Psychosocial Interventions for Young Adults With Hip Pain
Michael C Willey
Summary
Psychosocial conditions are common in young adults with hip pain including depression, anxiety, pain catastrophizing, and narcotic use. The incidence of these conditions is not well defined. Interventions to optimize psychosocial conditions with non-surgical or surgical treatments has not been investigated. The goal of this project is to determine the incidence of psychosocial conditions in the young adult population with hip pain and determine if cognitive based therapy can improve clinical outcomes in these individuals.
Description
Over the last 3 decades there has been a drastic increase in the number of joint preservation surgeries performed for pre-arthritic hip conditions in the United States. Despite advances in surgical technique and the understanding of the biomechanics of impingement and dysplasia, failure rates range from 5-20% at early follow up, and can be even higher with continued monitoring. These failures are often attributed to the presence of pre-operative osteoarthritis, increased age, or unaddressed structural deformity. The influence of psychosocial factors on surgical and rehabilitative outcomes has…
Eligibility
- Age range
- 15–39 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * We will enroll young adults (15-39) presenting to one of several physical therapy and orthopedic practices in the state of Iowa for treatment of nonarthritic hip pain. * Chief complaint of hip pain or dysfunction, and a diagnosis of a nonarthritic hip condition including labral tear, femoroacetabular impingement (FAI), snapping hip, femoral anteversion or dysplasia. Exclusion Criteria: * Exclusion criteria will include age \<15 or \>40 years * Difficulty with written English * Treatment for alternative conditions such as trochanteric bursitis, hip dislocation, avascula…
Interventions
- DeviceCell Phone Based Cognitive Based Therapy (Pacifica App)
Cell phone application that provides support for individuals with psychosocial conditions.
- OtherControl
Subjects in the control group will receive standard care.
Location
- University of IowaIowa City, Iowa