A survey of physiotherapy practice (2018) in the United Kingdom for patients with greater trochanteric pain syndrome

Gareth Stephens, Seth O'Neill, Helen P. French, Angela Fearon, Alison Grimaldi, Louise O'Connor, Stephanie Woodley, Chris Littlewood

Research output: Contribution to journalArticle

Abstract

Purpose: 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. Methods: 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. Results: 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%). Conclusion: 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.
LanguageEnglish
Pages10-20
Number of pages11
JournalMusculoskeletal Science and Practice
Volume40
DOIs
Publication statusPublished - 2019

Fingerprint

Exercise
Physical Therapists
Pain
Hip
Self Care
Education
Hip Osteoarthritis
Cross-Sectional Studies
Quality of Life
Surveys and Questionnaires
United Kingdom

Cite this

Stephens, Gareth ; O'Neill, Seth ; French, Helen P. ; Fearon, Angela ; Grimaldi, Alison ; O'Connor, Louise ; Woodley, Stephanie ; Littlewood, Chris. / A survey of physiotherapy practice (2018) in the United Kingdom for patients with greater trochanteric pain syndrome. In: Musculoskeletal Science and Practice. 2019 ; Vol. 40. pp. 10-20.
@article{2438dd041f174dc1aa05882831dff2e1,
title = "A survey of physiotherapy practice (2018) in the United Kingdom for patients with greater trochanteric pain syndrome",
abstract = "Purpose: 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. Methods: 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. Results: 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{\%}). Conclusion: 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.",
keywords = "Current practice, Gluteal tendinopathy, GTPS, Survey",
author = "Gareth Stephens and Seth O'Neill and French, {Helen P.} and Angela Fearon and Alison Grimaldi and Louise O'Connor and Stephanie Woodley and Chris Littlewood",
year = "2019",
doi = "10.1016/j.msksp.2019.01.004",
language = "English",
volume = "40",
pages = "10--20",
journal = "Musculoskeletal Science and Practice",
issn = "1356-689X",
publisher = "Churchill Livingstone",

}

A survey of physiotherapy practice (2018) in the United Kingdom for patients with greater trochanteric pain syndrome. / Stephens, Gareth; O'Neill, Seth; French, Helen P.; Fearon, Angela; Grimaldi, Alison; O'Connor, Louise; Woodley, Stephanie; Littlewood, Chris.

In: Musculoskeletal Science and Practice, Vol. 40, 2019, p. 10-20.

Research output: Contribution to journalArticle

TY - JOUR

T1 - A survey of physiotherapy practice (2018) in the United Kingdom for patients with greater trochanteric pain syndrome

AU - Stephens, Gareth

AU - O'Neill, Seth

AU - French, Helen P.

AU - Fearon, Angela

AU - Grimaldi, Alison

AU - O'Connor, Louise

AU - Woodley, Stephanie

AU - Littlewood, Chris

PY - 2019

Y1 - 2019

N2 - Purpose: 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. Methods: 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. Results: 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%). Conclusion: 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.

AB - Purpose: 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. Methods: 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. Results: 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%). Conclusion: 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.

KW - Current practice

KW - Gluteal tendinopathy

KW - GTPS

KW - Survey

UR - http://www.scopus.com/inward/record.url?scp=85060110504&partnerID=8YFLogxK

U2 - 10.1016/j.msksp.2019.01.004

DO - 10.1016/j.msksp.2019.01.004

M3 - Article

VL - 40

SP - 10

EP - 20

JO - Musculoskeletal Science and Practice

T2 - Musculoskeletal Science and Practice

JF - Musculoskeletal Science and Practice

SN - 1356-689X

ER -