Conservative treatments for greater trochanteric pain syndrome: a systematic review

Barratt, Paul; Brookes, Nathan; Newson, Annalisa

doi:10.1136/bjsports-2015-095858

Cited by 90 publications

(62 citation statements)

References 81 publications

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“…The test-retest respondents were chosen within the population most often affected by GTPS (Fearon et al, 2014a;Barratt, Brookes & Newson, 2017). Recruiting respondents who were asymptomatic, ensured that the test-retest testing was based on the understanding of the questionnaire, thus further validating the translation.…”

Section: Discussionmentioning

confidence: 99%

Translation, validation and test–retest reliability of the VISA-G patient-reported outcome tool into Danish (VISA-G.DK)

Jørgensen¹,

Fearon

Mølgaard

et al. 2020

PeerJ

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The Victorian Institute of Sport Assessment (VISA) questionnaire model is based on item response theory using a graded response (responses reflect increasing difficulty). The purpose of the VISA-G is to monitor patient outcomes and evaluate treatment strategies for people with greater trochanteric pain syndrome (GTPS). The primary aim of the current study was to translate and culturally adapt the VISA-G into a Danish context (DK) through forward and back translation and cognitive interviews. The second aim was to establish test–retest reliability and face validity of the VISA-G into a Danish context (DK). No major disagreements were observed between the original and translated versions of the questionnaire. A total of 58 heterogenous asymptomatic, and 49 symptomatic respondents (response rate: 92% and 78% respectively) completed the VISA-G.DK twice, 1 week apart. The VISA-G.DK had excellent internal consistency (Cronbach’s alpha: asymptomatic = 0.86; symptomatic = 0.98). The test–retest reliability was excellent for the total score: ICC: 0.961 (95% CI [0.933–0.978]). Standard Error Measurement was calculated to be 0.6. Bland–Altman plots showed no significant or relevant differences from test to retest in the total score with mean differences below 1 (0.61). The minimal detectable change was 3.17 for both groups. The VISA-G.DK was found to be valid, reliable and acceptable for use in the Danish population.

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Section: Discussionmentioning

confidence: 99%

Translation, validation and test–retest reliability of the VISA-G patient-reported outcome tool into Danish (VISA-G.DK)

Jørgensen¹,

Fearon

Mølgaard

et al. 2020

PeerJ

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“…Exercise is currently the first-line treatment for tendinopathy and at least 12 weeks of progressive loading is recommended 14. However, a recent review noted the lack of consensus around exercise and rehabilitation protocols for GTPS 15. Isometric and isotonic exercise programmes have not been directly compared for GTPS and it is unclear whether the improvements observed in other lower limb tendinopathies could be replicated in GTPS.…”

Section: Introductionmentioning

confidence: 99%

Isometric versus isotonic exercise for greater trochanteric pain syndrome: a randomised controlled pilot study

Clifford

Paul

Syme

et al. 2019

BMJ Open Sport Exerc Med

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ObjectivesGreater trochanteric pain syndrome (GTPS) is a common cause of lateral hip pain. Limited evidence exists for the effectiveness of exercise for GTPS. This study aimed to compare the effectiveness of isometric and isotonic exercise for individuals with GTPS.MethodsThis randomised controlled pilot trial recruited 30 participants with GTPS. Both programmes consisted of daily, progressive home exercise for 12 weeks with 8 individual physiotherapy sessions over the trial period. The primary outcome measure was the Victorian Institute of Sport Assessment-Gluteal (VISA-G) and secondary outcome measures included the Numeric Pain Rating Scale (0–10) and an 11-point Global Rating of Change Scale. Outcome measures were assessed at baseline, 4 and 12 weeks.ResultsTwenty-three participants completed the trial. After 12 weeks, mean VISA-G scores improved in both groups; 55–65 in the isometric group and 62–72 in the isotonic group. 55% of the isometric group and 58% of the isotonic group achieved a reduction in pain of at least 2 points (minimally clinically important difference (MCID)) on the Numeric Pain Rating Scale. 64% of the isometric group and 75% of the isotonic group had improved by at least 2 points (MCID) on the Global Rating of Change Scale.ConclusionIsometric and isotonic exercise programmes appear to be effective for individuals with GTPS and should be considered in the loading management of patients with this condition.

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“…Greater trochanteric pain syndrome (GTPS) represents a clinical condition which includes pain and tenderness around the greater trochanter area, which can radiate to the lateral side of the hip or thigh and is generally associated with trochanteric bursitis, but literature also suggests a degeneration process or a tearing of the gluteal tendons 78,79 . Conservative treatment consists of medication, rest, physical therapy or corticosteroid injections.…”

Section: Introductionmentioning

confidence: 99%

Review Over the Therapeutic Benefit of Extracorporeal Shockwave Therapy in Orthopaedic Patients

Gheorghievici¹,

Nica²,

Mitoiu³

et al. 2019

Rev. Med. Mod.

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Shockwaves can be defi ned as transient pressure oscillations which propagate in three dimensions and offer an increased pressure in a very short period of time. Biological effects of shockwave therapy have been proven to stimulate the release of angiogenic growth factors, and contribute to the improvement of blood supply which leads to the repair of bone and soft tissue. The role of ESWT in the treatment of chronic calcifying tendinitis of the rotator cuff has been evaluated in many studies. ESWT has been gaining attention as an alternative option to surgical excision of calcifi cation or when other conservative options have not proven effi cient. The main purpose for using ESWT in heel spur is to increase the local blood supply by inducing neovascularisation. This action influences the inflammatory process and furthermore stimulates the local metabolism. Also, shockwaves have been proposed as a possible treatment in early phases of femoral head necrosis in adults. In case of patellar tendinopathy in vitro studies have shown biological effects, while clinical effects remain unclear. Data suggests that ESWT associated with other physical modalities achieve realiable clinical importance of pain reduction in lateral epycondylitis. However there is still a lack of standardisation and a consensus is needed regarding frequency and intensity.

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Conservative treatments for greater trochanteric pain syndrome: a systematic review

Cited by 90 publications

References 81 publications

Translation, validation and test–retest reliability of the VISA-G patient-reported outcome tool into Danish (VISA-G.DK)

Translation, validation and test–retest reliability of the VISA-G patient-reported outcome tool into Danish (VISA-G.DK)

Isometric versus isotonic exercise for greater trochanteric pain syndrome: a randomised controlled pilot study

Review Over the Therapeutic Benefit of Extracorporeal Shockwave Therapy in Orthopaedic Patients

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