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This pilot study evaluates whether passive static stretching can improve hip movement in three groups: people who have had hip replacement surgery, individuals with long-term hip pain, and healthy volunteers. Participants will follow a 4-week stretching program, doing exercises three times per week under the supervision of a trained clinician. Hip range of motion will be measured before and after the program using accurate electronic sensors. The goal is to determine if passive static stretching is a safe and effective way to increase hip flexibility and support daily activities. The study involves no new medications or invasive procedures and is considered low risk.
This pilot study investigates the effects of passive static stretching on hip range of motion (ROM) in three populations: patients who have undergone total hip arthroplasty (THA), individuals with chronic non-surgical hip pain, and healthy volunteers. A total of 12 participants will be enrolled, divided equally into three groups.
Participants will follow a four-week stretching program, performing assisted hip flexion and abduction exercises three times per week, with each stretch held for 30 seconds. All sessions are supervised by a trained kinesiologist to ensure proper alignment, submaximal intensity, and participant safety.
Hip ROM will be measured pre- and post-intervention using high-precision triaxial electronic sensors (accelerometers and gyroscopes) under standardized conditions. The study will track changes in hip flexion and abduction, monitor for adverse events, and assess compliance.
The purpose is to explore whether passive static stretching is a safe, feasible, and effective method to enhance hip mobility across different populations, providing preliminary data for future larger studies.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Hip Arthroplasty Patients | Patients who underwent hip arthroplasty. Intervention: passive static stretching to improve hip range of motion (ROM). Assessment of flexibility before and after stretching sessions. | ||
| Chronic Hip Pain Patients | Patients with chronic hip pain not due to arthroplasty. Intervention: passive static stretching to evaluate improvement in hip ROM. Pre- and post-intervention flexibility assessments performed. | ||
| Healthy Subjects | Healthy individuals without hip pathologies. Intervention: passive static stretching applied to hip joint. Flexibility measured before and after stretching sessions. |
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| Measure | Description | Time Frame |
|---|---|---|
| Hip Range of Motion (Flexion and Abduction) | Hip ROM was measured using high-precision triaxial electronic sensors equipped with accelerometers and gyroscopes (Sensorize). Participants were assessed in standardized positions over the hip joint, with data sampled at 200 Hz to determine maximal flexion and abduction angles. Measurements were taken pre- and post-intervention across all groups. | 4 weeks (pre- and post-intervention) |
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Inclusion Criteria:
Exclusion Criteria:
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The study included 12 adult participants (7 women, 5 men; mean age 52.5 ± 6.8 years) divided into three groups:
Group A: 4 patients who had undergone total hip arthroplasty (THA) Group B: 4 patients with chronic non-surgical hip pain Group C: 4 healthy individuals with no prior hip or joint pathology
Participants were selected based on their ability to safely perform passive hip stretching, absence of neurological or musculoskeletal comorbidities affecting motor control, and willingness to complete the 4-week intervention protocol. Written informed consent was obtained from all participants.
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| Name | Affiliation | Role |
|---|---|---|
| Emanuele Novelli, MSc Kinesiology, Osteopath | OmicronBeta Research | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Osteopathy and Clinical Kinesiology Practice | Roma | RM | 00195 | Italy |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32393301 | Background | Kobsar D, Charlton JM, Tse CTF, Esculier JF, Graffos A, Krowchuk NM, Thatcher D, Hunt MA. Validity and reliability of wearable inertial sensors in healthy adult walking: a systematic review and meta-analysis. J Neuroeng Rehabil. 2020 May 11;17(1):62. doi: 10.1186/s12984-020-00685-3. | |
| 40228833 | Background | Hopewell S, Chan AW, Collins GS, Hrobjartsson A, Moher D, Schulz KF, Tunn R, Aggarwal R, Berkwits M, Berlin JA, Bhandari N, Butcher NJ, Campbell MK, Chidebe RCW, Elbourne D, Farmer A, Fergusson DA, Golub RM, Goodman SN, Hoffmann TC, Ioannidis JPA, Kahan BC, Knowles RL, Lamb SE, Lewis S, Loder E, Offringa M, Ravaud P, Richards DP, Rockhold FW, Schriger DL, Siegfried NL, Staniszewska S, Taylor RS, Thabane L, Torgerson D, Vohra S, White IR, Boutron I. CONSORT 2025 statement: updated guideline for reporting randomised trials. BMJ. 2025 Apr 14;389:e081123. doi: 10.1136/bmj-2024-081123. |
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Individual participant data will not be shared to protect participant privacy and confidentiality. Given the small sample size and sensitive nature of the measurements, sharing raw data could potentially allow identification of participants. Data will be used solely for the purposes of this study.
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Mar 22, 2026 | Mar 22, 2026 | Prot_SAP_000.pdf |
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| 26929476 | Background | Yildirim MS, Ozyurek S, Tosun O, Uzer S, Gelecek N. Comparison of effects of static, proprioceptive neuromuscular facilitation and Mulligan stretching on hip flexion range of motion: a randomized controlled trial. Biol Sport. 2016 Mar;33(1):89-94. doi: 10.5604/20831862.1194126. Epub 2016 Feb 8. |
| 28182516 | Background | Lempke L, Wilkinson R, Murray C, Stanek J. The Effectiveness of PNF Versus Static Stretching on Increasing Hip-Flexion Range of Motion. J Sport Rehabil. 2018 May 1;27(3):289-294. doi: 10.1123/jsr.2016-0098. Epub 2018 May 22. |
| 21373870 | Background | Behm DG, Chaouachi A. A review of the acute effects of static and dynamic stretching on performance. Eur J Appl Physiol. 2011 Nov;111(11):2633-51. doi: 10.1007/s00421-011-1879-2. Epub 2011 Mar 4. |