{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T19:15:19Z","timestamp":1790622919473,"version":"4.1.0"},"reference-count":54,"publisher":"BMJ","issue":"23","license":[{"start":{"date-parts":[[2020,5,6]],"date-time":"2020-05-06T00:00:00Z","timestamp":1588723200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["1119971"],"award-info":[{"award-number":["1119971"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Br J Sports Med"],"accepted":{"date-parts":[[2020,4,19]]},"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To report the effectiveness of physiotherapist-led interventions in improving pain and function in young and middle-aged adults with hip-related pain.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>Systematic review and meta-analysis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Data sources<\/jats:title>\n                  <jats:p>A comprehensive, reproducible search strategy was performed on five databases in May 2019. Reference lists and grey literature were also searched.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Eligibility criteria for selecting studies<\/jats:title>\n                  <jats:p>Population: people aged \u226518 years with hip-related pain (with or without a diagnosis of femoroacetabular impingement syndrome). Intervention(s): physiotherapist-led interventions for hip pain. Comparators: sham treatment, no treatment or other treatment (eg, hip arthroscopic surgery). Outcomes: primary outcomes included patient-reported hip pain and function. Secondary outcomes included physical function measures.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>1722 papers were identified. After exclusion criteria were applied, 14 studies were included for analysis. They had varied risk of bias. There were no full-scale placebo-controlled randomised controlled trials (RCTs) of physiotherapist-led treatment. Pooled effects ranged from moderate effects (0.67 (95% CI 0.07 to 1.26)) favouring physiotherapist-led intervention over no treatment post-arthroscopy, to weak effects (\u22120.32 (95% CI 0.57 to 0.07)) favouring hip arthroscopy over physiotherapist-led treatment.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Physiotherapist-led interventions might improve pain and function in young and middle-aged adults with hip-related pain, however full-scale high-quality RCT studies are required.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>PROSPERO registration number<\/jats:title>\n                  <jats:p>CRD42018089088.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bjsports-2019-101690","type":"journal-article","created":{"date-parts":[[2020,5,6]],"date-time":"2020-05-06T17:19:35Z","timestamp":1588785575000},"page":"1382-1394","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":60,"title":["Improving function in people with hip-related pain: a systematic review and meta-analysis of physiotherapist-led interventions for hip-related pain"],"prefix":"10.1136","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9234-1923","authenticated-orcid":false,"given":"Joanne L","family":"Kemp","sequence":"first","affiliation":[{"name":"Latrobe Sports Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7353-2583","authenticated-orcid":false,"given":"Andrea B","family":"Mosler","sequence":"additional","affiliation":[{"name":"Latrobe Sports Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5802-510X","authenticated-orcid":false,"given":"Harvi","family":"Hart","sequence":"additional","affiliation":[{"name":"Latrobe Sports Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Victoria, Australia"},{"name":"Faculty of Health Sciences, Western University, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario","family":"Bizzini","sequence":"additional","affiliation":[{"name":"Schulthess Clinic Human Performance Lab, Zurich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3193-7969","authenticated-orcid":false,"given":"Steven","family":"Chang","sequence":"additional","affiliation":[{"name":"La Trobe University Library, La Trobe University, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9216-1597","authenticated-orcid":false,"given":"Mark J","family":"Scholes","sequence":"additional","affiliation":[{"name":"Latrobe Sports Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5399-7463","authenticated-orcid":false,"given":"Adam I","family":"Semciw","sequence":"additional","affiliation":[{"name":"Latrobe Sports Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Victoria, Australia"},{"name":"Department of Physiotherapy, Podiatry and Prosthetics and Orthotics, La Trobe University, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5892-129X","authenticated-orcid":false,"given":"Kay M","family":"Crossley","sequence":"additional","affiliation":[{"name":"Latrobe Sports Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,5,6]]},"reference":[{"key":"2025080113204063000_54.23.1382.