Actively Recruiting

Phase Not Applicable
Age: 18Years - 55Years
All Genders
ID05853640

Patients With Longstanding HIP and Groin Pain Referred to Orthopedic Care: Effectiveness of Education and exerciSe ThERapy (HIPSTER)

Led by Lund University · Updated on 2026-04-02

122

Participants Needed

1

Research Sites

104 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Longstanding hip and groin pain (LHGP) is a common and disabling issue among young to middle-aged adults often referred to orthopedic care. This trial investigates the effectiveness of a semi-structured, individualized physical therapist-led intervention (HIPSTER) compared to usual care for improving hip-related quality of life in people with LHGP. The study focuses on whether the HIPSTER model can provide better hip function and quality of life than the current standard physical therapy recommendations. Participants will be randomly assigned to one of two groups: usual care or the HIPSTER intervention. Usual care includes orthopedic examination, imaging, diagnostic injections, and a recommendation for physical therapy, but the therapy itself is not controlled by the study. The HIPSTER group receives the same orthopedic care plus a 16-week semi-structured, progressive physical therapy program that combines exercise therapy and patient education targeting physical and psychological challenges related to hip and groin pain. During the study, participants will be assessed at baseline and at 4 months primarily for changes in hip function and quality of life using the iHOT-33 measure. Additional assessments include pain, physical activity, muscle force, balance, and hop performance, among others, with follow-ups extending up to 5 years. Adherence to therapy is monitored weekly in the HIPSTER group. Safety, symptom improvement, and possible surgical interventions will also be tracked throughout the study period.

CONDITIONS

Brief Title

Education and Exercise for Patients With Longstanding Hip and Groin Pain

Who Can Participate

Age: 18Years - 55Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Men and women aged 18 to 55 years
  • Referred to the Department of Orthopedics due to hip and/or groin pain
  • Activity-related unilateral or bilateral groin pain lasting more than 3 months
  • Pain reproduced with the FADIR test
Not Eligible

You will not qualify if you...

  • Acute traumatic hip injuries such as dislocation or fractures
  • Moderate or severe osteoarthritis (T�f6nnis grade greater than 1)
  • Palpable hernia
  • Low-back pain with positive straight leg raise test or pain caused mainly by lumbar spine movements
  • Sacroiliac joint pain with thigh thrust test
  • Co-morbidities that override hip and groin symptoms, such as other acute lower limb injuries or rheumatoid arthritis
  • Co-morbidities preventing physical activity or training, such as heart disease
  • Current psycho-social disorders requiring treatment
  • History of drug abuse within the last year
  • Inability to understand Scandinavian languages or English

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Usual Care

Duration - Up to 4 months

Participants undergo usual care at the orthopedic department, including clinical examination, radiological imaging, and a diagnostic injection. They receive a recommendation for physical therapy treatment in primary care.

1 to 2 visits at the orthopedic department

HIPSTER Treatment

Duration - 16 weeks

Participants receive usual care at the orthopedic department plus a 16-week semi-structured, progressive, individualized physical therapist-led intervention focusing on patient education and exercise therapy.

Weekly physical therapy visits for up to 16 weeks

Follow-up Assessments

Duration - Up to 5 years

Participants are assessed for hip-related quality of life, symptoms, physical activity, pain, and physical performance measures at 4 months, with additional longer-term follow-ups at 1, 2, and 5 years.

Visits at 4 months, 1 year, 2 years, and 5 years after baseline

Trial Site Locations

Total: 1 location

1

Skane University Hospital

Malmö, Sweden

Actively Recruiting

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Research Team

E

Eva Ageberg, PhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Published Research Related To This Trial

Effectiveness of a structured physical therapist-led intervention compared to usual care in people with longstanding hip and groin pain referred to orthopaedic care in Sweden: protocol for a randomised controlled trial (the HIPSTER trial).

August Estberger, Joanne Kemp, Kristian Thorborg...

https://pubmed.ncbi.nlm.nih.gov/41942160