Femoroacetabular Impingement (FAI): The Effectiveness of Physical Therapy
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|ClinicalTrials.gov Identifier: NCT03077022|
Recruitment Status : Withdrawn
First Posted : March 10, 2017
Last Update Posted : July 2, 2019
|Condition or disease|
The treatment of femoroacetabular impingement has evolved over the last several years. As the number of arthroscopic hip operations has risen over the last few years, so has the level controversy in regards to the appropriate initial management. There have been many recent advances in clinical diagnosis, advanced imaging techniques, improved indications for surgery and improved arthroscopic techniques which have led to improved clinical outcomes, but the effectiveness of physical therapy remains unknown.
A paucity of evidence exists in regards to the non-operative treatment of FAI.
Several insurance companies are now requiring three to six months of physical therapy prior to approval for surgery. There is not a single study that has objectively evaluated the effectiveness of physical therapy in the avoidance of surgical intervention. The investigators plan to evaluate this using an electronic outcomes data collection system. The hypothesis is that the majority of patients will not see a significant enough improvement with physical therapy to avoid surgery, especially in a subset of patients such as those with sub spine impingement. The investigators plan to prospectively collect data for three years and monitor the outcome of each hip patient, especially those treated with physical therapy as an initial treatment and there potential avoidance of surgery.
|Study Type :||Observational|
|Actual Enrollment :||0 participants|
|Official Title:||Effectiveness of Physical Therapy (PT) Alone vs PT Followed by Surgery to Alleviate the Symptoms of Femoroacetabular Impingement (FAI)|
|Study Start Date :||February 2016|
|Actual Primary Completion Date :||February 2018|
|Actual Study Completion Date :||February 2018|
Femoracetabular impingent (FAI)
Subjects will be given a prescription for physical therapy specifically for Femoracetabular impingent (FAI). They will then be followed clinically per the investigator's normal routine and the gold standard.
- Change in sub spine impingement associated with physical therapy [ Time Frame: Baseline, 6 weeks, 12 weeks, 3 months, 6 months, 1 year, and 2 years. ]The investigators plan to prospectively collect data and monitor the outcome of each hip patient. Subjects will complete a number of assessments utilizing iPads with an electronic data collection system. The data will be collected during each visit or done remotely via the internet, at which time the adjusted means from this longitudinal model will be compared.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03077022
|United States, Colorado|
|University of Colorado School of Medicine|
|Aurora, Colorado, United States, 80045|
|Principal Investigator:||James Genuario, MD||University of Colorado, Denver|