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)61729-2"},{"key":"2025080113204063000_54.23.1382.2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2009.066944"},{"key":"2025080113204063000_54.23.1382.3","doi-asserted-by":"crossref","DOI":"10.1136\/bjsports-2017-097796","article-title":"Hip and groin time-loss injuries decreased slightly but injury burden remained constant in men's professional football: the 15-year prospective UEFA elite Club injury study","volume":"53","author":"Werner","year":"2019","journal-title":"Br J Sports Med"},{"key":"2025080113204063000_54.23.1382.4","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2016-097277"},{"key":"2025080113204063000_54.23.1382.5","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2016-096618"},{"key":"2025080113204063000_54.23.1382.6","doi-asserted-by":"crossref","unstructured":"Thorborg K , Kraemer O , Madsen AD , et al . Patient-Reported outcomes within the first year after hip arthroscopy and rehabilitation for femoroacetabular impingement and\/or Labral injury: the difference between getting better and getting back to normal. Am J Sports Med 2018;363546518786971.","DOI":"10.1177\/0363546518786971"},{"key":"2025080113204063000_54.23.1382.7","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)31202-9"},{"key":"2025080113204063000_54.23.1382.8","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517751912"},{"key":"2025080113204063000_54.23.1382.9","doi-asserted-by":"crossref","unstructured":"Reiman MP , Agricola R , Kemp JL , et al . Consensus recommendations on the classification, definition and diagnostic criteria of hip-related pain in young and middle-aged active adults from the International Hip-related pain research network, Zurich 2018. British Journal of Sports Medicine 2019.","DOI":"10.1136\/bjsports-2020-102219"},{"key":"2025080113204063000_54.23.1382.10","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2016-096743"},{"key":"2025080113204063000_54.23.1382.11","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/j.ejrad.2015.10.016","article-title":"Imaging prevalence of femoroacetabular impingement in symptomatic patients, athletes, and asymptomatic individuals: a systematic review","volume":"85","author":"Mascarenhas","year":"2016","journal-title":"Eur J Radiol"},{"key":"2025080113204063000_54.23.1382.12","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1097\/01.blo.0000096804.78689.c2","article-title":"Femoroacetabular impingement: a cause for osteoarthritis of the hip","volume":"417","author":"Ganz","year":"2003","journal-title":"Clin Orthop Relat Res"},{"key":"2025080113204063000_54.23.1382.13","doi-asserted-by":"publisher","DOI":"10.1038\/nrrheum.2013.114"},{"key":"2025080113204063000_54.23.1382.14","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2013-093312"},{"key":"2025080113204063000_54.23.1382.15","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2014.01.003"},{"key":"2025080113204063000_54.23.1382.16","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2012-202745"},{"key":"2025080113204063000_54.23.1382.17","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-010-1502-y"},{"key":"2025080113204063000_54.23.1382.18","doi-asserted-by":"crossref","DOI":"10.1136\/bjsports-2018-100173","article-title":"Is exercise therapy for femoroacetabular impingement in or out of fashion? we need to talk about current best practice for the non-surgical management of FAI syndrome","volume":"53","author":"Kemp","year":"2019","journal-title":"Br J Sports Med"},{"key":"2025080113204063000_54.23.1382.19","unstructured":"Portney L , Watkins M . Foundations of Clinical Research - Applications to Clinical Practice. 3rd ed. Upper Saddle River, New Jersey: Pearson Education, 2009."