Consensus recommendations for clinical practice | Level of evidence supporting recommendation | Median | IQR | Mode | Consensus score result | Number participants voting | |
C1. | Exercise-based treatments are recommended for people with hip-related pain. | Moderate5 12 14 | 9 | 8–9 | 9 | Appropriate | 37 |
C2. | Exercise-based treatment should be at least 3 months duration. | Limited14 | 7 | 7–8 | 7 | Appropriate | 37 |
C3. | Physiotherapist-led rehabilitation after hip surgery should be undertaken. | Limited13 18 | 9 | 8–9 | 9 | Appropriate | 37 |
C4. | PROMs, measures of physical impairment and measures of psychosocial factors should be used to monitor response to treatment. | Insufficient | 9 | 8–9 | 9 | Appropriate | 37 |
C5. | Physical activity (which may include sport) is recommended for people with hip-related pain. | Insufficient | 9 | 8–9 | 9 | Appropriate | 37 |
C6. | Clinicians should discuss patient expectations, use shared-decision making and provide education. | Insufficient | 9 | 8–9 | 9 | Appropriate | 37 |
Consensus recommendations for Research | Level of evidence supporting recommendation | Median | IQR | Mode | Consensus score result | Number of participants voting | |
R1. | 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. | Moderate4 5 12 14 | 9 | 9 | 9 | Appropriate | 36 |
R2. | Development of high-quality exercise programmes. We need research to investigate the optimal frequency, intensity, time, type, volume and progression of exercise therapy. | Moderate4 5 | 9 | 7–9 | 9 | Appropriate | 28 |
R3. | Research should examine the effect of patient education in people with hip-related pain. | Insufficient* | 8 | 7–9 | 9 | Appropriate | 36 |
R4. | Research should investigate the effect of other treatments used in people with hip-related pain. | Insufficient* | 8 | 8–9 | 9 | Appropriate | 35 |
R5. | Research should examine the impact of comorbidities and social determinants on treatment effectiveness in people with hip-related pain. | Insufficient* | 9 | 9 | 9 | Appropriate | 36 |
Scores 0–3 were considered inappropriate, scores of 4–6 were considered uncertain and scores of 7–9 were considered appropriate.
Not all participants were able to be present for all voting procedures due to other commitments.
*Absence of knowledge noted and prioritised as area for future research by expert group.
C, Consensus recommendation for clinical practice;PROMs, patient-reported outcome measures; R, consensus recommendation for research.