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Athletic osteitis pubis is a high prevalent pathology among athletes, especially in those who make quick change of direction of the movement, like runners or footballers. Despite the fact that there is evidence about conservative treatments, there is a lack of evidence about manual therapy (MT) techniques applied in isolation and its consequences in pain and range of movement. The investigators decided to conduct a randomized controlled trial to compare the effects of a MT technique with placebo technique.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lateral distraction group | Experimental | High force lateral distraction of affected hip. |
|
| Placebo distraction group | Sham Comparator | Placebo lateral traction of affected hip. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| High force hip Lateral distraction | Other | Hip lateral distraction in adjusted position of maximun flexion and internal rotation, with neutral position of abduction/adduction applying high force of distraction. |
| Measure | Description | Time Frame |
|---|---|---|
| Actual PAIN | actual pain reported by the patient using visual analog scale (VAS) from 0 to 10, in which higher scores are worse. | Baseline |
| Actual PAIN | actual pain reported by the patient using visual analog scale (VAS)from 0 to 10, in which higher scores are worse. | after to two weeks of treatment |
| Last week PAIN | past week pain reported by the patient using visual analog scale (VAS) from 0 to 10, in which higher scores are worse. | Baseline |
| Last week PAIN | past week pain reported by the patient using visual analog scale (VAS) from 0 to 10, in which higher scores are worse. | after to two weeks of treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Range of Movement (ROM) | Hip ROM as described by Pua et al. (2008) | Baseline |
| Range of Movement (ROM) | Hip ROM as described by Pua et al. (2008) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Silvia Lahuerta MartÃn | University of Valladolid | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Silvia Lahuerta MartÃn | Soria | Spain |
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Double- blind
| Placebo force hip lateral distraction | Other | Hip lateral distraction in adjusted position of maximun flexion and internal rotation, with neutral position of abduction/adduction applying placebo force of distraction. |
|
| after to two weeks of treatment |
| Pain in sport activities | Appearance time of pain during activities | Baseline |
| Pain in sport activities | Appearance time of pain during activities | After two weeks of treatment |
| Pain intensity in pain provocation tests: Single adductor, squeeze and bilateral adductor tests | Appearance of pain during or after the execution of Single adductor, squeeze and bilateral adductor tests. If pain appears it will be reported by the patient using visual analog scale (VAS) from 0 to 10, in which higher scores are worse. | Baseline |
| Pain intensity in pain provocation tests: Single adductor, squeeze and bilateral adductor tests | Appearance of pain during or after the execution of Single adductor, squeeze and bilateral adductor tests. If pain appears it will be reported by the patient using visual analog scale (VAS) from 0 to 10, in which higher scores are worse. | After two weeks of treatment |
| Muscle function | Velocity (m/s), force (N) and power (W) evaluated for internal and external hip rotators with a rotary axis flywheel-encoder system. | Baseline |
| Muscle function | Velocity (m/s), force (N) and power (W) evaluated for internal and external hip rotators with a rotary axis flywheel-encoder system. | After two weeks of treatment |
| Functional capacity | Evaluated with a patient reported outcome questionnaire called Copenhagen Hip and Groin Outcome score (HAGOS) which assesses pain, symptoms, physical function in daily living, physical function in sport and recreation, participation in physical activities and hip and groin -related quality of life. For each item answer range from "never" to "always". | Baseline |
| Functional capacity | Evaluated with a patient reported outcome questionnaire called Copenhagen Hip and Groin Outcome score (HAGOS) which assesses pain, symptoms, physical function in daily living, physical function in sport and recreation, participation in physical activities and hip and groin -related quality of life. For each item answer range from "never" to "always". | After two weeks of treatment |
| Treatment credibility and expectancy | Evaluated with Credibility and expectancy Questionaire (CEQ) in which the patient answer question related to the expectations of the intervention. Higher values mean better expectations on the therapy. | Day 1, before treatment |
| Global Rating of Change | Subjective impression as described in GROC scale by Jaeschke, Singer & Guyat (1989) | after to two weeks of treatment |
| Group of treatment assignment | Question about which group of treatment was the patient assigned in. | after to two weeks of treatment |