Hip-related pain can significantly impact quality of life, function, work capacity, physical activity and family life. Standardised measurement methods of physical capacity of relevance to young and middle-aged active adults with hip-related pain are currently not established. The aim of this consensus paper was to provide recommendations for clinical practice and research on standardised measurement methods of physical capacity in young and middle-aged active adults with hip-related pain. Four areas of importance were identified: (1) clinical measures (range of motion, muscle strength, functional impairments), (2) laboratory-based measures (biomechanics and muscle function (muscle activity, size and adiposity)), (3) physical activity, and (4) return to sport/performance. The literature was reviewed, and a summary circulated to the working group to inform discussion at the consensus meeting. The working group developed clinical and research recommendations from the literature review, which were further discussed and modified within the working group at the consensus meeting. These recommendations were then presented to all 38 International Hip-related Pain Research Network (IHiPRN) participants for further discussion, refinement and consensus voting. Therefore, the recommendations voted on were based on a combination of current evidence and expert opinion. The consensus meeting voted on 13 recommendations, six of which were clinically orientated, and seven more research specific. We recommended that clinicians working with young and middle-aged active adults with hip-related pain assess strength using objective methods of measurement, and clinically assess performance of functional tasks, including walking and running. Physical activity should be quantified using both self-reported and objective measures, and patient expectations of recovery should be quantified prior to treatment. It was recommended that return to physical activity (including sport and occupation) be quantified, and sport-specific activities should be assessed prior to return to sport. The IHiPRN participants were uncertain regarding recommendations for range of motion assessment. Research recommendations were that the measurement properties of range of motion, strength and functional performance tests be investigated, reported and improved in both clinical and research settings. Reporting of movement-related parameters (biomechanics and muscle function) should be standardised and the relationship among movement-related parameters, symptoms, function, quality of life, and intra-articular and imaging findings should be investigated. Quantification of return to physical activity (including sport and occupational demands) is required in future research, and the return to sport continuum should be used. Future research is required to determine the best criteria for rehabilitation progression and return to physical activity following hip-related pain management.

中文翻译：

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对患有髋部相关疼痛的年轻和中年活跃成年人身体能力的标准化测量：来自第一次国际髋部相关疼痛研究网络 (IHiPRN) 会议的建议，苏黎世，2018

与髋关节相关的疼痛会显着影响生活质量、功能、工作能力、身体活动和家庭生活。目前尚未建立标准化的体力测量方法，适用于患有髋部相关疼痛的年轻和中年活跃的成年人。本共识文件的目的是为患有髋部相关疼痛的年轻和中年活跃成人身体能力的标准化测量方法的临床实践和研究提供建议。确定了四个重要领域：（1）临床测量（运动范围、肌肉力量、功能障碍），（2）基于实验室的测量（生物力学和肌肉功能（肌肉活动、大小和肥胖）），（3）身体活动，以及 (4) 恢复运动/表现。查阅文献，以及分发给工作组的摘要，以便在共识会议上进行讨论。工作组从文献综述中制定了临床和研究建议，并在工作组内在共识会议上进一步讨论和修改。然后将这些建议提交给所有 38 位国际髋关节相关疼痛研究网络 (IHiPRN) 的参与者，以供进一步讨论、完善和共识投票。因此，投票通过的建议是基于当前证据和专家意见的结合。共识会议对 13 项建议进行了投票，其中 6 项是临床导向的，另外 7 项是针对特定研究的。我们建议临床医生使用客观的测量方法评估年轻和中年活跃的髋部相关疼痛的成年人的力量，并临床评估功能性任务的表现，包括步行和跑步。应该使用自我报告和客观测量来量化身体活动，并且应该在治疗前量化患者对康复的期望。建议对恢复体力活动（包括运动和职业）进行量化，并且在恢复运动之前应评估特定于运动的活动。IHiPRN 参与者对运动范围评估的建议不确定。研究建议是在临床和研究环境中调查、报告和改进运动范围、力量和功能性能测试的测量特性。运动相关参数（生物力学和肌肉功能）的报告应标准化，并应调查运动相关参数、症状、功能、生活质量以及关节内和影像学发现之间的关系。未来的研究需要量化恢复体力活动（包括运动和职业需求），并应使用恢复运动连续体。未来的研究需要确定在髋关节相关疼痛管理后康复进展和恢复体力活动的最佳标准。应该使用回归运动连续体。未来的研究需要确定在髋关节相关疼痛管理后康复进展和恢复体力活动的最佳标准。并且应该使用回归运动连续体。未来的研究需要确定在髋关节相关疼痛管理后康复进展和恢复体力活动的最佳标准。