Self-management Program for Greater Trochanteric Pain Syndrome: a Randomized Controlled Trial
The HIPS-study will be an observer blinded, single-centre, parallel-group randomized controlled trial (RCT). The main purpose of the study is: 1. To investigate the clinical effectiveness of a self- management program versus usual care for patients with greater trochanteric pain syndrome (GTPS). * H0: There is no difference between a self-management program and usual care on pain and function in patients with GTPS. * H1: There is a difference between a self-management program and usual care on pain and function in patients with GTPS. 2. To investigate if self-management is more cost-effective than usual care in the treatment of patients with GTPS. Participants will be randomly allocated into one of two groups: 1) self-management program or 2) usual care. Follow-up will be at 3-, 6- and 12-months.
• Participants between 18 and 70 years of age
• History of lateral hip pain \> 3 months
• Reported average pain intensity the last week ≥ 3 on a numeric rating scale
• Lateral hip pain is the main complaint
• Pain on palpation of the greater trochanter region
• In addition, lateral hip pain on at least one of the following tests:
‣ Single leg stance test: standing 30 seconds on the affected leg
⁃ FADER: passive stretch/compression of gluteus medius/minimus
⁃ FADER-R: static muscle test with resistance to internal hip rotation
⁃ ADD: passive stretch to hip adduction in sidelying
⁃ ADD-R: resisted hip abduction in sidelying
⁃ FABER (Patrick's) test
∙ A positive test is defined as a spontaneous reproduction of the participant's lateral hip pain. In participants with bilateral lateral hip pain, the worst hip will be included, and the presence of bilateral pain will be documented.