The Royal Orthopaedic Hospital, Birmingham, UK.
University of Leicester, East Midlands, UK.
Musculoskelet Sci Pract. 2019 Apr;40:10-20. doi: 10.1016/j.msksp.2019.01.004. Epub 2019 Jan 12.
Greater Trochanteric Pain syndrome (GTPS) is a debilitating condition causing lateral hip pain. It affects up to 23.5% of women and 8% of men between 50 and 75 years old. Sufferers report comparable quality of life and functional performance to patients with end stage osteoarthritis of the hip. Understanding of optimal management strategies for GTPS remains limited. Hence, the purpose of this cross-sectional survey was to describe current UK physiotherapy practice so as to understand current practice and inform the systematic development of a physiotherapy intervention.
An online survey was developed and distributed via Twitter, the interactive Chartered Society of Physiotherapy website, Musculoskeletal Association of Chartered Physiotherapists and the professional networks of the authors via email. Responses were collected over a four-week period, this was finalised in April 2018.
A total of 409 surveys were submitted; 382 were eligible for use. Nearly all physiotherapists were either somewhat, or very confident diagnosing (372/382; 97.4%) and treating (372/382; 97.4%) patients with GTPS. The management strategies most commonly used were: education on load management (377/381; 98.7%) and self-management strategies (375/381; 98.4%). Strengthening exercises (376/382; 98.4%) were commonly used and targeted to the hip abductors (355/379; 93.7%). Most frequently these exercises were delivered using a combination of home exercise programme (380/380; 100%) and one-to-one exercise sessions (344/377; 91.2%).
The data from this large survey highlights that physiotherapists in the UK most commonly use education on load management and self-management strategies, alongside strengthening exercises targeting the hip abductors for patients with GTPS.
大转子疼痛综合征（GTPS）是一种使人虚弱的病症，会导致髋关节外侧疼痛。它影响多达 23.5%的 50 至 75 岁之间的女性和 8%的男性。患者报告的生活质量和功能表现与髋关节终末期骨关节炎患者相当。对于 GTPS 的最佳管理策略的理解仍然有限。因此，本横断面调查的目的是描述英国目前的物理治疗实践，以便了解当前的实践并为物理治疗干预的系统发展提供信息。
开发了一个在线调查，并通过 Twitter、交互式特许物理治疗师协会网站、肌肉骨骼协会特许物理治疗师以及作者的专业网络通过电子邮件进行分发。在四周的时间内收集了回复，这在 2018 年 4 月结束。
共提交了 409 份调查；382 份符合使用条件。几乎所有的物理治疗师都对诊断（372/382；97.4%）和治疗（372/382；97.4%）GTPS 患者有一定程度或非常有信心。最常使用的管理策略包括：负荷管理教育（377/381；98.7%）和自我管理策略（375/381；98.4%）。强化运动（376/382；98.4%）也经常使用，主要针对髋关节外展肌（355/379；93.7%）。这些运动最常通过家庭运动计划（380/380；100%）和一对一运动课程（344/377；91.2%）的组合来实施。
这项大型调查的数据突出表明，英国的物理治疗师最常使用负荷管理和自我管理策略教育，以及针对 GTPS 患者的髋关节外展肌强化运动。
