Improving Function in People with Hip-related Pain: a Systematic Review and Meta-analysis of Physiotherapist-led Interventions for Hip-related Pain

Overview

Journal Br J Sports Med

Publisher BMJ Publishing Group

Specialty Orthopedics

Date 2020 May 8

PMID 32376673

Citations 11

Authors

Joanne L Kemp

Andrea B Mosler

Harvi Hart

Mario Bizzini

Steven Chang

Mark J Scholes

Adam I Semciw

Kay M Crossley

Affiliations

Soon will be listed here.

Abstract

Objective: To report the effectiveness of physiotherapist-led interventions in improving pain and function in young and middle-aged adults with hip-related pain.

Design: Systematic review and meta-analysis.

Data Sources: A comprehensive, reproducible search strategy was performed on five databases in May 2019. Reference lists and grey literature were also searched.

Eligibility Criteria For Selecting Studies: Population: people aged ≥18 years with hip-related pain (with or without a diagnosis of femoroacetabular impingement syndrome).

Intervention(s): physiotherapist-led interventions for hip pain. Comparators: sham treatment, no treatment or other treatment (eg, hip arthroscopic surgery).

Outcomes: primary outcomes included patient-reported hip pain and function. Secondary outcomes included physical function measures.

Results: 1722 papers were identified. After exclusion criteria were applied, 14 studies were included for analysis. They had varied risk of bias. There were no full-scale placebo-controlled randomised controlled trials (RCTs) of physiotherapist-led treatment. Pooled effects ranged from moderate effects (0.67 (95% CI 0.07 to 1.26)) favouring physiotherapist-led intervention over no treatment post-arthroscopy, to weak effects (-0.32 (95% CI 0.57 to 0.07)) favouring hip arthroscopy over physiotherapist-led treatment.

Conclusion: Physiotherapist-led interventions might improve pain and function in young and middle-aged adults with hip-related pain, however full-scale high-quality RCT studies are required.

Prospero Registration Number: CRD42018089088.

Citing Articles

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What are participant beliefs regarding physical therapy led treatment? A qualitative study of people living with femoroacetabular impingement syndrome.

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Hugenberg G, Stallons J, Smith C, Brockhoff K, Gingras M, Yardley D Int J Sports Phys Ther. 2023; 18(5):1218-1229.

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Comparison of Joint Mobilization and Movement Pattern Training for Patients With Hip-Related Groin Pain: A Pilot Randomized Clinical Trial.

Harris-Hayes M, Zorn P, Steger-May K, Burgess M, DeMargel R, Kuebler S Phys Ther. 2023; 103(11).

PMID: 37606253 PMC: 10683042. DOI: 10.1093/ptj/pzad111.

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