},{"key":"2025080113204063000_54.23.1382.20","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200306150-00014"},{"key":"2025080113204063000_54.23.1382.21","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2013.08.003"},{"key":"2025080113204063000_54.23.1382.22","doi-asserted-by":"publisher","DOI":"10.3109\/17453674.2013.867782"},{"key":"2025080113204063000_54.23.1382.23","doi-asserted-by":"crossref","first-page":"3024","DOI":"10.1016\/j.arthro.2018.06.049","article-title":"Identification of a patient acceptable symptomatic state score for the International hip outcome tool in people undergoing hip arthroscopy","volume":"34","author":"Maxwell","year":"2018","journal-title":"Arthroscopy"},{"key":"2025080113204063000_54.23.1382.24","first-page":"2325967114S0010","article-title":"The minimal clinical important difference (MCID) and patient acceptable symptomatic state (pass) for the modified Harris hip score and hip outcome score among patients undergoing surgical treatment for femoroacetabular impingement","volume":"2","author":"Chahal","year":"2014","journal-title":"Orthop J Sports Med"},{"key":"2025080113204063000_54.23.1382.25","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513494173"},{"key":"2025080113204063000_54.23.1382.26","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-14-135"},{"key":"2025080113204063000_54.23.1382.27","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1111\/1754-9485.12583","article-title":"Efficacy of flattening-filter-free beam in stereotactic body radiation therapy planning and treatment: a systematic review with meta-analysis","volume":"61","author":"Dang","year":"2017","journal-title":"J Med Imaging Radiat Oncol"},{"key":"2025080113204063000_54.23.1382.28","unstructured":"Cohen J . Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale, N.J: Lawrence Erlbaum Associates, 1988."},{"key":"2025080113204063000_54.23.1382.29","doi-asserted-by":"publisher","DOI":"10.2307\/2529310"},{"key":"2025080113204063000_54.23.1382.30","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsem-2015-000107"},{"key":"2025080113204063000_54.23.1382.31","doi-asserted-by":"publisher","DOI":"10.1177\/230949901101900109"},{"key":"2025080113204063000_54.23.1382.32","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1016\/j.pmrj.2012.03.012","article-title":"Clinical outcomes analysis of conservative and surgical treatment of patients with clinical indications of Prearthritic, intra-articular hip disorders","volume":"4","author":"Hunt","year":"2012","journal-title":"PM&R"},{"key":"2025080113204063000_54.23.1382.33","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2016-014658","article-title":"Efficacy of adding a physiotherapy rehabilitation programme to arthroscopic management of femoroacetabular impingement syndrome: a randomised controlled trial (fair)","volume":"7","author":"Bennell","year":"2017","journal-title":"BMJ Open"},{"key":"2025080113204063000_54.23.1382.34","doi-asserted-by":"crossref","first-page":"hnw046","DOI":"10.1093\/jhps\/hnw046","article-title":"The HAPI \u2018Hip Arthroscopy Pre-habilitation Intervention\u2019 study: does pre-habilitation affect outcomes in patients undergoing hip arthroscopy for femoro-acetabular impingement?","volume":"50","author":"Grant","year":"2017","journal-title":"J Hip Preserv Surg"},{"key":"2025080113204063000_54.23.1382.35","doi-asserted-by":"crossref","first-page":"204","DOI":"10.3138\/ptc.2016-34","article-title":"A pre-operative exercise intervention can be safely delivered to people with femoroacetabular impingement and improve clinical and biomechanical outcomes","volume":"69","author":"Guenther","year":"2017","journal-title":"Physiotherapy Canada"},{"key":"2025080113204063000_54.23.1382.36","doi-asserted-by":"crossref","unstructured":"Kemp J , Moore K , Fransen M , et al . A pilot randomised clinical trial of physiotherapy (manual therapy, exercise, and education) for early-onset hip osteoarthritis post-hip arthroscopy. Pilot and Feasibility Studies 2018;4.doi:10.1186\/s40814-017-0157-4","DOI":"10.1186\/s40814-017-0157-4"},{"key":"2025080113204063000_54.23.1382.37","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1016\/j.physio.2016.02.004","article-title":"Does treatment by a specialist physiotherapist change pain and function in young adults with symptoms from femoroacetabular impingement? A pilot project for a randomised controlled trial","volume":"103","author":"Smeatham","year":"2017","journal-title":"Physiotherapy"},{"key":"2025080113204063000_54.23.1382.38","doi-asserted-by":"crossref","first-page":"716","DOI":"10.1016\/j.jsams.2015.11.008","article-title":"Non-Operative management of femoroacetabular impingement: a prospective, randomized controlled clinical trial pilot study","volume":"19","author":"Wright","year":"2016","journal-title":"J Sci Med Sport"},{"key":"2025080113204063000_54.23.1382.39","doi-asserted-by":"crossref","first-page":"452","DOI":"10.2519\/jospt.2016.6279","article-title":"Movement-Pattern