Conservative Management Acutely Improves Functional Movement and Clinical Outcomes in Patients with Pre-arthritic Hip Pain

Overview

Journal J Hip Preserv Surg

Publisher Oxford University Press

Date 2020 May 9

PMID 32382435

Citations 8

Authors

Ryan P McGovern

Robroy L Martin

Amy L Phelps

Benjamin R Kivlan

Beth Nickel

John J Christoforetti

Affiliations

Soon will be listed here.

Abstract

Conservative management for individuals with pre-arthritic hip pain is commonly prescribed prior to consideration of surgical management. The purpose of this study is to determine if patients with pre-arthritic hip pain will improve their functional movement control and clinical outcome measures following the implementation of physical therapy and a home-exercise programme. Information was retrospectively collected on consecutive patients and included: demographics, diagnosis, initial and follow-up evaluation of the single leg squat test (SLST) and step-down test (SDT), and patient-reported outcome measures. An independent -test and one-way analysis of covariance were performed for continuous patient-reported outcome measures and a Fisher's exact test was performed for patient satisfaction. Forty-six patients (31 female and 15 male) diagnosed with pre-arthritic hip pain were included. A total of 30 patients improved their functional movement control during performance of the SLST, whereas 31 patients improved performance of the SDT. There was a statistically significant difference between patients that improved and did not improve ( ≤ 0.017). Patients with pre-arthritic hip pain who improved their functional movement control following a prescribed rehabilitation intervention are likely to report less pain and greater functional ability in their daily and sports-related activities. This study supports conservative management to acutely improve outcomes for patients with pre-arthritic hip pain.

Citing Articles

Evaluating Functional Performance Tests in those with Non-arthritic Intra-articular Hip Pain: An International Consensus Statement.

Martin R, Takla A, Disantis A, Kohlrieser D, Enseki K, Lifshitz L Int J Sports Phys Ther. 2023; 18(6):1346-1355.

PMID: 38050542 PMC: 10693491. DOI: 10.26603/001c.89269.

Are Exercise Therapy Protocols For The Treatment of Hip-Related Pain Adequately Described? A Systematic Review of Intervention Descriptions.

Estberger A, Kemp J, Thorborg K, Palsson A, Ageberg E Int J Sports Phys Ther. 2023; 18(1):38-54.

PMID: 36793572 PMC: 9897011. DOI: 10.26603/001c.68069.

Validity and inter-rater reliability of ankle motion observed during a single leg squat.

Guillen-Rogel P, San Emeterio C, Marin P PeerJ. 2022; 10:e12990.

PMID: 35186510 PMC: 8855718. DOI: 10.7717/peerj.12990.

Rate of continued conservative management versus progression to surgery at minimum 1-year follow-up in patients with pre-arthritic hip pain.

Cheng A, Collis R, McCullough A, Bui M, Brady B, Schuelke M PM R. 2021; 14(5):575-586.

PMID: 34894417 PMC: 9149117. DOI: 10.1002/pmrj.12746.

The 2019 International Society of Hip Preservation (ISHA) physiotherapy agreement on assessment and treatment of femoroacetabular impingement syndrome (FAIS): an international consensus statement.

Takla A, ODonnell J, Voight M, Byrd T, Dienst M, Martin R J Hip Preserv Surg. 2021; 7(4):631-642.

PMID: 34377507 PMC: 8349584. DOI: 10.1093/jhps/hnaa043.

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