70 Participants Needed

Categorized Physical Therapy for Hip Pain

JC
Overseen ByJennifer Cheng
Age: 18 - 65
Sex: Any
Trial Phase: Academic
Sponsor: Hospital for Special Surgery, New York
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

What is the purpose of this trial?

There is currently limited literature on a categorized physical therapy protocol for management of hip pain. Only a handful of studies have looked at the treatment of osteoarthritis of the hip with a standardized physical therapy treatment, primarily looking at manual therapy versus exercise therapy protocols. However, there are no studies observing the effect of a standardized physical therapy program on patients presenting with non-arthritic hip and groin pain. Based on the gap in the literature, this study will aim to assess the effect of matrix-based standard of care therapy in patients presenting with non-arthritic hip and groin pain.

Do I have to stop taking my current medications for the trial?

The protocol does not specify if you need to stop taking your current medications, but you cannot participate if you are taking TNF-alpha inhibitors for inflammatory conditions.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications, but it excludes patients currently taking TNF-alpha inhibitors for inflammatory conditions.

What data supports the idea that Categorized Physical Therapy for Hip Pain is an effective treatment?

The available research shows that Categorized Physical Therapy for Hip Pain is effective. In a study with 46 patients suffering from chronic hip-related groin pain, participants who underwent physical therapy showed significant improvements in their condition after 6 and 12 months. Another study focused on movement-pattern training, a type of physical therapy, found that patients reported better function and strength after completing the program. These studies suggest that physical therapy can help improve hip pain and function over time.12345

What data supports the effectiveness of the treatment for hip pain?

Research shows that physical therapy, including movement-pattern training and traditional strength/flexibility exercises, can lead to significant improvements in hip pain and function over time. Studies have demonstrated that patients with chronic hip-related groin pain experienced clinically significant improvements in pain and function after undergoing physical therapist-led interventions.12345

What safety data exists for physical therapy for hip pain?

The safety of physical therapy for hip pain is generally considered high, with limited reported harms. A study on chronic hip-related groin pain showed clinically significant improvements with no mention of adverse events. However, a systematic review highlighted poor reporting standards for harms in orthopaedic physical therapy, suggesting a need for better documentation and standardization of adverse event terminology. Overall, while physical therapy is deemed safe, more rigorous harm reporting is needed.12678

Is physical therapy for hip pain generally safe?

Physical therapy, including manual and exercise therapy, is generally considered safe, with a lack of reported harms in research. However, there is a need for better reporting standards to document any potential adverse events.12678

Is Matrix-based physical therapy a promising treatment for hip pain?

Yes, Matrix-based physical therapy is a promising treatment for hip pain. It helps improve strength, movement, and balance, and has shown significant improvements in reducing pain and disability over time.1891011

How is Matrix-based physical therapy different from other treatments for hip pain?

Matrix-based physical therapy is unique because it categorizes and tailors exercises specifically for non-arthritic hip pain, focusing on improving leg strength, movement, and balance, which may not be as emphasized in standard physical therapy approaches.1291011

Research Team

PM

Peter Moley, MD

Principal Investigator

Hospital for Special Surgery, New York

Eligibility Criteria

This trial is for new patients aged 18-60 with non-arthritic hip and groin pain (Tonnis grade 0-1). It's not suitable for those under 18 or over 60, anyone who has had hip surgery, speaks no English, suffers from inflammatory conditions or other joint issues that could affect the therapy, takes TNF-alpha inhibitors, has arthritic hip pain (Tonnis grade 2+), radicular back pain, prior knee osteotomy or spinal fusion surgery.

Inclusion Criteria

I have hip and groin pain without arthritis (Tonnis grade 0-1).
I am between 18 and 60 years old.

