search  
 


Home

Who are we?

Why
register?


Signup for
registration


Online registration

Log in to register
your trial


Search a trial

NRT en CCMO

Contact

NEDERLANDS





MetaRegister
van CCT (UK)


ISRCTN-Register
van CCT (UK)


Rehabilitation after hip arthroscopy: comparison of two treatment strategies.


- candidate number14967
- NTR NumberNTR4028
- ISRCTNISRCTN wordt niet meer aangevraagd.
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR7-jun-2013
- Secondary IDs2012/248 CMO Arnhem-Nijmegen
- Public TitleRehabilitation after hip arthroscopy: comparison of two treatment strategies.
- Scientific TitleRehabilitation after arthroscopy for femoroacetabular impingement and/or labral pathology of the hip: comparison of two physiotherapeutic treatment strategies.
- ACRONYMN/A
- hypothesisThe aim of the study is to compare two physiotherapeutic rehabiliation strategies (supervised versus less supervised) in patients after hip arthroscopy for FAI and/or labral pathology. The hypothesis is that both groups will equally recover in the long term, but in the short term the supervised group will recover faster. Furthermore, patient satisfaction for each of the rehabiliation strategies will be measured.
- Healt Condition(s) or Problem(s) studiedFemoroacetabular impingement (FAI), Hip labral pathology, Hip arthroscopy rehabilitation
- Inclusion criteria-Patients between 18 and 50 years of age with unilateral hip pain;
-Diagnosed with FAI and/or labral pathology of the hip by means of hip arthroscopy;
-Treated for FAI and/or labral pathology (labral fixation) of the hip during hip arthroscopy with a weight-bearing restriction for 6 weeks;
-Patients willing to sign informed consent.
- Exclusion criteria-Intra articular hip disorders diagnosed with hip arthroscopy other than FAI and/or labral pathology;
-Other conditions, such as cardiovascular disease, that can influence therapy effects;
-Contra-indications for the hip arthroscopy procedure;
-Inability to speak or understand the Dutch language;
-Inability to comply with postoperative rehabilitation and exercises due to other reasons, such as a lack of time etcetera.
- mec approval receivedyes
- multicenter trialno
- randomisedyes
- masking/blindingSingle
- controlNot applicable
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 1-jun-2013
- planned closingdate1-okt-2015
- Target number of participants26
- InterventionsPatients undergoing hip arthroscopy will be randomized. Both groups receive the same postoperative physiotherapeutic rehabilitation with the same exercises. Group 1 will conduct these exercises supervised by a physiotherapist twice a week and unsupervised (at home) once a week. Group 2 will conduct these exercises three times a week at home with supervision by a physiotherapist once every three weeks. The exercises consist of strength and stability exercises as well as self mobilisations of the hip, pelvis and lumbar spine. When necessary, both groups will also receive manual mobilisations by a physiotherapist untill full range of motion is restored. However, group 1 receives these mobilisations twice a week untill full range of motion is restored. Group 2 receives these mobilisations once every three weeks untill full range of motion is restored. Full range of motion is defined as identical range of motion for the operated versus the non-operated side.
- Primary outcome-Number of therapy sessions;
-Hip function measured by the International Hip Outcome Tool 33 (IHOT-33);
-Perceived pain measured by Visual Analogue Scale (VAS) (included in IHOT-33).
- Secondary outcome- (Sport) Activity level measured by the Patient Specific Complaints Scale (PSK);
-Passive Range of Motion (ROM) of the hip ;
-Leg length (clinical and anatomical);
-Hip function in stance measured by the Trendelenburg test ;
-Hip provocation maneuvers (anterior hip impingement test, flexion/abduction/exorotation test, resisted straight leg raise test, McCarthy test, Thomas test and Fitzgerald test),
- TimepointsThe complete rehabilitation will take 18 weeks, excluding the pre operative consult and one year follow-up measurement. The measurements are conducted at the following timepoints:
T0 pre operative
T1 direct post operative (within 1th week)
T2 6 weeks post operative
T3 12 weeks post operative
T4 18 weeks post operative
T5 1 year post operative


The total amount of therapy sessions for group 1 is 44 and for group 2 is 7. This excludes pre operative intake and the one year follow-up measurement.
- Trial web siteN/A
- statusstopped
- CONTACT FOR PUBLIC QUERIESMsc. Marsha Tijssen
- CONTACT for SCIENTIFIC QUERIESPhd. Robert Cingel, van
- Sponsor/Initiator IQ healthcare, Sport Medisch Centrum Papendal
- Funding
(Source(s) of Monetary or Material Support)
University Medical Center St. Radboud
- PublicationsN/A
- Brief summaryThe amount of hip arthroscopies performed has rised considerably in the last few years. These arthroscopies are often performed for the treatment of Femoroacetabular impingement (FAI) and/or labral pathology of the hip. However, it is unclear what the postoperative physiotherapeutic intervention should consist of. Several studies have described rehabiliation protocols, but none have been thoroughly investigated. Futhermore, these protocols differ in frequency and duration of treatment as well as in supervised versus none supervised rehabiliation. This could mean that patients are currently being over- or undertreated. Therefore the goal of this study is to compare two physiotherapeutic rehabiliation strategies (supervised versus less supervised) in patients who undergo hip arthroscopy for FAI and/or labral pathology. The hypothesis is that both groups will equally recover in the long term, but in the short term the supervised group will recover faster.
Furthermore, patient satisfaction for each of the rehabiliation strategies will be measured.
In order to achieve this goal patients will be randomised into two groups. Both groups receive the same postoperative rehabilitation with the same exercises. Group 1 receives treatment and conducts these exercises supervised by a physiotherapist twice a week. They conduct the exercises once more every week unsupervised (at home). Group 2 conducts these exercises three times a week at home. Once every three weeks they receive treatment and supervision of the exercises by a physiotherapist. Measurements will be performed pre operative and 6, 12 and 18 weeks post operative with an one and two-year follow-up. Primary outcomes of this study are the number of treatments, hip function measured by the Internation Hip Outcome Tool 33 (IHOT-33) and the amount of perceived pain measured by Visual Analogue Scale (VAS).
- Main changes (audit trail)18-jul-2014: Trial stopped: not enough patients available for inclusion - AB
- RECORD7-jun-2013 - 18-jul-2014


  • Indien u gegevens wilt toevoegen of veranderen, kunt u een mail sturen naar nederlands@trialregister.nl