The 1st International Hip-related Pain Research Network meeting discussed four prioritised themes concerning hip-related pain in young to middle-aged adults: (1) diagnosis and classification of hip-related pain; (2) patient-reported outcome measures for hip-related pain; (3) measurement of physical capacity for hip-related pain; (4) physiotherapist-led treatment for hip-related pain. Thirty-eight expert researchers and clinicians working in the field of hip-related pain attended the meeting. This manuscript relates to the theme of physiotherapist-led treatments for hip-related pain. A systematic review on the efficacy of physiotherapist-led interventions for hip-related pain (published separately) was conducted and found that strong evidence for physiotherapist-led treatments was lacking. Prior to the meeting, draft consensus recommendations for consideration in the meeting were also developed based on the systematic review. The draft consensus recommendations were presented to all of the meeting participants via email, at least 1 week prior to the meeting. At the meeting, these recommendations were discussed, revised and voted on. Six recommendations for clinical practice and five recommendations for research were included and all gained consensus. Recommendations for clinical practice were that (i) Exercise-based treatments are recommended for people with hip-related pain. (ii) Exercise-based treatment should be at least 3 months duration. (iii) Physiotherapist-led rehabilitation after hip surgery should be undertaken. (iv) Patient-reported outcome measures, measures of physical impairment and measures of psychosocial factors should be used to monitor response to treatment. (v) Physical activity (that may include sport) is recommended for people with hip-related pain. (vi) Clinicians should discuss patient expectations, use shared-decision making and provide education. Recommendations for research were (i) Reporting of exercise programmes: Exercise descriptors such as load magnitude, number of repetitions and sets, duration of whole programme, duration of contractile element of exercise, duration of one repetition, time under tension, rest between repetitions, range of motion through which the exercise is performed, and rest between exercise sessions should be reported. (ii) Research should investigate the optimal frequency, intensity, time, type, volume and progression of exercise therapy. (iii) Research should examine the effect of patient education in people with hip-related pain. (iv) Research should investigate the effect of other treatments used in people with hip-related pain (for example: manual therapy, medications, injections). (v) Research should examine the impact of comorbidities and social determinants on treatment effectiveness in people with hip-related pain. Clinicians and researchers working with young to middle-aged active adults with hip-related pain may use these consensus recommendations to guide, develop, test and implement individualised, evidence-based physiotherapist-led rehabilitation programmes.

中文翻译：

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物理治疗师主导的髋关节相关疼痛的年轻至中年活跃成年人的治疗：国际髋关节相关疼痛研究网络的共识建议，苏黎世 2018

第一次国际髋关节相关疼痛研究网络会议讨论了中青年髋关节相关疼痛的四个优先主题：（1）髋关节相关疼痛的诊断和分类；(2) 患者报告的髋部相关疼痛的结果测量；(3) 测量髋部相关疼痛的体能；(4) 物理治疗师主导的髋关节疼痛治疗。38 名从事髋关节相关疼痛领域的研究人员和临床医生参加了会议。这份手稿与物理治疗师主导的髋部相关疼痛治疗的主题有关。对物理治疗师主导的髋关节相关疼痛干预措施（单独发表）的有效性进行了系统评价，发现缺乏物理治疗师主导的治疗的有力证据。会前，供会议审议的协商一致建议草案也是根据系统审查拟定的。共识建议草案至少在会议前 1 周通过电子邮件提交给所有会议参与者。会上，对这些建议进行了讨论、修改和表决。包括六项临床实践建议和五项研究建议，均获得共识。对临床实践的建议是 (i) 建议对髋关节相关疼痛的患者进行基于运动的治疗。(ii) 基于运动的治疗应至少持续 3 个月。(iii) 髋关节手术后应进行物理治疗师主导的康复治疗。(iv) 患者报告的结果测量，应使用身体损伤的测量和社会心理因素的测量来监测对治疗的反应。(v) 建议有髋部相关疼痛的人参加体育活动（可能包括运动）。(vi) 临床医生应讨论患者的期望，使用共同决策并提供教育。研究建议是 (i) 运动计划报告：运动描述，例如负荷量、重复次数和组数、整个计划的持续时间、运动收缩元素的持续时间、一次重复的持续时间、紧张状态下的时间、重复之间的休息时间，应报告进行锻炼的运动范围，以及锻炼期间的休息时间。(ii) 研究应调查运动疗法的最佳频率、强度、时间、类型、量和进程。(iii) 研究应检查患者教育对髋关节相关疼痛患者的影响。(iv) 研究应调查其他治疗方法对髋关节相关疼痛患者的效果（例如：手法治疗、药物治疗、注射）。(v) 研究应检查合并症和社会决定因素对髋关节相关疼痛患者治疗效果的影响。与患有髋关节相关疼痛的年轻到中年活跃成年人一起工作的临床医生和研究人员可以使用这些共识建议来指导、开发、测试和实施个性化、循证物理治疗师主导的康复计划。药物、注射）。(v) 研究应检查合并症和社会决定因素对髋关节相关疼痛患者治疗效果的影响。与患有髋关节相关疼痛的年轻到中年活跃成年人一起工作的临床医生和研究人员可以使用这些共识建议来指导、开发、测试和实施个性化、循证物理治疗师主导的康复计划。药物、注射）。(v) 研究应检查合并症和社会决定因素对髋关节相关疼痛患者治疗效果的影响。与患有髋关节相关疼痛的年轻到中年活跃成年人一起工作的临床医生和研究人员可以使用这些共识建议来指导、开发、测试和实施个性化、循证物理治疗师主导的康复计划。