Greater Trochanteric Pain Syndrome of Both Lower Limbs
Conditions
Brief summary
The aim of this randomized controlled study is to investigate if the sequential administration of focused shock wave therapy and of a rehabilitation program based on the strengthening of gluteal muscles is more effective than a standard shock wave treatment for greater trochanteric pain syndrome
Interventions
Physiotherapy program (8 weeks)
Focused shock wave therapy (3 weeks)
Sponsors
Study design
Eligibility
Inclusion criteria
* Unilateral hip pain of four weeks or longer duration * Pain to palpation in the greater trochanteric area at physical examination * Pain in hip end-range abduction/rotation/adduction at physical examination * Gluteal tendinopathy, in absence of full thickness tears at a sonographic examination of the gluteal tendons * Adult age and written informed consent
Exclusion criteria
* No hip osteoarthritis, diagnosed according to Altman's criteria * No history of knee osteoarthritis * No history of rheumatologic diseases * No previous fractures or surgery in the affected limb * No clinical signs of lumbar radiculopathy at physical examination * No corticosteroid injections, since the onset of the current pain episode * No general contraindication to shock wave therapy (pregnancy, bleeding disorders or anticoagulant drug usage, cancer in the focal area)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| NRS Pain | 6 months | Change in lateral hip pain measured by the Numeric Rating Scale (NRS) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| EQ5D Quality of life | 12 months | Change in quality of life measured by EQ-5D-3L |
| VISA-G Disability | 12 months | Change in disability measured by VISA-G questionnaire |
| Functional capacity (strength of gluteal muscles) | 12 months | Change in functional capacity measured by MRC scale |
Countries
Italy