Physiotherapist-led treatment for femoroacetabular impingement syndrome (the PhysioFIRST study): an assessor-blinded, limited disclosure randomised controlled trial.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος:	Physiotherapist-led treatment for femoroacetabular impingement syndrome (the PhysioFIRST study): an assessor-blinded, limited disclosure randomised controlled trial.
Συγγραφείς:	Kemp JL; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia j.kemp@latrobe.edu.au.; Australian IOC Research Centre, La Trobe University, Melbourne, Victoria, Australia., Scholes MJ; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia.; Australian IOC Research Centre, La Trobe University, Melbourne, Victoria, Australia.; Department of Physiotherapy, Podiatry, Prosthetics and Orthotics, La Trobe University, Bundoora, Victoria, Australia., Smith AJ; School of Allied Health, Faculty of Health Sciences and enAble Institute for Health Science, Curtin Universit, Perth, Western Australia, Australia., Coburn SL; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia.; Australian IOC Research Centre, La Trobe University, Melbourne, Victoria, Australia., Johnston RRT; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia., Jones DM; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia.; Barwon Health, Geelong, Victoria, Australia., Girdwood MA; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia.; Australian IOC Research Centre, La Trobe University, Melbourne, Victoria, Australia., King MG; Department of Physiotherapy, Podiatry, Prosthetics and Orthotics, La Trobe University, Bundoora, Victoria, Australia., Mentiplay BF; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia.; Department of Sport, Exercise and Nutrition Sciences, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia., De Oliveira Silva D; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia.; Australian IOC Research Centre, La Trobe University, Melbourne, Victoria, Australia., Pazzinatto M; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia.; Australian IOC Research Centre, La Trobe University, Melbourne, Victoria, Australia., Schache AG; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia., Gomes DA; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia.; Australian IOC Research Centre, La Trobe University, Melbourne, Victoria, Australia., Coburn GM; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia.; Australian IOC Research Centre, La Trobe University, Melbourne, Victoria, Australia., Crossley KM; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia.; Australian IOC Research Centre, La Trobe University, Melbourne, Victoria, Australia.
Πηγή:	British journal of sports medicine [Br J Sports Med] 2026 Jul 06; Vol. 60 (13), pp. 951-961. Date of Electronic Publication: 2026 Jul 06.
Τύπος έκδοσης:	Journal Article; Randomized Controlled Trial; Equivalence Trial
Γλώσσα:	English
Στοιχεία περιοδικού:	Publisher: BMJ Publishing Group Country of Publication: England NLM ID: 0432520 Publication Model: Electronic Cited Medium: Internet ISSN: 1473-0480 (Electronic) Linking ISSN: 03063674 NLM ISO Abbreviation: Br J Sports Med Subsets: MEDLINE
Imprint Name(s):	Publication: London : BMJ Publishing Group Original Publication: Loughborough, Eng.
Ιατρικοί όροι (MeSH):	Femoracetabular Impingement/therapy , Femoracetabular Impingement/physiopathology , Resistance Training/methods , Physical Therapy Modalities, Muscle Strength/physiology ; Humans ; Adult ; Female ; Quality of Life ; Male ; Middle Aged ; Young Adult ; Adolescent ; Muscle Stretching Exercises ; Single-Blind Method ; Treatment Outcome ; Physical Therapists
Περίληψη:	Objective: We evaluated the effect of physiotherapist-led treatment with targeted-strengthening (STRENGTH) compared with physiotherapist-led treatment with standardised-stretching (STRETCH) on hip-related quality of life (QOL) and patient-perceived Global Rating of Change (GROC) at 6 months in people with femoroacetabular impingement (FAI) syndrome. Methods: Assessor-blind, limited disclosure, parallel, superiority randomised controlled trial. Participants aged 18-50 years with FAI syndrome were recruited and randomly allocated (1:1 ratio) to receive 6 months of STRENGTH or STRETCH treatment. Primary outcomes were change in (1) hip-related QOL (International Hip Outcome Tool-33 (iHOT-33, 0-100 points)); and (2) GROC-pain and GROC-function at 6 months. Secondary analysis included dichotomised GROC ('improved' and 'not improved') and hip muscle strength. Analyses were by intention to treat. Results: 154 participants (STRENGTH n=79 (53% women, mean 35 (SD 9) years); STRETCH n=75 (45% women, mean 36 (SD 9) years)) were included. There was no difference between groups for change in hip-related QOL (mean difference (95% CI) 0.2 (-5.9 to 6.3)) or patient-perceived global improvement (GROC-pain 0.2 (-0.2 to 0.7), p=0.23; GROC-function 0.3 (-0.1 to 0.6)) at 6 months. 72% of STRENGTH were improved for GROC-pain (OR 2.36 (1.15 to 4.84)) compared with 52% of STRETCH. STRENGTH had greater improvements than STRETCH in hip strength. Both groups improved in iHOT-33 over 6 months (STRENGTH 19.2 (15.7 to 22.8), STRETCH 20.8 (17.1 to 24.5) points). Conclusion: There was no superior physiotherapist-led treatment to improve hip-related QOL in people with FAI syndrome, but secondary analysis indicated that targeted strengthening resulted in greater improvements in perceived pain and hip muscle strength at 6 months. Hip-related QOL improved in both groups by clinically meaningful amounts. Trial Registration Number: ACTRN12617001350314. (© Author(s) (or their employer(s)) 2026. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ Group.)
Competing Interests:	Competing interests: JLK is editor of BJSM, KMC is past editor of BJSM, MK is associate editor of BJSM. There are no other competing interests.
Contributed Indexing:	Keywords: Exercise; Hip; Physical Therapy; Sports medicine
Entry Date(s):	Date Created: 20260504 Date Completed: 20260707 Latest Revision: 20260727
Update Code:	20260728
DOI:	10.1136/bjsports-2025-110986
PMID:	42082318
Βάση Δεδομένων:	MEDLINE

Περιγραφή
ISSN:	1473-0480
DOI:	10.1136/bjsports-2025-110986