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

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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.


  • Andrea Britt Mosler
  • Joanne Kemp
  • Matthew King
  • Peter R. Lawrenson
  • Adam Semciw
  • Matthew Freke
  • Denise M. Jones
  • Nicola C. Casartelli
  • Lasse Ishøi
  • Laura E. Diamond
  • Michael A. Hunt
  • Stephanie Di Stasi
  • Michael P. Reiman
  • Michael Drew
  • Daniel Friedman
  • Kristian Thorborg
  • Michael Leunig
  • Mario Bizzini
  • Karim M. Khan
  • Kay M. Crossley
  • Rintje Agricola
  • Nancy Bloom
  • Henrik Paul Dijkstra
  • Damian Griffin
  • Boris Gojanovic
  • Marcie Harris-Hayes
  • Joshua J. Heerey
  • Per Hölmich
  • Franco M. Impellizzeri
  • Ara Kassarjian
  • Kristian Marstrand Warholm
  • Sue Mayes
  • Håvard Moksnes
  • May Arna Risberg
  • Mark J. Scholes
  • Andreas Serner
  • Pim Van Klij
  • Cara L. Lewis
Enheter & grupper
Externa organisationer
  • La Trobe University
  • University of Queensland
  • Schulthess Clinic
  • ETH Zürich
  • Copenhagen University Hospital
  • Griffith University
  • University of British Columbia
  • Ohio State University
  • Duke University Medical Center
  • University of Canberra
  • Erasmus University Medical Center
  • Washington University in St. Louis
  • Aspetar Qatar Orthopaedic and Sports Medicine Hospital
  • University of Oxford
  • University of Warwick
  • Lausanne University Hospital
  • University of Technology Sydney
  • Oslo university hospital
  • Norwegian School of Sport Sciences
  • Boston University
  • Monash University
  • Elite Sports Imaging

Ämnesklassifikation (UKÄ) – OBLIGATORISK

  • Sjukgymnastik


Sidor (från-till)702-710
Antal sidor9
TidskriftBritish journal of sports medicine
Utgåva nummer12
Tidigt onlinedatum2019
StatusPublished - 2020
Peer review utfördJa