Exclusion Criteria

I have had spinal fusion surgery.
I have moderate to severe hip arthritis.
I have had surgery to realign my knee.
See 6 more

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive matrix-based physical therapy and standard-of-care physical therapy

6 months

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

Treatment Details

Interventions

  • Matrix-based physical therapy
  • Standard-of-care physical therapy
Trial OverviewThe study compares two types of physical therapy treatments for non-arthritic hip and groin pain. One group will receive a matrix-based physical therapy protocol while the other will undergo standard-of-care physical therapy to see which is more effective in managing their condition.
Participant Groups
2Treatment groups
Experimental Treatment
Active Control
Group I: Matrix-Based PTExperimental Treatment2 Interventions
Patients will receive matrix-based physical therapy, in addition to standard-of-care physical therapy.
Group II: ControlActive Control1 Intervention
Patients will receive standard-of-care physical therapy.

Find a Clinic Near You

Who Is Running the Clinical Trial?

Hospital for Special Surgery, New York

Lead Sponsor

Trials
257
Recruited
61,800+

Findings from Research

In a study of 46 patients with chronic hip-related groin pain, both physical therapist-led interventions (movement pattern training and traditional strength/flexibility) resulted in significant and sustained improvements in hip function and pain levels, measured at 6 and 12 months after treatment.
The majority of participants (93.5%) completed the treatment, and both groups showed clinically significant improvements in various outcome measures, indicating that these interventions are effective for managing chronic hip-related groin pain.
One-year outcomes following physical therapist-led intervention for chronic hip-related groin pain: Ancillary analysis of a pilot multicenter randomized clinical trial.Harris-Hayes, M., Steger-May, K., M Bove, A., et al.[2022]
The APTA's Orthopaedic Section is developing evidence-based practice guidelines specifically for managing nonarthritic hip joint pain, focusing on musculoskeletal impairments.
These guidelines aim to summarize peer-reviewed literature to provide clear recommendations for physical therapy interventions, enhancing the quality of care for patients with hip joint issues.
Nonarthritic hip joint pain.Enseki, K., Harris-Hayes, M., White, DM., et al.[2022]
A feasibility randomized clinical trial involving 35 patients with chronic hip joint pain showed high retention (89% for the treatment group) and adherence (89% attending at least 80% of sessions) to a movement-pattern training (MPT) program, indicating that a larger trial is practical.
Secondary outcomes suggested that MPT may improve patient-reported function and hip muscle strength, supporting the need for a more extensive study to evaluate its effectiveness compared to a control group.
Movement-Pattern Training to Improve Function in People With Chronic Hip Joint Pain: A Feasibility Randomized Clinical Trial.Harris-Hayes, M., Czuppon, S., Van Dillen, LR., et al.[2022]

References

One-year outcomes following physical therapist-led intervention for chronic hip-related groin pain: Ancillary analysis of a pilot multicenter randomized clinical trial. [2022]
Nonarthritic hip joint pain. [2022]
Movement-Pattern Training to Improve Function in People With Chronic Hip Joint Pain: A Feasibility Randomized Clinical Trial. [2022]
Total hip and knee replacement treatment programs: a report using consensus. [2005]
Translating Research into Clinical Practice: Functional Recovery Post Total Hip Arthroplasty Using Outcomes Gathered in the Usual Physical Therapy Practice Setting. [2022]
Standardization of adverse event terminology and reporting in orthopaedic physical therapy: application to the cervical spine. [2022]
The effectiveness of manual physical therapy interventions in pediatric patients with anterior hip pain: a retrospective study. [2022]
Treatment decisions after interdisciplinary evaluation for nonarthritic hip pain: A randomized controlled trial. [2023]
Hip Pain and Physical Therapy Nonarthritic Hip Pain: What Is It? What Should I Do About It? How Do I Get Back to My Regular Activities? [2023]
10.United Statespubmed.ncbi.nlm.nih.gov
Hip Pain and Physical Therapy Nonarthritic Hip Pain: What Is It? What Should I Do About It? How Do I Get Back to My Regular Activities? [2023]
11.United Statespubmed.ncbi.nlm.nih.gov
Promising outcome of a hip school for patients with hip dysfunction. [2022]