Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20200031
Brazilian Journal of Pain
Review Article

Evaluation and physiotherapeutic management of the greater major trochanteric pain syndrome: integrative review

Avaliação e manejo fisioterapêutico na síndrome da dor trocantérica maior: revisão integrativa

Kamilla Maria Sousa de Castro; Erislane Natália de Oliveira Silva

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Abstract

BACKGROUND AND OBJECTIVES: The greater trochanteric pain syndrome is a painful condition that involves changes in the gluteus medius and gluteus minimus, which can interfere with the performance of functional tasks. The study aimed to analyze the conservative treatment strategies for pain management, the instruments, and provocative tests used in the evaluation of this syndrome.

CONTENTS: A systematic search for articles published in indexed journals in the Medline, Scielo, PEDro, Cochrane Library, VHL Regional Portal, ScienceDirect database was conducted, using AND and OR Boolean operators for the primary “Gluteal tendinopathy” crossing with the secondary descriptors “AND conservative treatment; AND rehabilitation; AND physiotherapy; AND management; AND physiotherapy treatment; OR greater trochanteric pain; OR trochanteric syndrome”, in English and Portuguese, from 2014 to 2019. The primary outcome aimed to identify the conservative treatment and/or combined for pain management, and the secondary outcome aimed to outline the instruments and tests to assess the greater trochanteric pain syndrome.

CONCLUSION: Given the lack of studies and the difficulty of consensus among authors, it was not possible to reach conclusions about the efficacy of the protocols.

Keywords

Conservative treatment, Femur, Pain, Physical therapy, Rehabilitation

Resumo

JUSTIFICATIVA E OBJETIVOS: A síndrome da dor trocantérica maior é um quadro doloroso com alterações nos glúteos médio e mínimo, podendo interferir no desempenho de tarefas funcionais. O objetivo foi analisar as estratégias do tratamento conservador para o manejo da dor, e os instrumentos e testes provocativos para a avaliação dessa síndrome.

CONTEÚDO: Foi realizada busca sistemática por artigos publicados em revistas indexadas nas bases de dados Medline, Scielo, PEDro, Cochrane Library, Portal Regional da BVS, ScienceDirect, utilizando operadores booleanos AND e OR, para o descritor primário “Gluteal tendinopathy” cruzando com os descritores secundários “AND conservative treatment; AND rehabilitation; AND physiotherapy; AND management; AND physiotherapy treatment; OR greater trochanteric pain; OR trochanteric syndrome”, em inglês e português, de 2014 a 2019. O desfecho primário visou identificar o tratamento conservador e/ou combinados no manejo da dor, e o desfecho secundário visou delinear os instrumentos e testes para a avaliação da síndrome da dor trocantérica maior.

CONCLUSÃO: A escassez de estudos e a dificuldade de consenso entre autores, inviabilizou conclusões acerca da eficácia dos protocolos.

Palavras-chave

Dor, Fêmur, Fisioterapia, Reabilitação, Tratamento conservador

References

Mellor R, Bennell K, Grimaldi A, Nicolson P, Kasza J, Hodges P. Education plus exercise versus corticosteroid injection use versus a wait and see approach on global outcome and pain from gluteal tendinopathy: prospective, single blinded, randomized clinical trial. BMJ. 2018;2(361):k662.

Nurkovic J, Jovasevic L, Konicanin A, Bajin Z, Ilic KP, Grbovic V. Treatment of trochanteric bursitis: our experience. J Phys Ther Sci. 2016;28(7):2078-81.

Habib G, Elias S, Abu-Elhaija M, Sakas F, Khazin F, Artul S. The effect of local injection of methylprednisolone acetate on the hypothalamic-pituitary-adrenal axis among patients with greater trochanteric pain syndrome. Clin Rheumatol. 2017;36(4):959-63.

Seo KH, Lee JY, Yoon K, Do JG, Park HJ, Lee SY. Long-term outcome of low-energy extracorporeal shockwave therapy on gluteal tendinopathy documented by magnetic resonance imaging. PLoS One. 2018;13(17).

Allison K, Vicenzino B, Wrigley TV, Grimaldi A, Hodges PW, Bennell KL. Hip abductor muscle weakness in individuals with gluteal tendinopathy. Med Sci Sports Exerc. 2016;48(3):346-52.

Ganderton C, Semciw A, Cook J, Pizzari T. Does menopausal hormone therapy (MHT), exercise or a combination of both, improve pain and function in post-menopausal women with greater trochanteric pain syndrome (GTPS): A randomised controlled trial. BMC Womens Health. 2016;16:32.

Fearon AM, Cook JL, Scarvell JM, NeemanT. Cormick W, Smith PN. Greater trochanteric pain syndrome negatively affects work, physical activity and quality of life: a case control study. J Arthroplasty. 2014;29(2):383-6.

