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Exercise Rehabilitation for Hip-related Pain and Dysfunction in Student Circus Arts Performers

Primary Purpose

Hip Dysplasia, Femoro Acetabular Impingement

Status
Recruiting
Phase
Not Applicable
Locations
Australia
Study Type
Interventional
Intervention
Hip Exercise Program
Sponsored by
Swinburne University of Technology
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hip Dysplasia

Eligibility Criteria

18 Years - 35 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: 3-month history hip/groin pain +/- symptoms including clicking, giving way, locking, or catching, one or more of a positive positive FADIR pain provocation test positive HEER test (hip extension and external rotation) positive prone instability test imaging to support a pathological hip (e.g., CAM morphology, hip dysplasia) Exclusion Criteria: OA degree >1 on classification of Tönnis Centre Edge-angle <10 degrees Legg-Calvé-Perthes or epiphysiolysis history of hip joint surgery or significant hip trauma (fracture +/- dislocation) neurologic motor deficit (lower limb power, strength or reflex deficit) hip pain from a lumbar origin (positive passive straight leg raise, combined lumbar extension and rotation) connective tissue disorder (e.g., Ehlers-danlos or Marfan syndrome) pregnancy or breastfeeding.

Sites / Locations

  • Swinburne University of TechnologyRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Hip Exercise Program

Arm Description

A 12-week strength exercise protocol has been specifically designed to focus on hip rehabilitation appropriate for circus performance.

Outcomes

Primary Outcome Measures

The Copenhagen Hip and Groin Outcome Score (HAGOS)
Patient Reported Outcome Measure, score on 0-100 scale, with zero representing extreme hip and/or groin problems and 100 representing no hip and/or groin problems.
The Copenhagen Hip and Groin Outcome Score (HAGOS)
Patient Reported Outcome Measure, score on 0-100 scale, with zero representing extreme hip and/or groin problems and 100 representing no hip and/or groin problems.
The Copenhagen Hip and Groin Outcome Score (HAGOS)
Patient Reported Outcome Measure, score on 0-100 scale, with zero representing extreme hip and/or groin problems and 100 representing no hip and/or groin problems.
The Copenhagen Hip and Groin Outcome Score (HAGOS)
Patient Reported Outcome Measure, score on 0-100 scale, with zero representing extreme hip and/or groin problems and 100 representing no hip and/or groin problems.
International Hip Outcome Tool (iHOT-12)
Patient Reported Outcome Measure, scored using a visual analog scale from 0 to 100, with a score of 100 being the best function and least amount of symptoms
International Hip Outcome Tool (iHOT-12)
Patient Reported Outcome Measure scored using a visual analog scale from 0 to 100, with a score of 100 being the best function and least amount of symptoms
International Hip Outcome Tool (iHOT-12)
Patient Reported Outcome Measure scored using a visual analog scale from 0 to 100, with a score of 100 being the best function and least amount of symptoms
International Hip Outcome Tool (iHOT-12)
Patient Reported Outcome Measure scored using a visual analog scale from 0 to 100, with a score of 100 being the best function and least amount of symptoms
European Quality of life questionnaire (EQ-5D-5L)
Patient Reported Outcome Measure
European Quality of life questionnaire (EQ-5D-5L)
Patient Reported Outcome Measure
European Quality of life questionnaire (EQ-5D-5L)
Patient Reported Outcome Measure
European Quality of life questionnaire (EQ-5D-5L)
Patient Reported Outcome Measure
Tampa Scale of Kinesiophobia (TSK)
Patient Reported Outcome Measure
Tampa Scale of Kinesiophobia (TSK)
Patient Reported Outcome Measure
Tampa Scale of Kinesiophobia (TSK)
Patient Reported Outcome Measure
Tampa Scale of Kinesiophobia (TSK)
Patient Reported Outcome Measure
Hip Strength assessment
Strength of hip abduction, adduction, sitting hip flexion at 90deg, prone extension with knee extended, prone external and internal rotation will be measured using a hand-held dynamometer.
Hip Strength assessment
Strength of hip abduction, adduction, sitting hip flexion at 90deg, prone extension with knee extended, prone external and internal rotation will be measured using a hand-held dynamometer.
Hip Range of Motion
Hip flexion, Hip internal rotation and external rotation will be measured using an inclinometer
Hip Range of Motion
Hip flexion, Hip internal rotation and external rotation will be measured using an inclinometer

