Objective To report the effectiveness of physiotherapist-led interventions in improving pain and function in young and middle-aged adults with hip-related pain. Design Systematic review and meta-analysis. Data sources A comprehensive, reproducible search strategy was performed on five databases in May 2019. Reference lists and grey literature were also searched. Eligibility criteria for selecting studies Population: people aged ≥18 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. Results 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 (−0.32 (95% CI 0.57 to 0.07)) favouring hip arthroscopy over physiotherapist-led treatment. Conclusion 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. PROSPERO registration number CRD42018089088.

中文翻译：

---

改善髋部相关疼痛患者的功能：对物理治疗师主导的髋部相关疼痛干预措施的系统回顾和荟萃分析


目的 报告物理治疗师主导的干预措施在改善青壮年髋部相关疼痛的疼痛和功能方面的有效性。设计系统回顾和荟萃分析。数据来源 2019 年 5 月，对五个数据库进行了全面、可重复的检索策略。还检索了参考文献列表和灰色文献。选择研究的资格标准 人群：年龄≥18 岁、患有髋部相关疼痛的人（有或没有诊断为股骨髋臼撞击综合征）。干预措施：物理治疗师主导的髋部疼痛干预措施。比较：假治疗、不治疗或其他治疗（例如髋关节镜手术）。结果：主要结果包括患者报告的髋部疼痛和功能。次要结果包括身体功能测量。结果共鉴定出1722篇论文。应用排除标准后，纳入 14 项研究进行分析。他们有不同的偏见风险。尚无物理治疗师主导治疗的全面安慰剂对照随机对照试验 (RCT)。汇总效果范围从中度效果（0.67（95% CI 0.07至1.26））到关节镜检查后有利于物理治疗师主导的干预而不是不治疗，到弱效果（-0.32（95% CI 0.57至0.07））有利于髋关节镜检查而不是物理治疗师。主导治疗。结论 物理治疗师主导的干预措施可能会改善患有髋部相关疼痛的青壮年患者的疼痛和功能，但需要进行全面的高质量 RCT 研究。 PROSPERO 注册号 CRD42018089088。