Evidence map›Paper›PMID 28645960›Full record

Trial reportBMJ open2017

Efficacy of adding a physiotherapy rehabilitation programme to arthroscopic management of femoroacetabular impingement syndrome: a randomised controlled trial (FAIR).

Kim L Bennell, Libby Spiers, Amir Takla, John O'Donnell, Jessica Kasza, David J Hunter, Rana S Hinman

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
6.2field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 54 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. Review
  4. Review
  5. Return to Play After Femoroacetabular Impingement.Current reviews in musculoskeletal medicine · 2023
    Review
  6. Review
  7. Article
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  9. Review
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  11. Article
  12. Article
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  14. Review
  15. Full recovery of hip muscle strength is not achieved at return to sports in patients with femoroacetabular impingement surgery.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020
    Article
  16. Review
  17. Article
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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

7 authors at 5 institutions in 1 country.

Kim L BennellDepartment of Physiotherapy, The University of Melbourne, Centre for Health, Exercise and Sports Medicine, School of Health Sciences, Melbourne, Victoria, Australia.
Libby SpiersDepartment of Physiotherapy, The University of Melbourne, Centre for Health, Exercise and Sports Medicine, School of Health Sciences, Melbourne, Victoria, Australia.
Amir TaklaIvanhoe Sports and Physiotherapy Clinic, Melbourne, Victoria, Australia.
John O'DonnellSt Vincent's Private Hospital, East Melbourne, Victoria, Australia.
Jessica KaszaDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
David J HunterDepartment of Rheumatology, Royal North Shore Hospital, Sydney, New South Wales, Australia.
Rana S HinmanDepartment of Physiotherapy, The University of Melbourne, Centre for Health, Exercise and Sports Medicine, School of Health Sciences, Melbourne, Victoria, Australia.
University of Melbourne · AUMonash University · AURoyal North Shore Hospital · AUSports Medicine Australia · AUSt Vincent’s Private Hospital Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAlthough several rehabilitation programmes following hip arthroscopy for femoracetabular impingement (FAI) syndrome have been described, there are no clinical trials evaluating whether formal physiotherapy-prescribed rehabilitation improves recovery compared with self-directed rehabilitation. The objective of this study was to evaluate the efficacy of adding a physiotherapist-prescribed rehabilitation programme to arthroscopic surgery for FAI syndrome.

designRandomised controlled trial.

methodsPeople aged ≥16 years with FAI syndrome scheduled for hip arthroscopy were recruited and randomly allocated to physiotherapy (PT) or control. The PT group received seven PT sessions (one preoperative and six postoperative) incorporating education, manual therapy and a progressive rehabilitation programme of home, aquatic and gym exercises while the control group did not undertake PT rehabilitation. Measurements were taken at baseline (2 weeks presurgery) and 14 and 24 weeks postsurgery. The primary outcomes were the International Hip Outcome Tool (iHOT-33) and the sport subscale of the Hip Outcome Score (HOS) at week 14.

resultsDue to slower than expected recruitment and funding constraints, recruitment was ceased after 23 months. Thirty participants (14 PT and 16 control) were randomised and 28 (14 PT and 14 control; 93%) and 22 (11 PT and 11 control; 73%) completed week 14 and 24 measurements, respectively. For the 14-week primary outcomes, the PT group showed significantly greater improvements on the iHOT-33 (mean difference 14.2 units; 95% CI 1.2 to 27.2) and sport subscale of the HOS (13.8 units; 95% CI 0.3 to 27.3). There were no significant between-group differences at week 24.

conclusionsAn individual PT treatment and rehabilitation programme may augment improvements in patient-reported outcomes following arthroscopy for FAI syndrome. However, given the small sample size, larger trials are needed to validate the findings. TRIAL REGISTRATION NUMBER: Trial registered with the Australian New Zealand Clinical Trials Registry :ACTRN12613000282785, Results.

Indexed as

Exercise TherapyAdultArthroscopyAustraliaFemaleFemoracetabular ImpingementHip JointHumansLinear ModelsMaleSeverity of Illness IndexTreatment OutcomeYoung AdultarthroscopyexerciseFAIhipphysical therapy

Identifiers

PMID28645960
PMCPMC5623417
OpenAlexW2670994067

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.