The 2022 International Society for Hip Preservation (ISHA) physiotherapy agreement on assessment and treatment of greater trochanteric pain syndrome (GTPS): an international consensus statement

Ashley Disantis^{1

2}, Antonio J Andrade^{3

4}, Alexander Baillou⁵, Nicolas Bonin⁶, Thomas Byrd⁷, Ashley Campbell⁸, Benjamin Domb⁹, Holly Doyle¹⁰, Keelan Enseki¹¹, Barry Getz¹², Lucie Gosling¹³, Louise Grant¹⁴, Victor M Ilizaliturri Jr¹⁵, Dave Kohlrieser¹⁶, Jovan Laskovski¹⁷, Liran Lifshitz¹⁸, Ryan P McGovern¹⁹, Katie Monnington¹³, John O'Donnell^{20

21}, Amir Takla^{20

22

23}, Tim Tyler^{24

25}, Mike Voight^{8

26}, Thomas Wuerz²⁷, RobRoy L Martin^{2

11}

Affiliations

¹ Adolescent and Young Adult Hip Preservation Program, UPMC Children's Hospital of Pittsburgh, 4401 Penn Ave, Pittsburgh, PA 15224, USA.
² Department of Physical Therapy, Rangos School of Health Sciences, Duquesne University, 600 Forbes Ave, Pittsburgh, PA 15282, USA.
³ Reading Orthopaedic Centre, Circle Reading Hospital, Reading RG2 0NE, UK.
⁴ Trauma and Orthopaedic Department, Royal Berkshire NHS Foundation Trust, Reading RG1 5AN, UK.
⁵ Physiotherapy, Physio-Baillou,Praterstrasse, 60/1/3, A-1020, Vienna, AT.
⁶ Orthopaedic Surgery, Lyon Ortho Clinic, 29B Avenue des Sources, Lyon 69009, FR.
⁷ Orthopaedic Surgery, Nashville Sports Medicine Foundation, 100, 2011 Church Street, Nashville, TN 37203, USA.
⁸ Physical Therapy, Performance One Physical Therapy and Wellness, 400 Franklin Road, Franklin TN 37069, USA.
⁹ Orthopaedic Surgery, American Hip Institute, 999 E Touhy, Des Plaines, Chicago IL 60018, USA.
¹⁰ Integrum Physiotherapy, 94 Ridge Rd, London N8 9NR, UK.
¹¹ Centers for Rehab Services/University of Pittsburgh Medical Center, Rooney Sports Complex, 3200 S. Water St, Pittsburgh, PA 15203, USA.
¹² Physiotherapy, The Centre for Sports Medicine and Orthopaedics, 9 Sturdee Ave, Johannesburg, Rosebank 2196, SA.
¹³ Young Adult Hip Service, The Royal National Orthopaedic Hospital, 519 Briston Rd S, Birmingham B31 2AP, UK.
¹⁴ Physiotherapy, PhysioCure, Cookridge Lane, Leeds S16 7NL, UK.
¹⁵ Adult Joint Reconstruction, National Rehabilitation Institute of Mexico, Calz Mexico-Xochimilco 289, Coapa, Guadalupe Tlalpan, Tlalpan, 14389 Cuidad de Mexico, CDMS, MX.
¹⁶ Physiotherapy, Orthopedic One, 4605 Sawmill Road, Columbus OH 43220, USA.
¹⁷ Orthopedic Surgery, Crystal Clinic Orthopedic Center, Hip Preservation, 1622 SR 619, Ste 200, Akron, OH, USA.
¹⁸ Physiotherapy, Physio & More, 27 Shabtai Yaacov, Tel Aviv- Yafo 6962806, IL.
¹⁹ Sports Medicine Research, Texas Health Orthopedic Specialists, 6301 Harris Parkway, #200 Dallas/Fort Worth, TX 76132, USA.
²⁰ Hip Arthroscopy Australia, 21 Erin Street, Richmond VIC 3121, AU.
²¹ Orthopaedics, St. Vincent's Melbourne, East Melbourne, VIC 3065, AU.
²² Swinburne University of Technology, Hawthorn Campus, John Street, Hawthorn, Victoria 3122, AS.
²³ Australian Sports Physiotherapy, Ivanhoe 3079, Australia.
²⁴ Physiotherapy, NISMAT, 130 E 77th St, New York, NY 10075, USA.
²⁵ Professional Physical Therapy, New York, NY 10010, USA.
²⁶ School of Physical Therapy, Belmont University, 1900 Belmont Boulevard, Nashville, TN, US.
²⁷ Orthopaedic Surgery, New England Baptist Hospital, 40 Allied Drive, Dedham, MA 02026, USA.

PMID: 37275836
PMCID: PMC10234389
DOI: 10.1093/jhps/hnac050

Review

The 2022 International Society for Hip Preservation (ISHA) physiotherapy agreement on assessment and treatment of greater trochanteric pain syndrome (GTPS): an international consensus statement

Ashley Disantis et al. J Hip Preserv Surg. 2023.

. 2023 Jan 2;10(1):48-56.

doi: 10.1093/jhps/hnac050. eCollection 2023 Jan.

