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Athletic osteitis pubis is a pathologic entity that can cause functional impairment. Scientific evidence have noticed that athletes experiment pain and a decrease on strength. Moreover, this symptomathology can affect daily life and functionality. There is no scientific evidence about the influence of manual therapy (MT) as a single treatment to improve this condition. 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 |
|---|---|---|---|
| High force lateral distraction group | Experimental | High force lateral distraction of the hip in maximun adjusted position. |
|
| Placebo distraction group | Sham Comparator | Placebo lateral distraction of the affected hip in maximun adjusted position. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| High force lateral distraction | Other | High force lateral distraction on the affected hip. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Strength | Strength evaluate for internal and external hip rotators with a conical pulley. | Baseline |
| Strength | Strength evaluate for internal and external hip rotators with a conical pulley. | Through study completion, an average of two weeks |
| Strength | Strength evaluate for internal and external hip rotators with a conical pulley. | 3 months follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Pain in sports activities | Appearance time of pain during activities | Baseline |
| Pain in sports activities | Appearance time of pain during activities |
| Measure | Description | Time Frame |
|---|---|---|
| Treatment expectancy and credibility | 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. | Through study completion, an average of two weeks |
| Treatment expectancy and credibility |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Silvia Lahuerta MartÃn | University of Valladolid | Principal Investigator |
| Luis Ceballos Laita | University of Valladolid | Study Director |
| Sandra Jiménez del Barrio | University of Valladolid | Study Director |
| Maria Teresa Mingo Gómez | University of Valladolid | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Silvia Lahuerta MartÃn | Soria | 42004 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 15679570 | Background | Verrall GM, Slavotinek JP, Barnes PG, Fon GT. Description of pain provocation tests used for the diagnosis of sports-related chronic groin pain: relationship of tests to defined clinical (pain and tenderness) and MRI (pubic bone marrow oedema) criteria. Scand J Med Sci Sports. 2005 Feb;15(1):36-42. doi: 10.1111/j.1600-0838.2004.00380.x. | |
| 21478502 |
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| Placebo distraction group | Other | Placebo lateral distraction on the affected hip. |
|
| Through study completion, an average of two weeks |
| Pain in sports activities | Appearance time of pain during activities | 3 months follow-up |
| Pain intensity during/after 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 after 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. | Through study completion, an average of two weeks |
| Pain intensity after 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. | 3 months follow-up |
| 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". | Through study completion, an average of two weeks |
| 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". | 3 months follow-up |
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. |
| 3 months follow-up |
| Thorborg K, Holmich P, Christensen R, Petersen J, Roos EM. The Copenhagen Hip and Groin Outcome Score (HAGOS): development and validation according to the COSMIN checklist. Br J Sports Med. 2011 May;45(6):478-91. doi: 10.1136/bjsm.2010.080937. |
| 11132119 | Background | Devilly GJ, Borkovec TD. Psychometric properties of the credibility/expectancy questionnaire. J Behav Ther Exp Psychiatry. 2000 Jun;31(2):73-86. doi: 10.1016/s0005-7916(00)00012-4. |