Isometric Versus Isotonic Exercise for Greater Trochanteric Pain Syndrome

Launched by NHS GREATER GLASGOW AND CLYDE · May 8, 2017

Keywords

ClinConnect Summary

Pain at the side of the hip over or around the greater trochanter of the femur has previously been termed as Greater Trochanteric Pain Syndrome (GTPS). Recent research has found that it is normally due to the gluteal tendons being torn or injured and is often termed as 'gluteal tendinopathy'. GTPS predominantly affects adults aged 40-60 years and is the second most common condition affecting the hip region after osteoarthritis. Quality of life scores are similar to those with advanced hip osteoarthritis but despite its prevalence and disease burden the most effective treatment for this prob...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Able to give written informed consent
• • Lateral hip pain for greater than 3 months
• * Pain on direct palpation of the gluteal tendon insertion on the greater trochanter and additionally at least one of the following pain provocation tests must also be positive:
• • 1. FABER (Flexion, Abduction, External Rotation of the hip)
• • 2. FADER (Flexion, Adduction, External Rotation of the hip)
• • 3. FADER and resisted Internal Rotation (IR) (FADER position plus resisted IR of the hip)
• • 4. Single leg stand for 30 seconds
• • 5. Resisted hip abduction at end-range adduction
• Exclusion Criteria:
• • Physiotherapy for lateral hip pain in the past 6 months
• • Corticosteroid injection for lateral hip pain in past 3 months
• • Inability to actively abduct hip in side-lying
• • Pain reproduced with FADIR (Flexion, Adduction, Internal Rotation of hip) with concurrent hip osteoarthritis on anteroposterior (AP) pelvis x-ray defined as Kellgren-Lawrence \> Grade 2 (mild)
• • Previous hip or lumbar spine surgery in past 12 months
• • Inflammatory joint disease
• • Unstable diabetes or cardiovascular disease
• • Known neurological disorders
• • Widespread chronic pain or fibromyalgia
• • Avascular necrosis
• • Pregnancy
• • Participants unable or unwilling to give informed consent
• • Participants who are unable to write, read or comprehend English