N. Due to the dearth of study in this area, evidencebased

BMC Musculoskeletal Problems 2014, 15:58 http://www.biomedcentral.com/1471-2474/15/Page three ofparticipate in the rehabilitation plan and/or assessment procedures; (iv) are unable to attend a study physiotherapist or participate in the rehabilitation system if randomised for the PT group; (v) want to undertake formal supervised rehabilitation following hip arthroscopy; and (vi) are unable to know English. Ethical approval has been obtained from the University of Melbourne Human Study Ethics Committee (HREC No. 1238190). All participants will offer written informed consent.Study procedureRandomisation and allocation concealmentPatients that are scheduled for hip arthroscopic surgery and fulfil the NQDI-1 site eligibility criteria is going to be identified by the surgeon and supplied with s.N. Due to the dearth of research in this area, evidencebased recommendations to guide the post-operative management of sufferers following hip arthroscopy for FAI can't be made. Accordingly, primarily based on their comprehensive clinical practical experience, two of our team members (AT physiotherapist and JOD orthopaedic surgeon) developed a particular physiotherapist rehabilitation program (Takla-O'Donnell Protocol (Prime)), made to facilitate return to sport commonly within three months of surgery. Whilst anecdotally this protocol seems effective, it hasnot been subjected to formal research evaluation. Therefore, the objective of this randomised controlled trial (RCT) is always to evaluate the efficacy of the Leading, a progressive physiotherapist-supervised rehabilitation intervention, on health-related excellent of life, physical function and symptoms in men and women undergoing hip arthroscopic management of FAI. The main time point will likely be measured at 14 weeks post-surgery, a time when commonly patients would have completed the Prime rehabilitation and returned to their usual activities. Our main hypothesis is the fact that in individuals undergoing hip arthroscopy for symptomatic FAI, these in the physiotherapy group (PT) will report considerably greater improvements in health-related top quality of life, as measured by the International Hip Outcome Tool (iHOT-33), and function in sport, as measured by the sports subscale of the Hip Outcome Score (HOS), at 14 weeks post surgery than these in the manage group (CON) not undergoing formal rehabilitation.Methods/designTrial designWe will conduct a parallel-design 2-arm RCT with outcomes assessed at baseline (inside two weeks before surgery), at 14 weeks post surgery (immediately following the PT intervention) and at 24 weeks post-surgery, using the major outcome time point becoming 14 weeks post surgery. Reporting with the study will conform to CONSORT guidelines for non-pharmacological studies [15].Participants100 males and females aged 16?5 years with symptomatic FAI who're scheduled for hip arthroscopy might be recruited in the surgical practices of 5 orthopaedic surgeons in metropolitan Melbourne, Victoria, Australia. Folks will probably be eligible if they have (i) had hip/groin symptoms for a minimum of 3 months; (ii) been diagnosed with FAI by an orthopaedic surgeon based on symptoms, clinical signs and imaging findings; and (iii) are scheduled for hip arthroscopy. Individuals is going to be excluded from participating if they (i) have radiographic evidence of hip osteoarthritis that is more than mild in severity defined as Tonnis > grade 1 [16]; (ii) are a professional athlete; (iii) have other concurrent injury/conditions which will affect their capacity toBennell et al. BMC Musculoskeletal Disorders 2014, 15:58 http://www.biomedcentral.com/1471-2474/15/Page three ofparticipate inside the rehabilitation plan and/or assessment procedures; (iv) are unable to attend a study physiotherapist or participate in the rehabilitation plan if randomised towards the PT group; (v) wish to undertake formal supervised rehabilitation following hip arthroscopy; and (vi) are unable to understand English.