Education and Exercise for Patients With Longstanding Hip and Groin Pain

Launched by LUND UNIVERSITY · May 2, 2023

Keywords

ClinConnect Summary

This clinical trial is looking at how different types of physical therapy can help people with long-term hip and groin pain. Many young to middle-aged adults suffer from this type of pain, which can greatly affect their daily lives and activities. The study will compare two approaches: the usual physical therapy, which is more general and unstructured, to a more personalized and step-by-step physical therapy plan designed specifically for each patient. The goal is to see which method improves the quality of life related to hip health more effectively.

To participate in this trial, individuals must be between 18 and 55 years old and have been referred to an orthopedic department due to hip or groin pain that has lasted for more than three months. Participants will need to have pain that can be tested using a specific method called the FADIR test. However, those with certain conditions, like severe arthritis or other significant injuries, may not be eligible. Throughout the trial, participants can expect to receive either type of physical therapy and monitor how their pain and overall hip function improve over time. This study aims to find the best way to help those suffering from long-standing hip and groin pain.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Men and women aged 18-55 years
• • Referred to the Dept of Orthopedics due to hip and/or groin pain
• • Activity-related unilateral or bilateral groin pain \>3 months
• • Pain reproduced with the FADIR test.
• Exclusion Criteria:
• • Groin pain originating from any diagnosis with other treatment pathways, i.e., i) Acute traumatic hip injuries (such as hip dislocation, hip fractures); ii) Verified moderate or severe OA (Tönnis grade \>1); iii) Palpable hernia; iv) Low-back pain with a positive straight leg raise test and/or hip and groin pain provoked primarily by repeated motions of the lumbar spine; v) Sacroiliac joint pain with thigh thrust test.
• • Co-morbidities potentially interfering with treatment, i.e., i) Co-morbidities overriding the hip and groin-related symptoms and dysfunction (such as other acute lower limb injuries, rheumatoid arthritis etc), ii) Co-morbidities prohibiting physical activity and training (heart disease etc), iii) Current psycho-social disorders requiring treatment.
• • Other: i) History of drug abuse within the last year; ii) Not understanding the language of interest (Scandinavian languages, or English).