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 - 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
SN - 0190-6011
VL - 46
SP - 452
EP - 461
JO - Journal of Orthopaedic and Sports Physical Therapy
JF - Journal of Orthopaedic and Sports Physical Therapy
IS - 6
ER -