Authors

Affiliations

¹ Adolescent and Young Adult Hip Preservation Program, UPMC Children's Hospital of Pittsburgh, 4401 Penn Ave, Pittsburgh, PA 15224, USA.
² Department of Physical Therapy, Rangos School of Health Sciences, Duquesne University, 600 Forbes Ave, Pittsburgh, PA 15282, USA.
³ Reading Orthopaedic Centre, Circle Reading Hospital, Reading RG2 0NE, UK.
⁴ Trauma and Orthopaedic Department, Royal Berkshire NHS Foundation Trust, Reading RG1 5AN, UK.
⁵ Physiotherapy, Physio-Baillou,Praterstrasse, 60/1/3, A-1020, Vienna, AT.
⁶ Orthopaedic Surgery, Lyon Ortho Clinic, 29B Avenue des Sources, Lyon 69009, FR.
⁷ Orthopaedic Surgery, Nashville Sports Medicine Foundation, 100, 2011 Church Street, Nashville, TN 37203, USA.
⁸ Physical Therapy, Performance One Physical Therapy and Wellness, 400 Franklin Road, Franklin TN 37069, USA.
⁹ Orthopaedic Surgery, American Hip Institute, 999 E Touhy, Des Plaines, Chicago IL 60018, USA.
¹⁰ Integrum Physiotherapy, 94 Ridge Rd, London N8 9NR, UK.
¹¹ Centers for Rehab Services/University of Pittsburgh Medical Center, Rooney Sports Complex, 3200 S. Water St, Pittsburgh, PA 15203, USA.
¹² Physiotherapy, The Centre for Sports Medicine and Orthopaedics, 9 Sturdee Ave, Johannesburg, Rosebank 2196, SA.
¹³ Young Adult Hip Service, The Royal National Orthopaedic Hospital, 519 Briston Rd S, Birmingham B31 2AP, UK.
¹⁴ Physiotherapy, PhysioCure, Cookridge Lane, Leeds S16 7NL, UK.
¹⁵ Adult Joint Reconstruction, National Rehabilitation Institute of Mexico, Calz Mexico-Xochimilco 289, Coapa, Guadalupe Tlalpan, Tlalpan, 14389 Cuidad de Mexico, CDMS, MX.
¹⁶ Physiotherapy, Orthopedic One, 4605 Sawmill Road, Columbus OH 43220, USA.
¹⁷ Orthopedic Surgery, Crystal Clinic Orthopedic Center, Hip Preservation, 1622 SR 619, Ste 200, Akron, OH, USA.
¹⁸ Physiotherapy, Physio & More, 27 Shabtai Yaacov, Tel Aviv- Yafo 6962806, IL.
¹⁹ Sports Medicine Research, Texas Health Orthopedic Specialists, 6301 Harris Parkway, #200 Dallas/Fort Worth, TX 76132, USA.
²⁰ Hip Arthroscopy Australia, 21 Erin Street, Richmond VIC 3121, AU.
²¹ Orthopaedics, St. Vincent's Melbourne, East Melbourne, VIC 3065, AU.
²² Swinburne University of Technology, Hawthorn Campus, John Street, Hawthorn, Victoria 3122, AS.
²³ Australian Sports Physiotherapy, Ivanhoe 3079, Australia.
²⁴ Physiotherapy, NISMAT, 130 E 77th St, New York, NY 10075, USA.
²⁵ Professional Physical Therapy, New York, NY 10010, USA.
²⁶ School of Physical Therapy, Belmont University, 1900 Belmont Boulevard, Nashville, TN, US.
²⁷ Orthopaedic Surgery, New England Baptist Hospital, 40 Allied Drive, Dedham, MA 02026, USA.

PMID: 37275836
PMCID: PMC10234389
DOI: 10.1093/jhps/hnac050

Abstract

The 2022 International Society of Hip Preservation (ISHA) physiotherapy agreement on assessment and treatment of greater trochanteric pain syndrome (GTPS) was intended to present a physiotherapy consensus on the assessment and surgical and non-surgical physiotherapy management of patients with GTPS. The panel consisted of 15 physiotherapists and eight orthopaedic surgeons. Currently, there is a lack of high-quality literature supporting non-operative and operative physiotherapy management. Therefore, a group of physiotherapists who specialize in the treatment of non-arthritic hip pathology created this consensus statement regarding physiotherapy management of GTPS. The consensus was conducted using a modified Delphi technique to guide physiotherapy-related decisions according to the current knowledge and expertise regarding the following: (i) evaluation of GTPS, (ii) non-surgical physiotherapy management, (iii) use of corticosteroids and orthobiologics and (iv) surgical indications and post-operative physiotherapy management.

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Conflict of interest statement

None declared.

References

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The 2022 International Society for Hip Preservation (ISHA) physiotherapy agreement on assessment and treatment of greater trochanteric pain syndrome (GTPS): an international consensus statement

Affiliations

The 2022 International Society for Hip Preservation (ISHA) physiotherapy agreement on assessment and treatment of greater trochanteric pain syndrome (GTPS): an international consensus statement

Authors

Affiliations

Abstract

Conflict of interest statement

References

Publication types

LinkOut - more resources

Full Text Sources