FP4.5 Efficacy Of A Non-surgical Treatment Protocol For Patients With Symptomatic Femoro-acetabular Impingement: A Randomized Controlled Trial
Bibliographic record
Abstract
Abstract Introduction: Femoro-acetabular impingement (FAI) is recognized as one of the major causes of hip pain, labral tears, and early degenerative hip cartilage changes. Little is known about the effectiveness of therapeutic exercises for managing pain, function, and quality of life of patients with FAI. This study examines the effectiveness of a home-based hip exercise program for patients with symptomatic FAI in reducing pain and improving function and quality of life. Method: A single-blind parallel-group randomized controlled trial was conducted. Eligible participants were > 16 years old and diagnosed with symptomatic FAI. A sample size of 84 was needed to detect a clinically important difference. Participants were randomly allocated to 1) an 8-week home-based exercise program focused on posterior pelvic tilt supervised by a physiotherapist every two weeks; and 2) usual care. Outcome measures were function (iHOT-33), quality of life (EQ-5D-5L), and pain (Visual Analog Scale) at baseline, 9 weeks, and 6 months. Independent sample t-tests and chi-squared tests were used to test between-group differences in scores using a level of significance. Results: Ninety-Five participants were recruited (48 intervention, 47 control), 55 were Males (55%) and the mean age was 32 (standard deviation 8.5). Both groups were similar at baseline (age p=0.69, sex p=0.12, function p=0.43, pain p=0.67, quality of life index value p=0.34, quality of life VAS p=0.44). With the number available for the study, there were no statistically significant differences between groups at 9 weeks and 6 months for function (9 weeks p=.53, 6 months p=.78), pain (9 weeks p=.16, 6 months p=.55), and quality of life (index value 9 weeks p=.51, 6 months p=.13; VAS 9 weeks p=.82, 6 months p=.31). Discussion: Results of this study demonstrated no statistical differences in pain, function, and quality of life for patients following an 8-week home-based exercise program focused on posterior pelvic tilt supervised by a physiotherapist compared to usual care. Conclusion: There are no differences in function, quality of life, and pain for patients with FAI completing an 8-week home-based exercise program focused on posterior pelvic tilt supervised by a physiotherapist compared to patients following usual care.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.004 | 0.006 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.006 | 0.003 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.001 | 0.002 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.002 | 0.001 |
| Research integrity | 0.004 | 0.003 |
| Insufficient payload (model declined to judge) | 0.018 | 0.002 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".