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Standardised measurement of physical capacity in young and middle-aged active adults with hip-related pain: recommendations from the first International Hip-related Pain Research Network (IHiPRN) meeting, Zurich, 2018.

  • Mosler AB La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria, Australia abmosler@hotmail.com.
  • Kemp J La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria, Australia.
  • King M La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria, Australia.
  • Lawrenson PR School of Health and Rehabilitation Sciences, University of Queensland, St Lucia, Queensland, Australia.
  • Semciw A La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria, Australia.
  • Freke M School of Health and Rehabilitation Sciences, University of Queensland, St Lucia, Queensland, Australia.
  • Jones DM La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria, Australia.
  • Casartelli NC Human Performance Lab, Schulthess Clinic, Zurich, Switzerland.
  • Wörner T Department of Health Sciences, Lund University, Lund, Sweden.
  • Ishøi L Sports Orthopedic Research Center-Copenhagen (SORC-C), Department of Orthopedic Surgery, Copenhagen University Hospital, Amager-Hvidovre, Denmark.
  • Ageberg E Department of Health Sciences, Lund University, Lunds, Sweden.
  • Diamond LE Griffith Centre of Biomedical and Rehabilitation Engineering (GCORE), Menzies Health Institute Queensland Griffith University, School of Allied Health Sciences, Gold Coast, Queensland, Australia.
  • Hunt MA Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada.
  • Di Stasi S Division of Physical Therapy, The Ohio State University, Columbus, Ohio, USA.
  • Reiman MP Orthopedic Surgery, Duke University Medical Center, Durham, North Carolina, USA.
  • Drew M University of Canberra Research into Sport and Exercise (UCRISE), University of Canberra, Canberra, Australian Capital Territory, Australia.
  • Friedman D Monash School of Medicine, Melbourne, Victoria, Australia.
  • Thorborg K Sports Orthopedic Research Center-Copenhagen (SORC-C), Department of Orthopedic Surgery, Copenhagen University Hospital, Amager-Hvidovre, Denmark.
  • Leunig M Department of Orthopaedics, Schulthess Klinik, Zürich, Switzerland.
  • Bizzini M Schulthess Clinic Human Performance Lab, Zurich, Switzerland.
  • Khan KM Family Practice and Kinesiology, The University of British Columbia, Vancouver, British Columbia, Canada.
  • Crossley KM La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria, Australia.
  • Agricola R Department of Orthopaedic Surgery, University Medical Centre Rotterdam, Rotterdam, The Netherlands.
  • Bloom N Physical Therapy, Washington University School of Medicine in St Louis, St Louis, Missouri, USA.
  • Dijkstra HP ASPETAR Orthopedic and Sports Medicine Hospital, Doha, Qatar.
  • Griffin D Warwick Orthopaedics, University of Warwick, Coventry, UK.
  • Gojanovic B Sports Medicine, SportAdo consultation, University Hospital of Lausanne (CHUV) Multidisciplinary Unit of Adolescent Health, Lausanne, Switzerland.
  • Harris-Hayes M Physical Therapy, Washington University School of Medicine in St Louis, St Louis, Missouri, USA.
  • Heerey JJ La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria, Australia.
  • Hölmich P Sports Orthopedic Research Center-Copenhagen (SORC-C), Department of Orthopedic Surgery, Copenhagen University Hospital, Amager-Hvidovre, Denmark.
  • Impellizzeri FM Faculty of Health, University of Technology Sydney, Sydney, New South Wales, Australia.
  • Kassarjian A Elite Sports Imaging, SL, Madrid, Spain.
  • Warholm KM Division of Orthopedic Surgery, Oslo University Hospital, Oslo, Norway.
  • Mayes S La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria, Australia.
  • Moksnes H Oslo Sports Trauma Research Center, Oslo, Norway.
  • Risberg MA Department of Sport Medicine, Norwegian School of Sport Sciences, Oslo, Norway.
  • Scholes MJ La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria, Australia.
  • Serner A ASPETAR Orthopedic and Sports Medicine Hospital, Doha, Qatar.
  • van Klij P Department of Orthopaedic Surgery, University Medical Centre Rotterdam, Rotterdam, The Netherlands.
  • Lewis CL Physical Therapy and Athletic Training, Boston University, Boston, Massachusetts, USA.
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  • 2019-12-21
Published in:
  • British journal of sports medicine. - 2020
Biomechanics
Consensus statement
Groin
Strength
Adult
Arthralgia
Biomechanical Phenomena
Exercise
Hip
Humans
Middle Aged
Muscle Strength
Physical Therapy Modalities
Quality of Life
Range of Motion, Articular
Recovery of Function
Return to Sport
English Hip-related pain can significantly impact quality of life, function, work capacity, physical activity and family life. Standardised measurement methods of physical capacity of relevance to young and middle-aged active adults with hip-related pain are currently not established. The aim of this consensus paper was to provide recommendations for clinical practice and research on standardised measurement methods of physical capacity in young and middle-aged active adults with hip-related pain. Four areas of importance were identified: (1) clinical measures (range of motion, muscle strength, functional impairments), (2) laboratory-based measures (biomechanics and muscle function (muscle activity, size and adiposity)), (3) physical activity, and (4) return to sport/performance. The literature was reviewed, and a summary circulated to the working group to inform discussion at the consensus meeting. The working group developed clinical and research recommendations from the literature review, which were further discussed and modified within the working group at the consensus meeting. These recommendations were then presented to all 38 International Hip-related Pain Research Network (IHiPRN) participants for further discussion, refinement and consensus voting. Therefore, the recommendations voted on were based on a combination of current evidence and expert opinion. The consensus meeting voted on 13 recommendations, six of which were clinically orientated, and seven more research specific. We recommended that clinicians working with young and middle-aged active adults with hip-related pain assess strength using objective methods of measurement, and clinically assess performance of functional tasks, including walking and running. Physical activity should be quantified using both self-reported and objective measures, and patient expectations of recovery should be quantified prior to treatment. It was recommended that return to physical activity (including sport and occupation) be quantified, and sport-specific activities should be assessed prior to return to sport. The IHiPRN participants were uncertain regarding recommendations for range of motion assessment. Research recommendations were that the measurement properties of range of motion, strength and functional performance tests be investigated, reported and improved in both clinical and research settings. Reporting of movement-related parameters (biomechanics and muscle function) should be standardised and the relationship among movement-related parameters, symptoms, function, quality of life, and intra-articular and imaging findings should be investigated. Quantification of return to physical activity (including sport and occupational demands) is required in future research, and the return to sport continuum should be used. Future research is required to determine the best criteria for rehabilitation progression and return to physical activity following hip-related pain management.
Language
  • English
Open access status
bronze
Identifiers
Persistent URL
https://sonar.ch/global/documents/239307
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