Secondary Outcome Measures

Functional movement screen Y-balance test
This will measure a circus performers capacity to stand on one leg and reach their opposite leg as far as possible forwards, backwards and sideways. This provides a measure of both strength and flexibility, has been used in prior hip research, and shown to have excellent intra and inter-rater reliability.
Functional movement screen Y-balance test
This will measure a circus performers capacity to stand on one leg and reach their opposite leg as far as possible forwards, backwards and sideways. This provides a measure of both strength and flexibility, has been used in prior hip research, and shown to have excellent intra and inter-rater reliability.
Single leg Hop for distance
The distance of a participant hop will be measured, taking off and landing on the same foot, maintaining their balance for about 2-3 seconds on landing. The best of three hops will be recorded.
Single leg Hop for distance
The distance of a participant hop will be measured, taking off and landing on the same foot, maintaining their balance for about 2-3 seconds on landing. The best of three hops will be recorded.
Trunk Muscle Endurance Test
The duration of a side-plank will be recorded in seconds/minutes. The test will be ceased after 3 minutes.
Trunk Muscle Endurance Test
The duration of a side-plank will be recorded in seconds/minutes. The test will be ceased after 3 minutes.
One leg rise test
The number of sit to stand movements on a single leg performed from a starting position where the knee is at 90deg will be recorded. The test will be ceased if the participant reaches 50 one leg rises.
One leg rise test
The number of sit to stand movements on a single leg performed from a starting position where the knee is at 90deg will be recorded. The test will be ceased if the participant reaches 50 one leg rises.

Full Information

First Posted
January 4, 2023
Last Updated
May 11, 2023
Sponsor
Swinburne University of Technology
Collaborators
National Institute of Circus Arts
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1. Study Identification

Unique Protocol Identification Number
NCT05687955
Brief Title
Exercise Rehabilitation for Hip-related Pain and Dysfunction in Student Circus Arts Performers
Official Title
Exercise Rehabilitation for Hip-related Pain and Dysfunction in Full Time Student Circus Arts Performers: a Pilot Trial
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Recruiting
Study Start Date
March 28, 2023 (Actual)
Primary Completion Date
March 30, 2024 (Anticipated)
Study Completion Date
March 30, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Swinburne University of Technology
Collaborators
National Institute of Circus Arts

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Hip injuries are reported to account for 71% and 29% of all injuries reported in female and male performers, respectively, at the National Institute of Circus Arts. There are no reports on hip pathology in circus performers, nor are there any reported exercise interventions for hip pain in circus performers. This study aims to: To assess the effect of an exercise rehabilitation program on patient-reported outcome measures, hip strength and range of movement, and functional assessments in circus arts students with clinically and radiologically diagnosed hip pain-related disorders. Participants will undertake a 12-week strength exercise protocol that has been specifically designed to focus on hip rehabilitation appropriate for circus performance. Expected outcome: Improvements in patient reported outcome measure (PROM) scores and an increase in function, strength and hip range of movement in people with hip pain

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hip Dysplasia, Femoro Acetabular Impingement

