PMID- 37949567
OWN - NLM
STAT- MEDLINE
DCOM- 20231113
LR  - 20231128
IS  - 1532-9283 (Electronic)
IS  - 1360-8592 (Linking)
VI  - 36
DP  - 2023 Oct
TI  - A systematic review of conservative and surgical treatments for deep gluteal 
      syndrome.
PG  - 244-250
LID - S1360-8592(22)00161-9 [pii]
LID - 10.1016/j.jbmt.2022.12.003 [doi]
AB  - BACKGROUND AND OBJECTIVE: Conservative and surgical treatments, are recommended 
      as the primary treatment in the management of patients diagnosed with deep 
      gluteal syndrome; but evidence supporting superiority of one treatment over 
      another is lacking. The aim of this review is to systematically review the 
      effectiveness of treatments. DATABASES AND DATA TREATMENT: MEDLINE, EMBASE, Web 
      of Science, Scopus, AMED, Cochrane Library (Central Register of Controlled 
      Trials), and PEDro were screened (to 24 July 2019). Risk of bias of trials and 
      surgical case series were assessed using the Cochrane risk of bias tool and 
      Joanna Briggs Institute Critical appraisal checklists, respectively. Outcomes 
      were reductions in pain or disability. For each outcome, the minimum clinically 
      important difference (MCID) was calculated. A narrative synthesis was performed. 
      RESULTS: Out of 909 records, thirteen studies with 508 patients were included, 
      eight RCTs with 336 patients and 5 case series with 172 patients. Conservative 
      modalities were: infiltration into muscle of steroid, botulinum toxin, 
      thiochilcoside and colchicine. There was one RCT and five case series of surgery. 
      Only three trials reached an MCID in pain reduction for the intervention. The 
      five surgical studies reached a before and after MCID. Only one study showed an 
      MCID reduction in disability. The overall quality of evidence was low. 
      CONCLUSION: Given the low quality of evidence, no single conservative treatment 
      can be recommended over another. Clinicians should follow general guidelines on 
      the management of back pain and sciatica for first line treatment, namely 
      physiotherapy. Surgery may have a place for chronic cases.
CI  - Copyright (c) 2022 Elsevier Ltd. All rights reserved.
FAU - Hopayian, Kevork
AU  - Hopayian K
AD  - Centre for Primary Care and Population Health, University of Nicosia Medical 
      School, Cyprus. Electronic address: khopayian@me.com.
FAU - Mirzaei, Maryam
AU  - Mirzaei M
AD  - Department of Physiotherapy, School of Rehabilitation Sciences, Kermanshah 
      University of Medical Sciences, Kermanshah, Iran. Electronic address: 
      mirzaei.m.epid92@gmail.com.
FAU - Shamsi, MohammadBagher
AU  - Shamsi M
AD  - Department of Physiotherapy, School of Rehabilitation Sciences, Kermanshah 
      University of Medical Sciences, Kermanshah, Iran. Electronic address: 
      mbshamsi@yahoo.com.
FAU - Arab-Zozani, Morteza
AU  - Arab-Zozani M
AD  - Social Determinants of Health Research Center, Birjand University of Medical 
      Sciences, Birjand, Iran. Electronic address: arab.hta@gmail.com.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Review
PT  - Systematic Review
DEP - 20221220
PL  - United States
TA  - J Bodyw Mov Ther
JT  - Journal of bodywork and movement therapies
JID - 9700068
RN  - Hip socket neuropathy
SB  - IM
MH  - Humans
MH  - *Pain
MH  - *Sciatica
MH  - Physical Therapy Modalities
OTO - NOTNLM
OT  - Deep gluteal syndrome
OT  - Disability
OT  - Pain
OT  - Physiotherapy
OT  - Systematic review
COIS- Declaration of competing interest The authors declare that they have no competing 
      interests.
EDAT- 2023/11/11 11:42
MHDA- 2023/11/13 06:42
CRDT- 2023/11/10 21:01
PHST- 2022/02/18 00:00 [received]
PHST- 2022/12/11 00:00 [accepted]
PHST- 2023/11/13 06:42 [medline]
PHST- 2023/11/11 11:42 [pubmed]
PHST- 2023/11/10 21:01 [entrez]
AID - S1360-8592(22)00161-9 [pii]
AID - 10.1016/j.jbmt.2022.12.003 [doi]
PST - ppublish
SO  - J Bodyw Mov Ther. 2023 Oct;36:244-250. doi: 10.1016/j.jbmt.2022.12.003. Epub 2022 
      Dec 20.