title: Physical and functional outcomes following multidisciplinary residential rehabilitation for prearthritic hip pain among young active UK military personnel.
abstract: BACKGROUND
  There are no studies describing the clinical outcomes of a residential, multidisciplinary team (MDT) rehabilitation intervention for patients with prearthritic hip pain. The aim of this cohort study was to describe the functional and physical outcomes of multidisciplinary residential rehabilitation for UK military personnel with prearthritic hip pain.
  
  
  METHODS
  Participants (N=40) with a mean age of 33 years referred to a specialist residential rehabilitation centre completed a comprehensive multidisciplinary residential intervention. The main outcome measures were mean pain, physical function (modified shuttle test (MST) and Y-balance test), hip range of motion (HROM) and a patient-reported outcome measure (The Copenhagen Hip and Groin Outcome Score, HAGOS). All scores for symptomatic hips were taken at baseline and post-treatment.
  
  
  RESULTS
  There were improvements in the Y-balance test and HROM following rehabilitation. There were significant improvements in mean difference (T1-to-T2) for Y-balance scores (15.8 cm, 95% CI 10.7 to 20.9, p<0.001), HROM (6.5° increase in hip flexion, 95% CI 4.6 to 9.4, p<0.001) and hip internal rotation (4.6°, 95% CI 2.7 to 6.6, p<0.001). Scores for HAGOS, pain, MST and functional activity assessment showed no improvement.
  
  
  CONCLUSIONS
  Among UK military personnel with prearthritic hip pain, MDT residential rehabilitation resulted in improvements in a functional Y-balance test, hip flexion and internal rotation. The study suggests short-term benefits across some outcomes for the current UK military approach to MDT residential rehabilitation.
authors.affiliation: Academic Department of Military Rehabilitation, Defence Medical Rehabilitation Centre (DMRC), Epsom, UK; Department for Health, University of Bath, Bath, UK.
authors.forename: Russell J
authors.initials: RJ
authors.lastname: Coppack
authors.affiliation: Department for Health , University of Bath , Bath , UK.
authors.forename: James L
authors.initials: JL
authors.lastname: Bilzon
authors.affiliation: School of Clinical Sciences, University of Bristol , Bristol , UK.
authors.forename: Andrew K
authors.initials: AK
authors.lastname: Wills
authors.affiliation: Centre for Lower Limb Rehabilitation, Defence Medical Rehabilitation Centre (DMRC) , Epsom , UK.
authors.forename: Ian M
authors.initials: IM
authors.lastname: McCurdie
authors.affiliation: Centre for Lower Limb Rehabilitation, Defence Medical Rehabilitation Centre (DMRC) , Epsom , UK.
authors.forename: Laura K
authors.initials: LK
authors.lastname: Partridge
authors.affiliation: Centre for Lower Limb Rehabilitation, Defence Medical Rehabilitation Centre (DMRC) , Epsom , UK.
authors.forename: Alastair M
authors.initials: AM
authors.lastname: Nicol
authors.affiliation: Academic Department of Military Rehabilitation, Defence Medical Rehabilitation Centre (DMRC), Epsom, UK; Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK.
authors.forename: Alexander N
authors.initials: AN
authors.lastname: Bennett
keywords: Hip; Intervention efficacy; Physiotherapy; Rehabilitation; Young