title: Non-operative management of femoroacetabular impingement: A prospective, randomized controlled clinical trial pilot study.
abstract: OBJECTIVE
  To determine the efficacy of physical therapy on pain and physical function in patients with femoroacetabular impingement.
  
  
  METHODS
  Randomized, participant- and assessor blinded controlled trial pilot study.
  
  
  METHODS
  This trial was registered at ClinicalTrials.gov (NCT01814124) and reported according to Consolidated Standards of Reporting Trials (CONSORT) requirements. Patients were randomly assigned to receive either a combination of manual therapy and supervised exercise (MTEX), plus advice and home exercise or advice and home exercise alone (Ad+HEP) over six weeks. Primary outcomes were average pain (Visual Analog Scale) and physical function (Hip Outcome Score) at week seven.
  
  
  RESULTS
  Fifteen patients, mean age 33.7 (SD 9.5, 73% female) satisfied the eligibility criteria and completed week seven measurements. The between group differences for changes in pain or physical function were not significant. Both groups showed statistically significant improvements in pain: the MTEX group improved a mean of 17.6mm and the Ad+HEP group, 18.0mm.
  
  
  CONCLUSIONS
  The results of this pilot study provide preliminary evidence that symptomatic femoroacetabular impingement may be amenable to conservative treatment strategies however further full-scale randomized controlled trials are required to demonstrate this. In this small pilot study, supervised manual therapy and exercise did not result in greater improvement in pain or function compared to advice and home exercise in patients with symptomatic femoroacetabular impingement.
authors.affiliation: Department of Physical Therapy, High Point University, High Point, NC 27268, USA. Electronic address: awright@highpoint.edu.
authors.forename: Alexis A
authors.initials: AA
authors.lastname: Wright
authors.affiliation: Department of Physical Therapy, High Point University, High Point, NC 27268, USA.
authors.forename: Eric J
authors.initials: EJ
authors.lastname: Hegedus
authors.affiliation: Department of Physical Therapy, High Point University, High Point, NC 27268, USA.
authors.forename: Jeffrey B
authors.initials: JB
authors.lastname: Taylor
authors.affiliation: Department of Physical Therapy, High Point University, High Point, NC 27268, USA.
authors.forename: Steven L
authors.initials: SL
authors.lastname: Dischiavi
authors.affiliation: Department of Orthopaedic Surgery, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
authors.forename: Allston J
authors.initials: AJ
authors.lastname: Stubbs
mesh_terms: D000328:Adult; D000072700:Conservative Treatment / Q000379:methods*; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D057925:Femoracetabular Impingement / Q000628:therapy*; D006621:Hip Joint / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D053580:Muscle Strength / Q000502:physiology; D010147:Pain Measurement; D026741:Physical Therapy Modalities; D010865:Pilot Projects; D016059:Range of Motion, Articular / Q000502:physiology; D016037:Single-Blind Method; D055815:Young Adult
keywords: Exercise therapy; Femoroacetabular impingement; Hip joint; Labrum; Manual therapy; Treatment outcome