Exercise and Patient Education Compared With Usual Care in Patients With Hip Dysplasia

Launched by UNIVERSITY OF AARHUS · Mar 9, 2021

Keywords

ClinConnect Summary

This clinical trial is studying whether a combination of exercise and patient education can help reduce pain in patients with hip dysplasia, compared to those receiving standard care. The main goal is to see if the patients who follow the exercise and education program report less pain over six months, as measured by a specific score that reflects their hip and groin outcomes.

To participate in the trial, individuals should be between the ages of 18 and 62, have a confirmed diagnosis of hip dysplasia, and have been experiencing hip or groin pain for at least three months. They should also be either waiting for surgery or not suitable for surgery. Participants will be randomly assigned to either the exercise and education group or the usual care group. Throughout the trial, they can expect to take part in various assessments related to their pain and overall hip function. It's important to note that certain health conditions or recent surgeries may exclude someone from participating, so potential volunteers should discuss their eligibility with the research team.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Radiographically verified hip dysplasia by a Wiberg's centre edge (CE) angle of 10-25 degrees and an acetabular Index (AI) angle \>10 degrees
• • Hip and/or groin pain as primary pain for at least three months
• • Candidate for periacetabular osteotomy (PAO) but unwilling to undergo PAO, or on a waiting list for surgery (PAO) for 12 months or longer
• • Not candidate for PAO (negative impingement test, BMI \>25, hip osteoarthritis, age \>45 years or reduced hip range of motion)
• Exclusion Criteria:
• • Self-reported pain score \>80 points measured with Copenhagen Hip and Groin outcome score
• • Any major planned surgery (i.e. arthroplastic surgery or discectomy surgery)
• • BMI \>35
• • Acetabular retroversion defined by crossover sign and posterior wall sign
• • Calvé Legg Perthes or epiphysiolysis
• • Previous pelvic/hip surgery in index limb
• • Previous pelvic/hip surgery within the last 2 years in contralateral limb
• • Previous surgery due to herniated disc or spondylodesis
• • Previous arthroplastic surgery in the hip, knee or ankle
• • Physical (pregnancy/trauma), neurological, medical or rheumatic conditions severely affecting the hip function
• • Inadequacy in written and spoken Danish, mental illness or other conditions affecting the ability to follow mandatory procedures for participation