Gluteal Tendinitis Clinical Trial
Official title:
Isometric Versus Isotonic Exercise for Greater Trochanteric Pain Syndrome - a Randomised Controlled Trial Comparing Two Rehabilitation Programmes
This pilot randomised controlled trial will directly compare the effect of isometric exercise to isotonic exercise over a period of 12 weeks for participants with a clinical diagnosis of Greater Trochanteric Pain Syndrome (GTPS).
Pain at the side of the hip over or around the greater trochanter of the femur has previously
been termed as Greater Trochanteric Pain Syndrome (GTPS). Recent research has found that it
is normally due to the gluteal tendons being torn or injured and is often termed as 'gluteal
tendinopathy'. GTPS predominantly affects adults aged 40-60 years and is the second most
common condition affecting the hip region after osteoarthritis. Quality of life scores are
similar to those with advanced hip osteoarthritis but despite its prevalence and disease
burden the most effective treatment for this problem is currently unknown.
Numerous studies have shown that exercise programmes are the most effective treatment for
other lower limb tendon problems, particularly the Achilles and patella. These programmes
typically last a minimum of 12 weeks and are often prescribed by physiotherapists as
first-line treatment. However, there is currently limited evidence to support exercise for
gluteal tendinopathy. The study plans to directly compare two different types of exercise
programmes for those with GTPS for a period of 12 weeks. One group will receive an isometric
exercise programme (where the muscle length does not change) and a second group an isotonic
exercise programme (where the muscle length does change).
The primary outcome measure which will be used has recently been validated for patients with
gluteal tendinopathy and measures function and disability. Additional secondary outcome
measures will evaluate aspects relating to quality of life, physical activity and pain. Both
groups will be compared at the start of the study and at different times up to a maximum of
12 weeks to help determine if one exercise programme is better than the other.
The results of this pilot study will also help to identify whether a larger trial would be
possible in the future.
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Status | Clinical Trial | Phase | |
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