None listed
Conditions
Brief summary
Hip pain is a common condition that results in a reduction of activity, reduced work participation and reduced quality of life. Greater trochanteric pain syndrome (GTPS), considered to be primarily due to gluteal tendinopathy, is a common cause of hip pain in women over the age of 45. Women with GTPS have been shown to have an altered gait which is thought to aggravate, if not perpetuate, the pathology. Cortsone injection is the most common form of treatment for this condition, however, cortisone can cause tissue damage and is frequently associated with poor long term results. We need an alternative to cortisone that will provide pain relief without the long term negative consequences. We plan to undertake a study to test if flexible Dynamic sports tape is able to correct the gait changes seen in this population, and if it can reduce the associated pain reported by people with GTPS. 35 women with a 3 month history of GTPS will be recruited. Their gait will be evaluated via VICOM motion analysis system under three conditions: 1) base line gait, 2) Dyanamic tape applied with a 30% stretch, and 3) Dynamic tape applied without stretch. The latter two will be undertaken in random order. The final application of tape will be left on the participant for one week. One of the researchers will call the participants at the end of the week to ask them to report the level of their hip pain. The main outcome measurement is the amount of hip movement towards the midline – during the standing phase of gait. This is measured in Nm/WB.Ht. We will assess if the Dynamic tape can change this in women with GTPS. The second outcome measure is pain. We will measure this via a verbal rating score of 0 to 10, with 0 being no pain, and 10 being the worst pain imaginable. Women will be asked to rate their pain prior to walking, during each trial, and one week post walking.
Interventions
This is a non-drug trial. Participants will have Dynamic tape (TM) - a form of elastic sports tape, applied to the side of their painful hip. The tape will be applied by a final year physiotherapy student specifically trained to do this, under the supervision of a physiotherapist with 30 yrs experience, and three degrees.
The tape will be applied twice in the same day using an identical pattern, but with a difference in stretch application. The order of application will be randomly assigned.
This is a non-drug trial. Participants will have Dynamic tape (TM) - a form of elastic sports tape, applied to the side of their painful hip. The tape will be applied by a final year physiotherapy student specifically trained to do this, under the supervision of a physiotherapist with 30 yrs experience, and three degrees. The tape will be applied twice in the same day using an identical pattern, but with a difference in stretch application. The order of application will be randomly assigned. One application will be with no stretch applied, and the alternative application is with the recommended amount of stretch of 25% applied. The first application will follow the base line gait assessment, and will be in place for about 20 minutes while the participant undertakes a second gait assessment. The second application will follow a washout period. The washout period is 25 minutes in duration and includes ascending and descending 25 steps. The participant will then immediately undertake a third gait assessment. The participant will then leave the second application on for up to 7 days. (Please see below) Immediately after each tape application, the participant will be asked to walk approximately 300m. During walking their movement will be captured using a VICOM motion capture system. Following the second tape application and gait assessment the participant will be invited to leave the tape in place for up to one week. At the end of that week the student will call the participant to ask for an average pain rating. The study will be conducted in a university health research setting. After each application, the participant will be asked to walk approximately 300m. During walking their movement will be captured using a VICOM motion capture system. The final application of tape will be left on for one week. At the end of that week the student will call the participant to ask for an average pain rating. The study will be conducted in a university health research setting. Adherence to tape application will be monitored during the gait assessment. At the end of the follow up period the student will ask the participant how long they left the tape in place for.
Sponsors
University of Canberra
Study design
Allocation
Randomised controlled trial
Intervention model
Crossover
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Minimum 3 month history of greater trochanteric pain syndrome (pain on the lateral side of the hip, pain on palpation of the greater trochanter). A average pain score of greater then 2 on an 11 point scale on most days for the preceding week. Pain on the lateral side of the hip, pain on palpation of the greater trochanter and a positive result to one or more of the FABER (flexion, abduction, external rotation) test, the single leg stance test or the resisted FADER (flexion, adduction, external rotation) test.
Exclusion criteria
Low back pain of more then 2 on an 11 point scale on most days for the preceding week. Pain referral pattern continuous from the lumbar spine into the buttocks, thigh or leg. Lumbar radiculopathy Systemic inflammatory disease Neurological disease, e.g. Parkinson's disease Bone cancer People who are unable to provide informed consent in English. Groin pain reproduction with medial rotation or the FABER test If the ultrasound finds no evidence of gluteal tendinopathy. Anyone allergic to sports tape.
Outcome results
None listed