TY - JOUR
T1 - Movement-pattern training to improve function in people with chronic hip joint pain
T2 - A feasibility randomized clinical trial
AU - Harris-Hayes, Marcie
AU - Czuppon, Sylvia
AU - Van Dillen, Linda R.
AU - Steger-May, Karen
AU - Sahrmann, Shirley
AU - Schootman, Mario
AU - Salsich, Gretchen B.
AU - Clohisy, John C.
AU - Mueller, Michael J.
N1 - Funding Information:
Dr Harris-Hayes was supported by grants K23 HD067343 and K12 HD055931 from the National Center for Medical Rehabilitation Research, National Institute of Child Health and Human Development, and National Institute of Neurological Disorders and Stroke, and by grant UL1 RR 024992-01 from the National Center for Research Resources, components of the National Institutes of Health and National Institutes of Health Roadmap for Medical Research. Additional support was provided by the Program in Physical Therapy at Washington University School of Medicine, Clinical and Translational Science Award grant UL1 TR000448, and by the Siteman Cancer Center (National Cancer Institute-Designated Cancer Center) support grant P30 CA091842.
Publisher Copyright:
© Copyright 2016 Journal of Orthopaedic & Sports Physical Therapy.
PY - 2016/6
Y1 - 2016/6
N2 - STUDY DESIGN: Feasibility randomized clinical trial. BACKGROUND: Rehabilitation may be an appropriate treatment strategy for patients with chronic hip joint pain; however, the evidence related to the effectiveness of rehabilitation is limited. OBJECTIVES: To assess feasibility of performing a randomized clinical trial to investigate the effectiveness of movement-pattern training (MPT) to improve function in people with chronic hip joint pain. METHODS: Thirty-five patients with chronic hip joint pain were randomized into a treatment (MPT) group or a control (wait-list) group. The MPT program included 6 one-hour supervised sessions and incorporated (1) task-specific training for basic functional tasks and symptom-provoking tasks, and (2) strengthening of hip musculature. The wait-list group received no treatment. Primary outcomes for feasibility were patient retention and adherence. Secondary outcomes to assess treatment effects were patient-reported function (Hip disability and Osteoarthritis Outcome Score), lower extremity kinematics, and hip muscle strength. RESULTS: Retention rates did not differ between the MPT (89%) and wait-list groups (94%, P = 1.0). Sixteen of the 18 patients (89%) in the MPT group attended at least 80% of the treatment sessions. For the home exercise program, 89% of patients reported performing their home program at least once per day. Secondary outcomes support the rationale for conduct of a superiority randomized clinical trial. CONCLUSION: Based on retention and adherence rates, a larger randomized clinical trial appears feasible and warranted to assess treatment effects more precisely. Data from this feasibility study will inform our future clinical trial.
AB - STUDY DESIGN: Feasibility randomized clinical trial. BACKGROUND: Rehabilitation may be an appropriate treatment strategy for patients with chronic hip joint pain; however, the evidence related to the effectiveness of rehabilitation is limited. OBJECTIVES: To assess feasibility of performing a randomized clinical trial to investigate the effectiveness of movement-pattern training (MPT) to improve function in people with chronic hip joint pain. METHODS: Thirty-five patients with chronic hip joint pain were randomized into a treatment (MPT) group or a control (wait-list) group. The MPT program included 6 one-hour supervised sessions and incorporated (1) task-specific training for basic functional tasks and symptom-provoking tasks, and (2) strengthening of hip musculature. The wait-list group received no treatment. Primary outcomes for feasibility were patient retention and adherence. Secondary outcomes to assess treatment effects were patient-reported function (Hip disability and Osteoarthritis Outcome Score), lower extremity kinematics, and hip muscle strength. RESULTS: Retention rates did not differ between the MPT (89%) and wait-list groups (94%, P = 1.0). Sixteen of the 18 patients (89%) in the MPT group attended at least 80% of the treatment sessions. For the home exercise program, 89% of patients reported performing their home program at least once per day. Secondary outcomes support the rationale for conduct of a superiority randomized clinical trial. CONCLUSION: Based on retention and adherence rates, a larger randomized clinical trial appears feasible and warranted to assess treatment effects more precisely. Data from this feasibility study will inform our future clinical trial.
KW - Femoroacetabular impingement
KW - Hip dysplasia
KW - Kinematics
KW - Movement system
KW - Strength
UR - http://www.scopus.com/inward/record.url?scp=84971394482&partnerID=8YFLogxK
U2 - 10.2519/jospt.2016.6279
DO - 10.2519/jospt.2016.6279
M3 - Article
C2 - 27117727
AN - SCOPUS:84971394482
VL - 46
SP - 452
EP - 461
JO - Journal of Orthopaedic and Sports Physical Therapy
JF - Journal of Orthopaedic and Sports Physical Therapy
SN - 0190-6011
IS - 6
ER -