in:Current controlled trials in cardiovascular medicine 2016-02, Vol.17 (1), p.91-91, Article 91
Main Authors: Tijssen, M, van Cingel, R E H, Staal, J B, Teerenstra, S, de Visser, E, Nijhuis-van der Sanden, M W G
Format: Article
Language:English
Subjects:
Adolescent
Adult
Arthritis
Arthroscopy
Care and treatment
Clinical outcomes
Clinical Protocols
Clinical trials
Data Interpretation, Statistical
Endoscopic surgery
Femoracetabular Impingement - surgery
Hip
Hip Joint - surgery
Hospitals
Humans
Informed consent
Joints
Middle Aged
Orthopedics
Osteoarthritis
Pathology
Patient Education as Topic
Patient Outcome Assessment
Patient outcomes
Patient Satisfaction
Physical therapists
Physical therapy
Physical Therapy Modalities
Rehabilitation
Self Care
Study Protocol
Surgery
Surgical outcomes
Therapeutics, Physiological
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Summary:Femoroacetabular impingement has been recognized as a common cause of hip pain and dysfunction, especially in athletes. Femoroacetabular impingement can now be better treated by hip arthroscopy but it is unclear what postoperative rehabilitation of hip arthroscopy should look like. Several rehabilitation protocols have been described, but none presented clinical outcome data. These protocols also differ in frequency, duration and level of supervision. We developed a rehabilitation protocol with supervised physical therapy which showed good clinical results and is considered usual care in our treatment center. However, it is unknown whether, due to the relatively young age and low complication rate of hip arthroscopy patients, rehabilitation based on self-management might lead to similar results. The aims of this pilot study are (1) to determine feasibility and acceptability of the self-management intervention, (2) to obtain a preliminary estimate of the difference in effect between physical therapy aimed at self-management versus usual care physical therapy in patients who undergo hip arthroscopy for femoroacetabular impingement. Thirty participants (aged 18-50 years) scheduled for hip arthroscopy will be included and randomized (after surgery) to either self-management or usual care physical therapy in this assessor-blinded randomized controlled trial. After surgery, the self-management group will perform a home-based exercise program three times a week and will receive physical therapy treatment once every 2 weeks for 14 weeks. The usual care group will receive physical therapy treatment twice a week for 14 weeks and will perform an additional home-based exercise program once a week. Assessment will occur preoperatively and at 6, 14, 26 and 52 weeks after surgery. Primary outcomes are feasibility, acceptability and preliminary effectiveness. Feasibility and acceptability will be determined by the willingness to enroll, recruitment rate, adherence to treatment, patient satisfaction, drop-out rate and adverse events. Preliminary effectiveness will be determined using the following outcomes: the International Hip Outcome Tool 33 and hip functional performance as measured with the Single Leg Squat Test 14 weeks after surgery. The results of this study will be used to help decide on the need, feasibility and acceptability of a large-scale randomized controlled trial. This protocol was registered with the Dutch Trial Registry (NTR5168) on 8 May 2015.
ISSN:1745-6215
1745-6215
DOI:10.1186/s13063-016-1222-7