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
20 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Hip Exercise Program
Arm Type
Experimental
Arm Description
A 12-week strength exercise protocol has been specifically designed to focus on hip rehabilitation appropriate for circus performance.
Intervention Type
Other
Intervention Name(s)
Hip Exercise Program
Intervention Description
The exercise intervention is being implemented 3 times per week. Two sessions can be completed at home by the participant, and one session per week will be attended by a physiotherapist that will monitor exercise technique and progress the exercise program for each participant. The exercise protocol has been specifically designed to focus on hip rehabilitation appropriate for circus performance. The exercise program will involve hip strength exercises in the sagittal, coronal and transverse planes using weights and elastic bands (Theraband). It will also include trunk strength and postural correction exercises to address swayback posture which is a common clinical presentation in those with hip dysplasia.
Primary Outcome Measure Information:
Title
The Copenhagen Hip and Groin Outcome Score (HAGOS)
Description
Patient Reported Outcome Measure, score on 0-100 scale, with zero representing extreme hip and/or groin problems and 100 representing no hip and/or groin problems.
Time Frame
Baseline
Title
The Copenhagen Hip and Groin Outcome Score (HAGOS)
Description
Patient Reported Outcome Measure, score on 0-100 scale, with zero representing extreme hip and/or groin problems and 100 representing no hip and/or groin problems.
Time Frame
3-months
Title
The Copenhagen Hip and Groin Outcome Score (HAGOS)
Description
Patient Reported Outcome Measure, score on 0-100 scale, with zero representing extreme hip and/or groin problems and 100 representing no hip and/or groin problems.
Time Frame
6-months
Title
The Copenhagen Hip and Groin Outcome Score (HAGOS)
Description
Patient Reported Outcome Measure, score on 0-100 scale, with zero representing extreme hip and/or groin problems and 100 representing no hip and/or groin problems.
Time Frame
9-months
Title
International Hip Outcome Tool (iHOT-12)
Description
Patient Reported Outcome Measure, scored using a visual analog scale from 0 to 100, with a score of 100 being the best function and least amount of symptoms
Time Frame
Baseline
Title
International Hip Outcome Tool (iHOT-12)
Description
Patient Reported Outcome Measure scored using a visual analog scale from 0 to 100, with a score of 100 being the best function and least amount of symptoms
Time Frame
3-months
Title
International Hip Outcome Tool (iHOT-12)
Description
Patient Reported Outcome Measure scored using a visual analog scale from 0 to 100, with a score of 100 being the best function and least amount of symptoms
Time Frame
6-months
Title
International Hip Outcome Tool (iHOT-12)
Description
Patient Reported Outcome Measure scored using a visual analog scale from 0 to 100, with a score of 100 being the best function and least amount of symptoms
Time Frame
9-months
Title
European Quality of life questionnaire (EQ-5D-5L)
Description
Patient Reported Outcome Measure
Time Frame
Baseline
Title
European Quality of life questionnaire (EQ-5D-5L)
Description
Patient Reported Outcome Measure
Time Frame
3-months
Title
European Quality of life questionnaire (EQ-5D-5L)
Description
Patient Reported Outcome Measure
Time Frame
6-months
Title
European Quality of life questionnaire (EQ-5D-5L)
Description
Patient Reported Outcome Measure
Time Frame
9-months
Title
Tampa Scale of Kinesiophobia (TSK)
Description
Patient Reported Outcome Measure
Time Frame
Baseline
Title
Tampa Scale of Kinesiophobia (TSK)
Description
Patient Reported Outcome Measure
Time Frame
3-months
Title
Tampa Scale of Kinesiophobia (TSK)
Description
Patient Reported Outcome Measure
Time Frame
6-months
Title
Tampa Scale of Kinesiophobia (TSK)
Description
Patient Reported Outcome Measure
Time Frame
9-months
Title
Hip Strength assessment
Description
Strength of hip abduction, adduction, sitting hip flexion at 90deg, prone extension with knee extended, prone external and internal rotation will be measured using a hand-held dynamometer.
Time Frame
Baseline
Title
Hip Strength assessment
Description
Strength of hip abduction, adduction, sitting hip flexion at 90deg, prone extension with knee extended, prone external and internal rotation will be measured using a hand-held dynamometer.
Time Frame
9-months
Title
Hip Range of Motion
Description
Hip flexion, Hip internal rotation and external rotation will be measured using an inclinometer
Time Frame
Baseline
Title
Hip Range of Motion
Description
Hip flexion, Hip internal rotation and external rotation will be measured using an inclinometer
Time Frame
9-months
Secondary Outcome Measure Information:
Title
Functional movement screen Y-balance test
Description
This will measure a circus performers capacity to stand on one leg and reach their opposite leg as far as possible forwards, backwards and sideways. This provides a measure of both strength and flexibility, has been used in prior hip research, and shown to have excellent intra and inter-rater reliability.
Time Frame
Baseline
Title
Functional movement screen Y-balance test
Description
This will measure a circus performers capacity to stand on one leg and reach their opposite leg as far as possible forwards, backwards and sideways. This provides a measure of both strength and flexibility, has been used in prior hip research, and shown to have excellent intra and inter-rater reliability.
Time Frame
9-months
Title
Single leg Hop for distance
Description
The distance of a participant hop will be measured, taking off and landing on the same foot, maintaining their balance for about 2-3 seconds on landing. The best of three hops will be recorded.
Time Frame
Baseline
Title
Single leg Hop for distance
Description
The distance of a participant hop will be measured, taking off and landing on the same foot, maintaining their balance for about 2-3 seconds on landing. The best of three hops will be recorded.
Time Frame
9-months
Title
Trunk Muscle Endurance Test
Description
The duration of a side-plank will be recorded in seconds/minutes. The test will be ceased after 3 minutes.
Time Frame
Baseline
Title
Trunk Muscle Endurance Test
Description
The duration of a side-plank will be recorded in seconds/minutes. The test will be ceased after 3 minutes.
Time Frame
9-months
Title
One leg rise test
Description
The number of sit to stand movements on a single leg performed from a starting position where the knee is at 90deg will be recorded. The test will be ceased if the participant reaches 50 one leg rises.
Time Frame
Baseline
Title
One leg rise test
Description
The number of sit to stand movements on a single leg performed from a starting position where the knee is at 90deg will be recorded. The test will be ceased if the participant reaches 50 one leg rises.
Time Frame
9-months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
35 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 3-month history hip/groin pain +/- symptoms including clicking, giving way, locking, or catching, one or more of a positive positive FADIR pain provocation test positive HEER test (hip extension and external rotation) positive prone instability test imaging to support a pathological hip (e.g., CAM morphology, hip dysplasia) Exclusion Criteria: OA degree >1 on classification of Tönnis Centre Edge-angle <10 degrees Legg-Calvé-Perthes or epiphysiolysis history of hip joint surgery or significant hip trauma (fracture +/- dislocation) neurologic motor deficit (lower limb power, strength or reflex deficit) hip pain from a lumbar origin (positive passive straight leg raise, combined lumbar extension and rotation) connective tissue disorder (e.g., Ehlers-danlos or Marfan syndrome) pregnancy or breastfeeding.
Facility Information:
Facility Name
Swinburne University of Technology
City
Hawthorn
State/Province
Victoria
ZIP/Postal Code
3122
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Dr C Ganderton, PhD
Phone
+61 3 9214 3539
Email
cganderton@swin.edu.au

12. IPD Sharing Statement

Plan to Share IPD
No

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Exercise Rehabilitation for Hip-related Pain and Dysfunction in Student Circus Arts Performers

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