Grimaldi A, Mellor R, Hodges P, Bennell K, Wajswelner H, Vicenzino B. Gluteal tendinopathy: a review of mechanisms, assessment and management. Sports Med. 2015;45(8):1107-19.

Ganderton C, Semciw A, Cook J, Moreira E, Pizzari T. Gluteal loading versus sham exercises to improve pain and dysfunction in postmenopausal women with greater trochanteric pain syndrome: a randomized controlled trial. J Womens Health. 2018;27(6):815-29.

Grimaldi A, Fearon A. Gluteal tendinopathy: integrating pathomechanics and clinical features in its management. J Orthop Sports PhysTher. 2015;45(11):910-22.

Mellor R, Grimaldi A, Wajswelner H, Hodges P, Abbott JH, Bennell K. Exercise and load modification versus corticosteroid injection versus 'wait and See' for persistent gluteus medius/minimus tendinopathy (the LEAP trial): a protocol for a randomized clinical trial. BMC Musculoskelet Disord. 2016;17:196.

Mulligan EP, Middleton EF, Brunette M. Evaluation and management of greater trochanter pain syndrome. PhysTher Sport. 2015;16(3):205-14.

Reid D. The management of greater trochanteric pain syndrome: a systematic literature review. J Orthop. 2016;13(1):15-28.

Schwartsmannr CR, Loss F, de Freitas Spinelli L, Furian R, Silva MF, Zanatta JM. Associação entre bursite trocantérica, osteoartrose e artroplastia total do quadril. Rev Bras Ortop. 2014;49(3):267-70.

Ganderton C, Semciw A, Cook J, Pizzari T. Demystifying the clinical diagnosis of greater trochanteric pain syndrome in women. J Womens Health. 2017;26(6):633-43.

Lin CY, Fredericson M. Greater trochanteric pain syndrome: an update on diagnosis and management. Curr Phys Med Rehabil Rep. 2015;3:60-6.

Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs. 2005;52(5):546-53.

Hopia H, Latvala E, Liimatainen L. Reviewing the methodology of an integrative review. Scand J Caring Sci. 2016;30(4):662-9.

Cook CE, Hegedus EJ. Orthopedic physical examination tests: an evidence-based approach. 2013.

Hirschmann A, Falkowski AL, Kovacs B. Greater trochanteric pain syndrome: abductors, external rotators. Semin Musculoskelet Radiol. 2017;21(5):539-46.

Grimaldi A. Conservative management of lateral hip pain: the future holds promise. Br J Sports Med. 2017;51(2):72-3.

Speers CJ, Bhogal GS. Greater trochanteric pain syndrome: a review of diagnosis and management in general practice. Br J Gen Pract. 2017;67(663):479-80.

Park KD, Lee WY, Lee J, Park MH, Ahn JK, Park Y. Factors associated with the outcome of ultrasound-guided trochanteric bursa injection in greater trochanteric pain syndrome: a retrospective cohort study. Pain Physician. 2016;19(4):547-57.

Vicenzino B. Tendinopathy: Evidence-informed physical therapy clinical reasoning. J Orthop Sports PhysTher. 2015;45(11):816-8.

Torres A, Fernández-Fairen M, Sueiro-Fernández J. Greater trochanteric pain syndrome and gluteus medius and minimus tendinosis: nonsurgical treatment. Pain Manag. 2018;8(1):45-55.

Fitzpatrick J, Bulsara MK, O'Donnel J, McCrory PR, Zheng MH. The effectiveness of platelet-rich plasma injections in gluteal tendinopathy: a randomized, double-blind controlled trial comparing a single platelet-rich plasma injection with a single corticosteroid. Am J Sports Med. 2018;46(4):933-9.

Chowdhury R, Naaseri S, Lee J, Rajeswaran G. Imaging and management of greater trochanteric pain syndrome. Postgrad Med J. 2014;90(1068):576-81.

Morton S, Chan O, Price J, Pritchard M, Crisp T, Perry JD, Morrissey D. High volume image-guided injections and structured rehabilitation improve greater trochanter pain syndrome in the short and medium term: a combined retrospective and prospective case series. Muscles Ligaments Tendons J. 2015;5(2):73-87.

Redmond JM, Chen AW, Domb BG. Greater trochanteric pain syndrome. J Am Acad Orthop Surg. 2016;24(4):231-40.

French HP, Jong CC, McCallan M. Do features of central sensitisation exist in Greater trochanteric pain syndrome (GTPS): a case control study. Musculoskelet Sci Pract. 2019;43:6-11.

Fearon AM, Ganderton C, Scarvell JM, Smith PN, Neeman T, Nash C, Cook JL. Development and validation of a VISA tendinopathy questionnaire for greater trochanteric pain syndrome, the VISA-G. Man Ther. 2015;20(6):805-13.


Submitted date:
12/06/2019

Accepted date:
03/26/2020

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