Ignite Creation Date:
2024-05-06 @ 8:08 PM
Last Modification Date:
2024-10-26 @ 3:21 PM
Study NCT ID:
NCT06272292
Status:
RECRUITING
Last Update Posted:
2024-05-29
First Post:
2023-12-06
Brief Title:
Biomechanical Investigation of Symptomatic FAI and Two Groups of Asymptomatic Controls
Sponsor:
Universitaire Ziekenhuizen KU Leuven
Organization:
Universitaire Ziekenhuizen KU Leuven
Study Overview
Official Title:
An Integrated Biomechanical Investigation of Subjects With Symptomatic FAI and Two Groups of Asymptomatic Controls a Comparison in Dynamic Tasks
Status:
RECRUITING
Status Verified Date:
2023-12
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
CAM-FAI adult
Brief Summary:
Femoroacetabular impingement FAI is an orthopaedic condition that is primarily characterized by the presence of anatomic bony abnormalities in the femoral head andor the acetabulum resulting in an abnormal contact between the two during hip motion especially in positions of increased hip flexion and rotation ultimately leading to hip pain Unfortunately a FAI diagnosis is frequently only made once symptoms have become severe to an extent that they limit everyday life activities Moreover another important aspect that has been consistently overlooked in past FAI movement studies is the influence muscle strength and activation can have on movement pattern and symptom presentation The diagnosis and management of FAI needs to be addressed through a more wholesome investigation of the biomechanical influence on the manifestation of symptoms
This project aims to further unravel the link between spinopelvic anatomy its biomechanical contribution to femoro-pelvic motion and the manifestation of femoroacetabular impingement in adult male population By for the first time integrating three-dimensional 3D instrumented motion analysis with state-of-the-art full-body biplanar X-ray imaging EOS imaging Paris France we will more specifically investigate the presence of an association between spinopelvic kinematics and the link to symptomatic FAI morphology as well as investigate the presence of differences in these measures between symptomatic and asymptomatic subjects with comparable femoral morphology
This project aims to further unravel the link between spinopelvic anatomy its biomechanical contribution to femoro-pelvic motion and the manifestation of femoroacetabular impingement in adult male population By for the first time integrating three-dimensional 3D instrumented motion analysis with state-of-the-art full-body biplanar X-ray imaging EOS imaging Paris France we will more specifically investigate the presence of an association between spinopelvic kinematics and the link to symptomatic FAI morphology as well as investigate the presence of differences in these measures between symptomatic and asymptomatic subjects with comparable femoral morphology
Detailed Description:
Femoroacetabular impingement FAI is an orthopaedic condition that is primarily characterized by the presence of anatomic bony abnormalities in the femoral head andor the acetabulum resulting in an abnormal contact between the two during hip motion especially in positions of increased hip flexion and rotation ultimately leading to hip pain FAI can be radiologically classified into 3 types of morphology Pincer CAM and mixed type While a clear-cut radiological classification makes the identification of FAI seem quite straightforward it fails to differentiate between symptomatic and asymptomatic patients
Unfortunately a FAI diagnosis is frequently only made once symptoms have become severe to an extent that they limit everyday life activities Not only this movement restriction is a significantly debilitating factor in such a young active population a recent study reported FAI patients to see on average 40 health care providers undergo on average 34 diagnostic imaging tests and receive on average 31 treatments prior to final diagnosis This raises the cost of an individual FAI diagnosis to be 156326 higher than the calculated minimum required cost Such calculations clearly reveal the long-lasting multifactorial burden of FAI on society
Moreover another important aspect that has been consistently overlooked in past FAI movement studies is the influence muscle strength and activation can have on movement pattern and symptom presentation To our knowledge only three studies have looked into muscle strength by using mainly hand-held dynamometers to record the isometric strength of hip musculature Their findings suggest hip muscle weakness in symptomatic FAI subjects but whether this weakness is a pain protective consequence or an actual cause of FAI is still unknown
In conclusion the diagnosis and management of FAI needs to be addressed through a more wholesome investigation of the biomechanical influence on the manifestation of symptoms
This project aims to further unravel the link between spinopelvic anatomy its biomechanical contribution to femoro-pelvic motion and the manifestation of femoroacetabular impingement in adult male population By for the first time integrating three-dimensional 3D instrumented motion analysis with state-of-the-art full-body biplanar X-ray imaging EOS imaging Paris France we will more specifically investigate the presence of an association between spinopelvic kinematics and the link to symptomatic FAI morphology as well as investigate the presence of differences in these measures between symptomatic and asymptomatic subjects with comparable femoral morphology
Unfortunately a FAI diagnosis is frequently only made once symptoms have become severe to an extent that they limit everyday life activities Not only this movement restriction is a significantly debilitating factor in such a young active population a recent study reported FAI patients to see on average 40 health care providers undergo on average 34 diagnostic imaging tests and receive on average 31 treatments prior to final diagnosis This raises the cost of an individual FAI diagnosis to be 156326 higher than the calculated minimum required cost Such calculations clearly reveal the long-lasting multifactorial burden of FAI on society
Moreover another important aspect that has been consistently overlooked in past FAI movement studies is the influence muscle strength and activation can have on movement pattern and symptom presentation To our knowledge only three studies have looked into muscle strength by using mainly hand-held dynamometers to record the isometric strength of hip musculature Their findings suggest hip muscle weakness in symptomatic FAI subjects but whether this weakness is a pain protective consequence or an actual cause of FAI is still unknown
In conclusion the diagnosis and management of FAI needs to be addressed through a more wholesome investigation of the biomechanical influence on the manifestation of symptoms
This project aims to further unravel the link between spinopelvic anatomy its biomechanical contribution to femoro-pelvic motion and the manifestation of femoroacetabular impingement in adult male population By for the first time integrating three-dimensional 3D instrumented motion analysis with state-of-the-art full-body biplanar X-ray imaging EOS imaging Paris France we will more specifically investigate the presence of an association between spinopelvic kinematics and the link to symptomatic FAI morphology as well as investigate the presence of differences in these measures between symptomatic and asymptomatic subjects with comparable femoral morphology
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None