Patients' real-world engagement with movement pattern modifications for nonarthritic hip-related pain.
Abby L Cheng, Austin J Hannemann, Brian K Brady and 6 others
PMID 39953925WHAT IT FOUND
All 80 patients with hip pain who completed follow-up tried changing their movement patterns after one brief instructional session.
Most did this independently rather than with a physical therapist, sustaining the changes over 12 weeks. This suggests patients are willing to self-manage these modifications.
Key findings
01Every participant who completed follow-up reported implementing at least one movement pattern modification during the 12-week study period.
02Participants incorporated these modifications a median of 73% of the time, with adherence remaining stable from week 2 to week 12.
03Most participants implemented the modifications exclusively on their own, rather than relying on instruction from a physical therapist.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
The study was descriptive and did not measure clinical outcomes like pain reduction or function, so it cannot prove that these modifications improve health. Adherence and implementation were self-reported and not objectively verified, so it is unclear if patients performed the movements correctly. Participants were allowed to pursue other treatments simultaneously (e.g., physical therapy, injections, medication), so the specific contribution of the movement modifications alone cannot be isolated. The cohort was predominantly female (80.7%) and lacked racial and ethnic diversity, limiting generalizability to other populations. The study population consisted of patients seeking specialty musculoskeletal care for chronic pain, which may not reflect those seen in primary care or those with acute onset.
Declared interests
One author (JCC) reported financial relationships with multiple medical device companies (MicroPort, Medtronic, Globus Medical, Cytex) and publishing entities. The funders (NIH and non-U.S. government sources) played no role in the design, conduct, or reporting of the study.
The easy way to misread this
Do not interpret the 100% engagement rate as evidence that movement pattern modification reduces pain or improves function. This study only measured whether patients were willing to try the modifications, not whether the modifications worked clinically.