A comparison of multidisciplinary team residential rehabilitation with conventional outpatient care for the treatment of non-arthritic intra-articular hip pain in UK Military personnel – a protocol for a randomised controlled trial

Table 1 Study eligibility criteria

Inclusion criteria
1. Anterior or lateral hip pain for at least 3-months
2. Clinical signs and symptoms of prearthritic intra-articular hip pathology/FAI diagnosed by a specialist Consultant Physician^a
3. Physical examination findings or reproduction of pain in the groin or lateral hip with the log roll, anterior hip impingement test, Thomas test or resisted straight leg-raise test^b
4. Sufficient time to keep therapeutic appointments
5. Aged ≥ 18 years
6. Male
Exclusion criteria
1. Inflammatory arthropathy
2. Hip infection or tumour
3. Hip fracture including history of stress fracture
4. Existing extra-articular hip disorders and/or any other pre-existing hip pathology
5. Major structural deformity of the hip
6. Advanced degenerative disease of the hip (Tönnis classification 2–3) [27]
7. Any physical impairment or co-morbidities (including cardio-vascular disease) precluding the safe participation in the rehabilitation programme and/or assessment procedures
8. History of congenital/adolescent hip disease
9. Cortico-steroid or analgesic injection intervention for hip within the previous 30-days
10. Clinical signs of lumbar spine disease including radiculopathy
11. Insufficient capacity to provide informed consent
12. Aged ≥ 50 years
13. Female

^aConsultant diagnostic criteria will include [1] anterior or lateral hip pain for a minimum of 3-months; [2] history of pain worsening with activity, pivoting, hip flexion or weight bearing; [3] pain associated mechanical symptoms including popping, clicking or locking; [4] pain at rest; [5] physical examination findings or reproduction of pain in the groin or lateral hip with the anterior hip impingement test; [6] physical examination findings that exclude the spine and other lower-limb disorders as a potential source of pain and dysfunction; [7] patient self-report of sensations of instability during functional movements (e.g., squatting)
^bMeasurement techniques and positions are described at appendix 10 of the Additional file 1

ISSN: 1471-2474