Evidence map›Paper›PMID 39953925›Full record

ArticlePM & R : the journal of injury, function, and rehabilitation2025

Patients' real-world engagement with movement pattern modifications for nonarthritic hip-related pain.

Abby L Cheng, Austin J Hannemann, Brian K Brady, Madeline M Pashos, Julia B Huecker, Karen Steger-May, Heidi Prather, John C Clohisy, Marcie Harris-Hayes

Abstract readMulticenter Study
In one paragraph

Article in PM & R : the journal of injury, function, and rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Abby L ChengDepartment of Orthopedic Surgery, Division of Physical Medicine and Rehabilitation, Washington University School of Medicine, St. Louis, Missouri, USA.ORCID 0000-0002-8166-0806
Austin J HannemannDepartment of Radiology, Washington University School of Medicine, St. Louis, Missouri, USA.
Brian K BradyDepartment of Orthopedic Surgery, Division of Physical Medicine and Rehabilitation, Washington University School of Medicine, St. Louis, Missouri, USA.
Madeline M PashosSchool of Medicine, University of Missouri, Columbia, Missouri, USA.
Julia B HueckerCenter for Biostatistics and Data Science, Washington University School of Medicine, St. Louis, Missouri, USA.
Karen Steger-MayCenter for Biostatistics and Data Science, Washington University School of Medicine, St. Louis, Missouri, USA.
Heidi PratherDepartment of Physical Medicine and Rehabilitation, Weill Cornell Medical College, New York, New York, USA.
John C ClohisyDepartment of Orthopedic Surgery, Division of Adult Reconstruction and Hip Preservation, Washington University School of Medicine, St. Louis, Missouri, USA.
Marcie Harris-HayesProgram in Physical Therapy and Department of Orthopedic Surgery, Washington University School of Medicine, St. Louis, Missouri, USA.ORCID 0000-0003-4274-1651

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI TIMOTHY J. EBERLEIN · 2001 to 2026
$128.0M
WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Washington University Institute of Clinical and Translational Sciences (TL1)TL1TR002344 · NCATS · WASHINGTON UNIVERSITY · PI Jay F. Piccirillo · 2017 to 2026
$8.5M
Predicting patient-reported outcomes in patients with pre-arthritic hip disordersK23AR074520 · NIAMS · WASHINGTON UNIVERSITY · PI CHENG, ABBY LING-LEE · 2019 to 2023
$881k
Alvin J. Siteman Cancer CenterDoris Duke Charitable FoundationNCATS NIH HHS TL1 TR002344NCATS NIH HHS UL1 TR002345NCI NIH HHS P30 CA091842NIAMS NIH HHS K23 AR074520NIH HHS K23AR074520NIH HHS P30CA091842NIH HHS TL1TR002344NIH HHS UL1TR002345Washington University in St. Louis
6 · The paper itself

Abstract

backgroundNonarthritic hip-related pain can cause chronic pain and disability. Movement pattern training is an effective nonoperative treatment when delivered via formal physical therapy, but some patients have limited access to physical therapy. Discussion of movement pattern training during a patient's initial visit to a medical provider could be a valuable addition to first-line management of hip pain. However, the general acceptability of movement pattern related activity modification is not yet known.

objectiveTo understand the real-world willingness of patients with nonarthritic hip-related pain to implement movement pattern modifications. A secondary goal was to explore adherence to movement pattern related activity modification after a single instructional session.

designProspective cohort study.

settingOutpatient clinics of two U.S. tertiary care academic medical centers.

participantsEighty-eight 15-40-year-old patients who were diagnosed by a musculoskeletal clinician with nonarthritic hip-related pain and advised to pursue nonoperative management.

interventionsParticipants received a single instructional session of movement pattern training principles, in addition to usual nonoperative care.

main outcome measuresThe primary outcome was the proportion of participants who reported implementing one or more movement pattern related activity modifications during the 12-week follow-up period. The secondary outcome was participants' self-reported proportion of time that movement pattern related activity modifications were implemented.

resultsEighty-eight participants enrolled (mean 27 [SD 8] years old, 81% (n = 71) female). By 12-week follow-up, 100% of the 80 retained participants implemented one or more movement pattern related activity modifications. Participants incorporated movement pattern modifications a median of 73% (interquartile range 50%-85%) of the time.

conclusionsParticipants with nonarthritic hip-related pain demonstrated high willingness to engage in movement pattern related activity modification, even after a single instructional session. Instruction in movement pattern training principles during an initial medical visit for nonarthritic hip-related pain may be a valuable, well-received addition to traditional first-line management.

Indexed as

ArthralgiaHip JointPhysical Therapy ModalitiesAdolescentAdultFemaleHumansMalePain MeasurementProspective StudiesYoung Adult

Identifiers

PMID39953925
PMCPMC12240717

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.