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Titre : | Does treatment by a specialist physiotherapist change pain and function in young adults with symptoms from femoroacetabular impingement? A pilot project for a randomised controlled trial (2017) |
Auteurs : | Alison Smeatham ; Roy Powell ; Sarah A. Moore |
Type de document : | Article |
Dans : | Physiotherapy (2017/2, 2017) |
Article en page(s) : | pp. 201-207 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Douleur ; Kinésithérapie (spécialité) ; Pain |
Mots-clés: | Femoracetabular Impingement ; Conflit fémoro-acétabulaire ; Physical Therapy Specialty ; Randomized Controlled Trial ; Essai contrôlé randomisé |
Résumé : |
Aim Femoroacetabular impingement (FAI) is recognised as a source of hip pain but the effect of conservative treatment remains untested. This pilot study aimed to inform and evaluate the methods required to conduct a substantive trial comparing the effect of treatment by a physiotherapist versus routine care on the symptoms of FAI. Design A parallel group, pilot randomised controlled trial (RCT). Setting A single NHS acute hospital trust, Devon, England. Participants 30 adults with symptomatic FAI were recruited. 23 (77%) completed the study. Interventions Intervention was 3 months of treatment by a specialist physiotherapist. The control group received routine care. Main outcomes Change in pain and function was measured using a Visual Analogue Scale, Non Arthritic Hip Score (NAHS), Lower Extremity Functional Score (LEFS) and Hip Outcome Score. Results Participants in the intervention arm undertook a personalised exercise programme to improve pelvic and femoral control plus advice on posture, activity pacing and pain relief. The mean change in NAHS for the intervention group was 12.7 (95% CI 4.7 to 20.7) and 1.8 (95% CI −5.3 to 9.0) in the control group; Median change in LEFS was 11.5 (95% CI 5.0 to 26.0) versus −1.0 (95% CI −7.0 to 4.0). This improvement in LEFS was beyond minimal clinically important difference in the intervention group. Pain scores improved marginally in both groups. Conclusions Methodological strengths and weaknesses were successfully identified for a substantive study. Further research is needed to evaluate the relative influence of structural and neuromuscular features on symptoms of FAI and the role of conservative treatment. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0031940616000328 |