training to improve function in people with chronic hip joint pain: a feasibility randomized clinical trial","volume":"46","author":"Harris-Hayes","year":"2016","journal-title":"J Orthop Sports Phys Ther"},{"key":"2025080113204063000_54.23.1382.40","doi-asserted-by":"crossref","first-page":"307","DOI":"10.2519\/jospt.2018.7941","article-title":"The physiotherapy for femoroacetabular impingement rehabilitation study (physioFIRST): a pilot randomized controlled trial","volume":"48","author":"Kemp","year":"2018","journal-title":"J Orthop Sports Phys Ther"},{"key":"2025080113204063000_54.23.1382.41","doi-asserted-by":"crossref","first-page":"l185","DOI":"10.1136\/bmj.l185","article-title":"Arthroscopic hip surgery compared with physiotherapy and activity modification for the treatment of symptomatic femoroacetabular impingement: multicentre randomised controlled trial","volume":"9","author":"Palmer","year":"2019","journal-title":"BMJ"},{"key":"2025080113204063000_54.23.1382.42","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2019-101458"},{"key":"2025080113204063000_54.23.1382.43","doi-asserted-by":"crossref","first-page":"325","DOI":"10.2519\/jospt.2018.7931","article-title":"Arthroscopic surgical procedures versus sham surgery for patients with femoroacetabular impingement and\/or Labral tears: study protocol for a randomized controlled trial (HIPARTI) and a prospective cohort study (HARP)","volume":"48","author":"Risberg","year":"2018","journal-title":"J Orthop Sports Phys Ther"},{"key":"2025080113204063000_54.23.1382.44","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2015-095255"},{"key":"2025080113204063000_54.23.1382.45","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2018.12.004"},{"key":"2025080113204063000_54.23.1382.46","doi-asserted-by":"crossref","unstructured":"Kemp JL , Makdissi M , Schache AG , et al . Is quality of life following hip arthroscopy in patients with chondrolabral pathology associated with impairments in hip strength or range of motion? Knee Surgery, Sports Traumatology. Arthroscopy 2015:1\u20137.","DOI":"10.1007\/s00167-015-3679-4"},{"key":"2025080113204063000_54.23.1382.47","unstructured":"ACoS M . ACSM's guidelines for exercise testing and prescription. 10th ed. Philadelphia, PA: Wolters Kluwer\/Lippincott Williams & Wilkins, 2017."},{"key":"2025080113204063000_54.23.1382.48","doi-asserted-by":"crossref","unstructured":"Ishoi L , Thorborg K , Kraemer O , et al . Return to sport and performance after hip arthroscopy for femoroacetabular impingement in 18- to 30-year-old athletes: a cross-sectional cohort study of 189 athletes. Am J Sports Med 2018;363546518789070.","DOI":"10.1177\/0363546518789070"},{"key":"2025080113204063000_54.23.1382.49","doi-asserted-by":"crossref","unstructured":"Mosler AB , Kemp J , King M , et al . 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. Br J Sports Med 2019:bjsports-2019-101457. doi:10.1136\/bjsports-2019-101457","DOI":"10.1136\/bjsports-2019-101457"},{"key":"2025080113204063000_54.23.1382.50","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2016-096278"},{"key":"2025080113204063000_54.23.1382.51","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2016-096651"},{"key":"2025080113204063000_54.23.1382.52","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g1687"},{"key":"2025080113204063000_54.23.1382.53","doi-asserted-by":"publisher","DOI":"10.1007\/s00421-006-0238-1"},{"key":"2025080113204063000_54.23.1382.54","article-title":"Patient-Reported outcome measures for hip-related pain: a review of the available evidence and a consensus statement from the International Hip-related pain research network, Zurich 2018","author":"Impellizzeri","year":"2020","journal-title":"Br J Sports Med"}],"container-title":["British Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bjsports-2019-101690","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T20:20:51Z","timestamp":1754079651000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjsm.bmj.com\/lookup\/doi\/10.1136\/bjsports-2019-101690"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,6]]},"references-count":54,"journal-issue":{"issue":"23","published-online":{"date-parts":[[2020,11,18]]},"published-print":{"date-parts":[[2020,12]]}},"alternative-id":["10.1136\/bjsports-2019-101690"],"URL":"https:\/\/doi.org\/10.1136\/bjsports-2019-101690","relation":{},"ISSN":["0306-3674","1473-0480"],"issn-type":[{"value":"0306-3674","type":"print"},{"value":"1473-0480","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,6]]}}}