Load Modification Versus Standard Exercise for Greater Trochanteric Pain Syndrome (GLAM)
Hip Injuries, Pain, Therapy/Rehabilitation
About this trial
This is an interventional treatment trial for Hip Injuries
Eligibility Criteria
Inclusion Criteria: Unilateral diagnosis of GTPS, as confirmed by physician using the following criteria:
- Lateral hip pain, worst over greater trochanter, for >/= 3 months
- Pain with palpation over greater trochanter
- Average pain intensity of >/= 4/10 most days of the week
Lateral hip pain reproduced during a 30 second single leg stance, or at least one of the following positive tests:
- >/= 2/10 lateral hip pain reproduce with passive hip flexion, adduction, and external rotation (ie. FADER)
- lateral hip pain reproduced with resisted internal rotation in the passive hip flexion, adduction, and external rotation position (ie. FADER-R)
- lateral hip pain reproduce with overpressure into passive hip adduction in sidelying (ie. ADD)
- lateral hip pain reproduced with resisted hip abduction in the hip hip adducted position (ie. ADD-R)
lateral hip pain reproduced with hip flexion, abduction, external rotation (ie. FABER)
Exclusion Criteria:
Any of the following treatments within the last 3 months:
- corticosteroid injection in the affected hip
- physical therapy or other skilled exercise intervention by a medical or rehabilitation professional
Any of the following concomitant impairments or conditions:
a) Known or observed advanced spine, hip, knee, or ankle joint pathology, including: i. Spinal or lower extremity surgery within the last 6 months ii. Imaging data showing Kellgren Lawrence grade >/=2 in any lower extremity joint with concurrent complaint >/=2/10 most days of the week.
iii. Groin pain as the primary hip pain complaint >/=2/10 most days of the week.
iv. <90 degrees of active hip and knee flexion bilaterally v. <0 degrees of active ankle dorsiflexion
b) Systemic inflammatory diseases, or any systemic disease that affects the nervous or musculoskeletal system or uncontrolled diabetes, or active malignancy c) Individuals who cannot tolerate or should not assume the positions required for the exercises for any reason other than hip discomfort
Sites / Locations
- Jameson Crane Sports Medicine Institute
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Load modification education
Standard exercise education
Load modification education includes exercises currently prescribed by physical therapists, like stretching and strengthening activities, but will also include education on common daily postures and movement patterns that may increase load and stress on the muscles and tendons around the hip.
Standard exercise education includes exercises currently prescribed by physical therapists, like stretching and strengthening activities.