Hip Pain and Mobility Deficits—Hip Osteoarthritis: Revision 2017

Abstract

The Orthopaedic Section of the American Physical Therapy Association (APTA) has an ongoing effort to create evidence-based practice guidelines for orthopaedic physical therapy management of patients with musculoskeletal impairments described in the World Health Organization's International Classification of Functioning, Disability, and Health (ICF). The purpose of these revised clinical practice guidelines is to review recent peer-reviewed literature and make recommendations related to hip pain and mobility deficits. J Orthop Sports Phys Ther. 2017;47(6):A1–A37. doi:10.2519/jospt.2017.0301

Effects of non-pharmacological conservative treatment on pain, range of motion and physical function in patients with mild to moderate hip osteoarthritis. A systematic review

“…5 Clinical practice guidelines recommend non-pharmacological interventions such as manual therapy (MT), therapeutic exercise and other conservative techniques as a part of the management of patients with mild to moderate hip OA. [5][6][7] These treatments have been proposed with the aim to reduce pain and improve hip mobility.…”

Sagittal alignment and mobility of the thoracolumbar spine are associated with radiographic progression of secondary hip osteoarthritis

“…Identifying the risk factor for hip OA progression from among hip impairments and spinal alignment and mobility is clinically useful because assessment of these impairments is generally recommended for patients with hip OA 15,16 . Additionally, these impairments can be quantitatively measured using goniometer, handheld dynamometer, and other easy-to-use instruments in a clinical setting 17e19 .…”

Clinical Examination, Diagnostic Imaging, and Testing of Athletes With Groin Pain: An Evidence-Based Approach to Effective Management

“…48 Still, clinicians must be aware of abdominal and pelvic organ disorders mimicking musculoskeletal-related groin pain. 15 A history of cancer, such as prostate cancer in men, breast cancer in women, or cancer in any reproductive organs, is a potential red flag, as it is associated with metastases in the hip and groin region.…”