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
(2020) In British journal of sports medicine 54(12). p.702-710- Abstract
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,... (More)
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.
(Less)
- author
- Mosler, Andrea Britt
; Kemp, Joanne
; King, Matthew
; Lawrenson, Peter R.
; Semciw, Adam
; Freke, Matthew
; Jones, Denise M.
; Casartelli, Nicola C.
; Wörner, Tobias
LU
; Ishøi, Lasse
; Ageberg, Eva
LU
; Diamond, Laura E.
; Hunt, Michael A.
; Di Stasi, Stephanie
; Reiman, Michael P.
; Drew, Michael
; Friedman, Daniel
; Thorborg, Kristian
; Leunig, Michael
; Bizzini, Mario
; Khan, Karim M.
; Crossley, Kay M.
; Agricola, Rintje
; Bloom, Nancy
; Dijkstra, Henrik Paul
; Griffin, Damian
; Gojanovic, Boris
; Harris-Hayes, Marcie
; Heerey, Joshua J.
; Hölmich, Per
; Impellizzeri, Franco M.
; Kassarjian, Ara
; Warholm, Kristian Marstrand
; Mayes, Sue
; Moksnes, Håvard
; Risberg, May Arna
; Scholes, Mark J.
; Serner, Andreas
; Van Klij, Pim
and Lewis, Cara L.
(Less) - organization
- publishing date
- 2020
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Biomechanics, Consensus statement, Groin, Strength
- in
- British journal of sports medicine
- volume
- 54
- issue
- 12
- pages
- 9 pages
- publisher
- BMJ Publishing Group
- external identifiers
-
- pmid:31857334
- scopus:85077192703
- ISSN
- 0306-3674
- DOI
- 10.1136/bjsports-2019-101457
- language
- English
- LU publication?
- yes
- id
- 05a2d941-4e48-4d93-8f46-5f414ed58ccc
- date added to LUP
- 2020-01-16 16:23:32
- date last changed
- 2024-12-26 04:27:42
@article{05a2d941-4e48-4d93-8f46-5f414ed58ccc,
abstract = {{<p>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.</p>}},
author = {{Mosler, Andrea Britt and Kemp, Joanne and King, Matthew and Lawrenson, Peter R. and Semciw, Adam and Freke, Matthew and Jones, Denise M. and Casartelli, Nicola C. and Wörner, Tobias and Ishøi, Lasse and Ageberg, Eva and Diamond, Laura E. and Hunt, Michael A. and Di Stasi, Stephanie and Reiman, Michael P. and Drew, Michael and Friedman, Daniel and Thorborg, Kristian and Leunig, Michael and Bizzini, Mario and Khan, Karim M. and Crossley, Kay M. and Agricola, Rintje and Bloom, Nancy and Dijkstra, Henrik Paul and Griffin, Damian and Gojanovic, Boris and Harris-Hayes, Marcie and Heerey, Joshua J. and Hölmich, Per and Impellizzeri, Franco M. and Kassarjian, Ara and Warholm, Kristian Marstrand and Mayes, Sue and Moksnes, Håvard and Risberg, May Arna and Scholes, Mark J. and Serner, Andreas and Van Klij, Pim and Lewis, Cara L.}},
issn = {{0306-3674}},
keywords = {{Biomechanics; Consensus statement; Groin; Strength}},
language = {{eng}},
number = {{12}},
pages = {{702--710}},
publisher = {{BMJ Publishing Group}},
series = {{British journal of sports medicine}},
title = {{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}},
url = {{http://dx.doi.org/10.1136/bjsports-2019-101457}},
doi = {{10.1136/bjsports-2019-101457}},
volume = {{54}},
year = {{2020}},
}