Evidence map›Paper›PMID 27629405›Full record

Trial reportBritish journal of sports medicine2016

Personalised Hip Therapy: development of a non-operative protocol to treat femoroacetabular impingement syndrome in the FASHIoN randomised controlled trial.

Peter Dh Wall, Edward J Dickenson, David Robinson, Ivor Hughes, Alba Realpe, Rachel Hobson, Damian R Griffin, Nadine E Foster

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of sports medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03959254 (EFFECTIVENESS OF A PROTOCOLIZED TREATMENT OF SPECIFIC PHYSIOTHERAPY FOR SUBJECTS SURGICALLY OPERATED BY ARTHROSCOPY FOR FEMOROACETABULAR SYNDROME), which is not on this map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
6.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03959254 nacompletednot on this mapstarted 2019, after this paper: background citation

Effectiveness of a protocolized treatment of specific physiotherapy for subjects surgically operated by arthroscopy for femoroacetabular syndrome

TypeinterventionalSponsorCardenal Herrera UniversityRan2019 to 2019Enrolled90ConditionsHip InjuriesArmsPhysiotherapy post-surgical protocol for femoroacetabular impingement
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 66 citations in OpenAlex.

  1. Pooled it
  2. Arthroscopic surgery versus physiotherapy for femoroacetabular impingement: a meta-analysis study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2020
    Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Article
  10. Article
  11. Article
  12. Patients' real-world engagement with movement pattern modifications for nonarthritic hip-related pain.PM & R : the journal of injury, function, and rehabilitation · 2025
    Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Return to Play After Femoroacetabular Impingement.Current reviews in musculoskeletal medicine · 2023
    Review
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Peter Dh WallWarwick Medical School, University of Warwick, Coventry, UK.
Edward J DickensonWarwick Medical School, University of Warwick, Coventry, UK.
David RobinsonSouthbank Hospital Worcester, Spire Healthcare, Worcester, UK.
Ivor HughesUniversity Hospitals Coventry and Warwickshire, Coventry, UK.
Alba RealpeWarwick Medical School, University of Warwick, Coventry, UK.
Rachel HobsonWarwick Medical School, University of Warwick, Coventry, UK.
Damian R GriffinUniversity Hospitals of Coventry and Warwickshire NHS Trust and Warwick Medical School, University of Warwick, Coventry, UK.
Nadine E FosterArthritis Research UK Primary Care Centre, Research Institute of Primary Care and Health Sciences NIHR Professor of Musculoskeletal Health in Primary Care, Keele University, Keele, UK.
University of Warwick · GBUniversity Hospitals Coventry and Warwickshire NHS Trust · GBKeele University · GB

Funding

Department of Health 10/41/02Department of Health 13/103/02Department of Health NIHR-RP-011-015
6 · The paper itself

Abstract

introductionFemoroacetabular impingement (FAI) syndrome is increasingly recognised as a cause of hip pain. As part of the design of a randomised controlled trial (RCT) of arthroscopic surgery for FAI syndrome, we developed a protocol for non-operative care and evaluated its feasibility.

methodsIn phase one, we developed a protocol for non-operative care for FAI in the UK National Health Service (NHS), through a process of systematic review and consensus gathering. In phase two, the protocol was tested in an internal pilot RCT for protocol adherence and adverse events.

resultsThe final protocol, called Personalised Hip Therapy (PHT), consists of four core components led by physiotherapists: detailed patient assessment, education and advice, help with pain relief and an exercise-based programme that is individualised, supervised and progressed over time. PHT is delivered over 12-26 weeks in 6-10 physiotherapist-patient contacts, supplemented by a home exercise programme. In the pilot RCT, 42 patients were recruited and 21 randomised to PHT. Review of treatment case report forms, completed by physiotherapists, showed that 13 patients (62%) received treatment that had closely followed the PHT protocol. 13 patients reported some muscle soreness at 6 weeks, but there were no serious adverse events.

conclusionPHT provides a structure for the non-operative care of FAI and offers guidance to clinicians and researchers in an evolving area with limited evidence. PHT was deliverable within the National Health Service, is safe, and now forms the comparator to arthroscopic surgery in the UK FASHIoN trial (ISRCTN64081839). TRIAL REGISTRATION NUMBER: ISRCTN 09754699.

Indexed as

Clinical ProtocolsAdultCongresses as TopicExercise TherapyFemaleFemoracetabular ImpingementHip JointHumansMaleMusculoskeletal PainExercise rehabilitationHipOrthopaedicsPhysiotherapy

Identifiers

PMID27629405
PMCPMC5036255
OpenAlexW2520927642

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.