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

Key Points

• A group of experts on hip pain combined the best available evidence with their expert opinion to make 6 consensus recommendations for clinical practice and 5 recommendations for research.

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BACKGROUND & OBJECTIVE

Hip-related pain is common in active young and middle-aged adults. It has a large impact on quality of life, ability to play sport and take part in physical activity. There have been recent consensus statements (1,2) and review papers (3) published that have briefly discussed the importance of physiotherapist-led treatment for hip-related pain, but none provided enough detail or guidance for clinicians treating patients with hip-related pain to be able to confidently deliver rehabilitation programs.

Therefore, the aim of this paper was to make recommendations for physiotherapist-led treatments that improve pain and function in young to middle-aged active adults who are experiencing hip-related pain. These recommendations can be used by clinicians treating patients with hip-related pain to develop appropriate and effective treatment programs.

Hip-related pain has a large impact on quality of life, ability to play sport and take part in physical activity.

Physiotherapists should ensure they prioritise exercise-based treatment that is at least 3-months duration, dosed and progressed appropriately, and done with good patient adherence.

METHODS

44 experts took part in the consensus from Europe, North America, Australia/New Zealand and the Middle East. There was a mix of male and female experts including physiotherapists, orthopaedic surgeons, sports and exercise physicians, radiologists, exercise scientists and general medical

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