Journal article

Physiotherapist-led treatment for young to middle-aged active adults with hip-related pain: consensus recommendations from the International Hip-related Pain Research Network, Zurich 2018.

  • Kemp JL La Trobe Sports Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria, Australia j.kemp@latrobe.edu.au.
  • Risberg MA Department of Sport Medicine, Norwegian School of Sport Sciences, Oslo, Norway.
  • Mosler A La Trobe Sports Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria, Australia.
  • Harris-Hayes M Physical Therapy, Washington University School of Medicine in Saint Louis, Saint Louis, Missouri, USA.
  • Serner A Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
  • Moksnes H Oslo Sports Trauma Research Center, Oslo, Norway.
  • Bloom N Physical Therapy, Washington University School of Medicine in Saint Louis, Saint Louis, Missouri, USA.
  • Crossley KM La Trobe Sports Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria, Australia.
  • Gojanovic B Swiss Olympic Medical Center, Hopital de la Tour, Meyrin, Geneva, Switzerland.
  • Hunt MA Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada.
  • Ishøi L Sports Orthopaedic Research Center-Copenhagen (SORC-C), Department of Orthopedic Surgery, Copenhagen University Hospital, Amager-Hvidovre, Denmark.
  • Mathieu N Physiotherapy, HES-SO Valais, University of Applied Sciences Western Switzerland, Leukerbad, Valais, Switzerland.
  • Mayes S La Trobe Sports Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria, Australia.
  • Scholes MJ La Trobe Sports Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria, Australia.
  • Gimpel M Performance Science, Southampton Football Club, Southampton, Hampshire, UK.
  • Friedman D Monash School of Medicine, Monash University, Melbourne, Victoria, Australia.
  • Ageberg E Department of Health Sciences, Lund University, Lund, Sweden.
  • Agricola R Department of Orthopaedic Surgery, University Medical Centre Rotterdam, Rotterdam, The Netherlands.
  • Casartelli NC Human Performance Lab, Schulthess Clinic, Zurich, Switzerland.
  • Diamond LE Griffith Centre of Biomedical and Rehabilitation Engineering (GCORE, Menzies Health Institute Queensland Griffith University, School of Allied Health Sciences, Gold Coast, Queensland, Australia.
  • Dijkstra HP Department for Continuing Education, University of Oxford, Oxford, Oxfordshire, UK.
  • Di Stasi S Division of Physical Therapy, The Ohio State Univesity, Columbus, Ohio, USA.
  • Drew M University of Canberra Research into Sport and Exercise (UCRISE), University of Canberra, Canberra, Australian Capital Territory, Australia.
  • Freke M School of Health & Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia.
  • Griffin D Warwick Orthopaedics, University of Warwick, Coventry, Warwick, UK.
  • Heerey J La Trobe Sports Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria, Australia.
  • Hölmich P Sports Orthopaedic Research Center-Copenhagen (SORC-C), Department of Orthopedic Surgery, Copenhagen University Hospital, Amager-Hvidovre, Denmark.
  • Impellizzeri FM Faculty of Health, University of Technology Sydney, Sydney, New South Wales, Australia.
  • Jones DM La Trobe Sports Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria, Australia.
  • Kassarjian A Musculoskeletal Radiology, Corades, LLC, Brookline, Massachusetts, USA.
  • Khan KM Family Practice & Kinesiology, The University of British Columbia, Vancouver, British Columbia, Canada.
  • King MG La Trobe Sports Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria, Australia.
  • Lawrenson PR School of Health & Rehabilitation Sciences, University of Queensland, Brisbane, Queensland, Australia.
  • Leunig M Department of Orthopaedics, Schulthess Klinik, Zurich, Switzerland.
  • Lewis CL Physical Therapy & Athletic Training, Boston University, Boston, Massachusetts, USA.
  • Warholm KM Divisionof Ortopeadic Surgery, Oslo University Hospital, Oslo, Norway.
  • Reiman MP Orthopedic Surgery, Duke University Medical Center, Durham, North Carolina, USA.
  • Semciw A La Trobe Sports Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria, Australia.
  • Thorborg K Sports Orthopaedic Research Center-Copenhagen (SORC-C), Department of Orthopedic Surgery, Copenhagen University Hospital, Amager-Hvidovre, Denmark.
  • van Klij P Department of Orthopaedic Surgery, University Medical Centre Rotterdam, Rotterdam, The Netherlands.
  • Wörner T Department of Health Sciences, Lunds University, Lund, Sweden.
  • Bizzini M Schulthess Clinic Human Performance Lab, Zurich, Switzerland.
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  • 2019-11-17
Published in:
  • British journal of sports medicine. - 2020
English The 1st International Hip-related Pain Research Network meeting discussed four prioritised themes concerning hip-related pain in young to middle-aged adults: (1) diagnosis and classification of hip-related pain; (2) patient-reported outcome measures for hip-related pain; (3) measurement of physical capacity for hip-related pain; (4) physiotherapist-led treatment for hip-related pain. Thirty-eight expert researchers and clinicians working in the field of hip-related pain attended the meeting. This manuscript relates to the theme of physiotherapist-led treatments for hip-related pain. A systematic review on the efficacy of physiotherapist-led interventions for hip-related pain (published separately) was conducted and found that strong evidence for physiotherapist-led treatments was lacking. Prior to the meeting, draft consensus recommendations for consideration in the meeting were also developed based on the systematic review. The draft consensus recommendations were presented to all of the meeting participants via email, at least 1 week prior to the meeting. At the meeting, these recommendations were discussed, revised and voted on. Six recommendations for clinical practice and five recommendations for research were included and all gained consensus. Recommendations for clinical practice were that (i) Exercise-based treatments are recommended for people with hip-related pain. (ii) Exercise-based treatment should be at least 3 months duration. (iii) Physiotherapist-led rehabilitation after hip surgery should be undertaken. (iv) Patient-reported outcome measures, measures of physical impairment and measures of psychosocial factors should be used to monitor response to treatment. (v) Physical activity (that may include sport) is recommended for people with hip-related pain. (vi) Clinicians should discuss patient expectations, use shared-decision making and provide education. Recommendations for research were (i) Reporting of exercise programmes: Exercise descriptors such as load magnitude, number of repetitions and sets, duration of whole programme, duration of contractile element of exercise, duration of one repetition, time under tension, rest between repetitions, range of motion through which the exercise is performed, and rest between exercise sessions should be reported. (ii) Research should investigate the optimal frequency, intensity, time, type, volume and progression of exercise therapy. (iii) Research should examine the effect of patient education in people with hip-related pain. (iv) Research should investigate the effect of other treatments used in people with hip-related pain (for example: manual therapy, medications, injections). (v) Research should examine the impact of comorbidities and social determinants on treatment effectiveness in people with hip-related pain. Clinicians and researchers working with young to middle-aged active adults with hip-related pain may use these consensus recommendations to guide, develop, test and implement individualised, evidence-based physiotherapist-led rehabilitation programmes.
Language
  • English
Open access status
bronze
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Persistent URL
https://folia.unifr.ch/global/documents/19839
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