Gluteal Loading Versus Sham Exercises to Improve Pain and Dysfunction in Postmenopausal Women with Greater Trochanteric Pain Syndrome: A Randomized Controlled Trial

Ganderton, Charlotte; Semciw, Adam; Cook, Jill; Moreira, Euler; Pizzari, Tania

doi:10.1089/jwh.2017.6729

Cited by 53 publications

(79 citation statements)

References 34 publications

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“…Recently, a progressive lower limb exercise programme for the gluteal, quadriceps and calf muscles was compared with sham exercise in postmenopausal females with GTPS. Both groups also received education and similar improvements were observed at 52 weeks 9. A randomised controlled trial of 204 participants with gluteal tendinopathy found that education plus a progressive exercise programme targeting the gluteal muscles was superior to both a corticosteroid injection and ‘wait and see’ approach at 8 and 52 weeks 10…”

Section: Introductionmentioning

confidence: 83%

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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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Section: Introductionmentioning

confidence: 83%

“…The ‘GLoBE’ trial compared gluteal loading with sham exercises in postmenopausal women with GTPS 9. Both groups received education on activity modification and avoiding tendon compression.…”

Section: Discussionmentioning

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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“…Gait retraining strategies to encourage GMax and GMin activation through the full range of a gait cycle, particularly into hip extension, may be considered. Further research into specific gluteal tendon loading program (Ganderton et al, 2018;Mellor et al, 2018) is warranted to inform clinicians on effectiveness and exercise parameters.…”

Section: Discussionmentioning

confidence: 99%

“…Evidence for best-practice rehabilitation of this condition is limited and the most appropriate exercises are unknown (Ganderton et al, 2018;Mellor et al, 2018), despite the burden experienced by patients (Lievense et al, 2005;Segal et al, 2007;Rompe et al, 2009). Improved knowledge on the impact of the condition on gluteal muscle size and structure and may help to inform rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

Muscle Size and Quality of the Gluteal Muscles and Tensor Fasciae Latae in Women with Greater Trochanteric Pain Syndrome

et al. 2019

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Greater trochanteric pain syndrome (GTPS) is prevalent in women and severely impacts quality of life. A key muscle group demonstrating reduced strength are the hip abductors. An understanding of specific muscles affected will help guide targeted rehabilitation. Objectives of this case–control study were to compare gluteal and tensor fasciae latae (TFL) muscle size and quality (fatty infiltration) in women with symptomatic GTPS to asymptomatic age‐matched female controls. Magnetic resonance imaging of 16 women with GTPS (mean age 55.75 years, range 23–69) and 15 asymptomatic controls (mean age 55.60 years, range 31–66) was undertaken. Muscle volumes of the gluteus maximus, gluteus medius, gluteus minimus, and TFL were calculated. Fatty infiltration was rated using the Goutallier classification system for all muscles in their entirety, as well as anterior and posterior segments of gluteus medius and minimus. Muscle volumes and fatty infiltration were compared between groups. Significantly smaller muscle volumes were identified in the symptomatic group for the upper (P = 0.01) and lower (P = 0.04) portions of gluteus maximus, gluteus medius (P = 0.03), and gluteus minimus (P = 0.02). There was no difference in TFL (P = 0.18). Symptomatic participants displayed significantly greater fatty infiltration in gluteus maximus upper (P = 0.021) and lower (P = 0.049) when adjusted for BMI, and gluteus minimus (P = 0.018), particularly in the posterior portion (P = 0.04). Anterior gluteus minimus demonstrated high amounts of fatty infiltration in both groups. Gluteal muscle atrophy and fatty infiltration in women with GTPS suggests gluteus maximus and minimus may be an important target for rehabilitation. Clin. Anat., 33:1082‐1090, 2020. © 2019 Wiley Periodicals, Inc.

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“…On the opposite side, the evidence from the last three decades points to therapeutic exercise as the first-line treatment in tendinopathies due to its good short-term and long-term clinical outcomes and the non-existence of adverse effects 3–5 10. In this regard, different modalities of therapeutic exercise, such as isolated eccentric, combined eccentric and concentric, isometric or heavy slow resistance training, had shown positive outcomes on pain and function when controlled with placebo,11 surgery,12 passive treatment5 or other modalities of exercise groups 13 14…”

Section: Introductionmentioning

confidence: 99%

Progression criteria in loading exercise programmes in lower limb tendinopathy: a protocol for a systematic review and meta-analysis

2019

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IntroductionLower limb tendinopathies have high rates of incidence and prevalence. Their symptomatology affects the functional capacity of people to exercise and work, being an important cause of economic and social burden. The evidence from the last decades points to therapeutic exercise as the first-line treatment in tendinopathies due to its good short-term and long-term clinical outcomes. However, there is no consensus about how the load progression should be managed throughout the therapeutic exercise programmes.Methods and analysisThis systematic review will be conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The present protocol has been registered in the International Prospective Register of Systematic Reviews (PROSPERO). The search will be performed through PubMed and Scopus by two reviewers, including references, from inception to 31 August 2019. It will include randomised controlled trials that: included patients with Achilles, patellar or gluteal tendinopathy; assessed pain, function or performance; and included at least one group where progressive physical exercise was administered as monotherapy. The quality of the studies included will be assessed using the Physiotherapy Evidence Database scale. The Grading of Recommendations, Assessment, Development and Evaluation Working Group approach will be used to assess the quality of the evidence. A meta-analysis will be performed if there is sufficient homogeneity across the interventions and outcomes measures to ensure pooling.Ethics and disseminationEthical approval is not necessary for this systematic review protocol. Regardless of its nature, the results obtained in this study will be published in a peer-reviewed journal and presented at a relevant conference.PROSPERO registration numberCRD42018110997

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Gluteal Loading Versus Sham Exercises to Improve Pain and Dysfunction in Postmenopausal Women with Greater Trochanteric Pain Syndrome: A Randomized Controlled Trial

Cited by 53 publications

References 34 publications

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

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

Muscle Size and Quality of the Gluteal Muscles and Tensor Fasciae Latae in Women with Greater Trochanteric Pain Syndrome

Progression criteria in loading exercise programmes in lower limb tendinopathy: a protocol for a systematic review and meta-analysis

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