Hip Manipulation for Hip Pain

Overseen By Chang Min Lee

Age: 18 - 65

Sex: Any

Trial Phase: Academic

Sponsor: Andrews University

Disqualifiers: Hip replacement, Hip fracture, Neurological, others

Compensation: Varies

Number of Visits: 3

Duration: 1 day

24 Participants Needed

Trial Summary

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

The trial protocol does not specify whether you need to stop taking your current medications.

What data supports the idea that Hip Manipulation for Hip Pain is an effective treatment?

The available research does not provide specific data supporting the effectiveness of Hip Manipulation for Hip Pain. The studies focus on different aspects of hip movement and conditions, such as hip rotation range of motion and hip impingement, but do not directly address the effectiveness of this treatment for hip pain. Therefore, there is no direct evidence from the provided research to support the idea that Hip Manipulation for Hip Pain is an effective treatment. ^{1 2 3 4 5}

What safety data exists for hip manipulation treatments like UFIR?

The provided research does not contain specific safety data for hip manipulation treatments such as UFIR. The studies focus on hip internal rotation in various contexts, reliability of hip assessments, and hip impingement treatments, but do not address the safety of UFIR manipulation directly. ^{1 2 3 4 5}

Is the Unrestrained Femoral Internal Rotation (UFIR) manipulation a promising treatment for hip pain?

The information provided does not directly address the effectiveness of UFIR manipulation for hip pain. The articles discuss various aspects of hip pain and treatments, but none specifically evaluate UFIR manipulation. Therefore, based on the available information, we cannot conclude that UFIR manipulation is a promising treatment for hip pain. ^{2 3 4 5 6}

What is the purpose of this trial?

The purpose of this study is to investigate the potential effects of an unrestrained femoral internal rotation (UFIR) manipulation technique on hip external rotation strength in individuals with nonspecific hip pain. The results of this study may help physical therapists and other healthcare professionals to better understand the effectiveness of this technique in improving hip strength and function in patients with nonspecific hip pain.

Eligibility Criteria

This trial is for individuals experiencing nonspecific hip pain. Specific eligibility criteria are not provided, but typically participants would need to be adults with hip pain who can safely undergo manipulation techniques.

Inclusion Criteria

I have hip pain that doesn't have a specific cause.

Individuals with ipsilateral hip external rotation weakness (at or below 3+) based on the MMT test

Exclusion Criteria

I have had a hip dislocation or total hip replacement.

I have had a hip fracture or hip surgery in the last 6 months.

I am experiencing severe pain that is not relieved by treatment.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

1 visit (in-person)

Treatment

Participants receive either UFIR manipulation or sham manipulation

1 day

1 visit (in-person)

Follow-up

Participants are monitored for changes in hip external rotation strength

1 week

1 visit (in-person)

Treatment Details

Interventions

• Unrestrained Femoral Internal Rotation (UFIR) manipulation

Trial Overview The study is testing the effects of a specific physical therapy technique called unrestrained femoral internal rotation (UFIR) manipulation on hip strength in patients with hip pain, compared to sham (fake) manipulation.

Participant Groups

Group I: Experimental Group Experimental Treatment 1 Intervention

Participants receiving the Unrestrained Femoral Internal Rotation (UFIR) manipulation.

Group II: Control Group Placebo Group 1 Intervention

Participants receiving a sham manipulation (gentle hand placement)

Who Is Running the Clinical Trial?

Andrews University

Lead Sponsor

Trials

4

Recruited

120+

Findings from Research

The study found that the controlled pressure duration (CPD) condition provided the highest reliability for measuring hip internal rotation and FADIR tests, indicating it may be the best method for consistent hip pain assessment.

The subject-specific position (SSP) condition yielded the highest reliability for FABER tests, suggesting that personalized testing positions can enhance measurement accuracy in hip assessments.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Influence of Standardized Procedures on the Reliability of Hip Clinical Assessment. St-Pierre, MO., Boivin, K., Fontaine, N., et al.[2021]

In a study involving 40 men (20 with low back pain and 20 without), patients with lumbar flexion with rotation syndrome showed significantly increased pelvic rotation during hip internal rotation tests, indicating altered movement patterns that could exacerbate low back pain symptoms.

The findings suggest that individuals with low back pain exhibit a more synchronized movement of the pelvis and hip during the dominant limb test, which may indicate a compensatory mechanism that could increase the risk of developing further low back pain issues.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Lumbopelvic-Hip Rhythm in People with Lumbar Flexion-with-Rotation Syndrome during Hip Internal Rotation. Sadeghisani, M., Khademi Kalantari, K., Satari, M.[2023]

This study highlights that anterior inferior iliac spine (AIIS) impingement can significantly contribute to hip disability, particularly in young women, and is often associated with labral tears.

After undergoing arthroscopic AIIS decompression, patients showed significant improvements in hip function, achieving meaningful outcome improvements across multiple assessment tools within a follow-up period averaging 19.1 months.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Outcomes for Arthroscopic Treatment of Anterior Inferior Iliac Spine (Subspine) Hip Impingement. Nwachukwu, BU., Chang, B., Fields, K., et al.[2022]

The study found that using a smartphone compass application to measure hip internal rotation (IR) in a supine position is effective, with mean IR values of 51.7° for men and 62.6° for women, indicating a reliable method for assessing hip impairments.

However, the FADIR test showed poor to moderate interrater reliability (0.40), suggesting that this test needs standardization to improve consistency in measuring hip flexion-adduction-internal rotation.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Quantification and Reliability of Hip Internal Rotation and the FADIR Test in Supine Position Using a Smartphone Application in an Asymptomatic Population. St-Pierre, MO., Sobczak, S., Fontaine, N., et al.[2021]

A study involving 151 students found that hip rotation range of motion (ROM) is significantly greater in the prone position compared to the sitting position, indicating that body position affects hip flexibility.

The research also revealed notable differences in hip rotation ROM between sexes, with men showing greater external rotation and women showing greater internal rotation in both positions.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Hip rotation range of motion in sitting and prone positions in healthy Japanese adults. Han, H., Kubo, A., Kurosawa, K., et al.[2020]

A 45-year-old man with postsurgical hip pain after multiple surgeries for avascular necrosis experienced significant improvement in pain and mobility through a combination of chiropractic manipulation and rehabilitation 14 months post-surgery.

The treatment led to increased active range of motion and better scores on the Harris Hip Scale, suggesting that chiropractic care may be beneficial for patients recovering from hip surgeries, warranting further research.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Chiropractic management of hip pain after conservative hip arthroplasty. Wisdo, JJ.[2011]

References

1. United States pubmed.ncbi.nlm.nih.gov

Influence of Standardized Procedures on the Reliability of Hip Clinical Assessment. [2021]

2. Iran pubmed.ncbi.nlm.nih.gov

Lumbopelvic-Hip Rhythm in People with Lumbar Flexion-with-Rotation Syndrome during Hip Internal Rotation. [2023]

3. United States pubmed.ncbi.nlm.nih.gov

Outcomes for Arthroscopic Treatment of Anterior Inferior Iliac Spine (Subspine) Hip Impingement. [2022]

4. United States pubmed.ncbi.nlm.nih.gov

Quantification and Reliability of Hip Internal Rotation and the FADIR Test in Supine Position Using a Smartphone Application in an Asymptomatic Population. [2021]

5. Japan pubmed.ncbi.nlm.nih.gov

Hip rotation range of motion in sitting and prone positions in healthy Japanese adults. [2020]

6. United States pubmed.ncbi.nlm.nih.gov

Chiropractic management of hip pain after conservative hip arthroplasty. [2011]