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

OBJECTIVES: Greater 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. METHODS: This randomised contro...

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Autores principales: Clifford, Christopher, Paul, Lorna, Syme, Grant, Millar, Neal L
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6797310/
https://www.ncbi.nlm.nih.gov/pubmed/31673402
http://dx.doi.org/10.1136/bmjsem-2019-000558
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author Clifford, Christopher
Paul, Lorna
Syme, Grant
Millar, Neal L
author_facet Clifford, Christopher
Paul, Lorna
Syme, Grant
Millar, Neal L
author_sort Clifford, Christopher
collection PubMed
description OBJECTIVES: Greater 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. METHODS: This 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. RESULTS: Twenty-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. CONCLUSION: Isometric 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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spelling pubmed-67973102019-10-31 Isometric versus isotonic exercise for greater trochanteric pain syndrome: a randomised controlled pilot study Clifford, Christopher Paul, Lorna Syme, Grant Millar, Neal L BMJ Open Sport Exerc Med Original Article OBJECTIVES: Greater 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. METHODS: This 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. RESULTS: Twenty-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. CONCLUSION: Isometric 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. BMJ Publishing Group 2019-09-21 /pmc/articles/PMC6797310/ /pubmed/31673402 http://dx.doi.org/10.1136/bmjsem-2019-000558 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle Original Article
Clifford, Christopher
Paul, Lorna
Syme, Grant
Millar, Neal L
Isometric versus isotonic exercise for greater trochanteric pain syndrome: a randomised controlled pilot study
title Isometric versus isotonic exercise for greater trochanteric pain syndrome: a randomised controlled pilot study
title_full Isometric versus isotonic exercise for greater trochanteric pain syndrome: a randomised controlled pilot study
title_fullStr Isometric versus isotonic exercise for greater trochanteric pain syndrome: a randomised controlled pilot study
title_full_unstemmed Isometric versus isotonic exercise for greater trochanteric pain syndrome: a randomised controlled pilot study
title_short Isometric versus isotonic exercise for greater trochanteric pain syndrome: a randomised controlled pilot study
title_sort isometric versus isotonic exercise for greater trochanteric pain syndrome: a randomised controlled pilot study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6797310/
https://www.ncbi.nlm.nih.gov/pubmed/31673402
http://dx.doi.org/10.1136/bmjsem-2019-000558
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