None listed
Conditions
Brief summary
Gluteal tendinopathy (GT) is a common, debilitating musculoskeletal condition, most often seen in middle aged females, and sedentary overweight people. The resultant lateral hip pain leads to reduction in physical activity and often poor sleep, which may impact on general health and well-being, as well as quality of life and employment status. It has been proposed that compressive loading is a factor that contributes to the development of insertional tendinopathy. Compressive loading of the gluteal tendons occurs between the iliotibial band (ITB) and the greater trochanter in positions of hip adduction. Daily postures, such as sitting with knees crossed, standing ‘hanging on one hip’ in adduction, and side-lying, may contribute to cumulative compression on the tendons. The impact of this can be imparted to the patient through education, which has been proposed as a key component of load management. Tendon loading can be controlled by postural changes, avoidance of aggravating activities, and regulation of physical activity volumes and intensities. Most literature suggests a multimodal program of education in addition to appropriate exercise prescription. A randomized controlled trial recently demonstrated that a multimodal load management program in the form of advice and practical strategies in addition to exercises in GT was superior in terms of pain reduction and perceived rating of improvement in the overall condition to corticosteroid injection or a wait and see approach in both the short and long term. To date, the impact of load management through education alone has not been investigated. Therefore, the primary aim of this study is to: 1.Investigate the efficacy of online education/information material on global rating of change in individuals with gluteal tendinopathy. The secondary aims of this study are to: 2. Evaluate the patients’ perceptions of the education brochure by assessing quantitative and qualitative questionnaires at 6 weeks. 3. Assess possible prognostic variables of pain and disability for gluteal tendinopathy at 12 months
Interventions
The GTED online education brochure. This seven (7) page brochure provides an explanation of gluteal tendinopathy and advice on how to modify load on the gluteal tendons. It is based on current evidence and in consultation with patients, clinicians and researchers. This brochure will be provided on-line, and participants will be able to access it on personal computers, tablets or mobile devices. They will be able to print it as well. The brochure should take approximately 15 to 20 minutes to read
The GTED online education brochure. This seven (7) page brochure provides an explanation of gluteal tendinopathy and advice on how to modify load on the gluteal tendons. It is based on current evidence and in consultation with patients, clinicians and researchers. This brochure will be provided on-line, and participants will be able to access it on personal computers, tablets or mobile devices. They will be able to print it as well. The brochure should take approximately 15 to 20 minutes to read. Assessment of adherence depends on patient response to Question 1 of the evaluation questionnaire sent to them at 6 weeks, which simply asks "Did you read the brochure?", before continuing with further questions re brochure evaluation.
Sponsors
Prof Bill Vicenzino
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
Participants are eligible if they answered appropriately all questions in the online screening tool: (1) have lateral hip pain; (2) experience lateral hip pain while lying on their side; (3) do not have difficulties with manipulating shoes and socks; (4) rate their lateral hip pain as equal to or greater than a 3/10 on a pain numeric rating scale; (5) experience lateral hip pain on most days of the week and this is the most predominant pain in their body, (6) and experience lateral hip pain or an increase in this pain within 30 seconds of performing a single leg stance.
Exclusion criteria
Participants will be excluded by the online screening process if they do not fulfill the criteria required by the screening questionnaire, if younger than 18 or older than 70 years, if they have experienced lateral hip pain for less than three months, or if they have had physiotherapy treatment or a corticosteroid injection for their hip in the last six months.
Outcome results
None listed