《髋痛与活动受限——髋骨关节炎物理治疗临床实践指南(2025版)》更新解读OA

Hip osteoarthritis(HOA)is a common chronic degenerative disease that leads to hip pain,restricted mobility,and functional decline.Conservative management plays a central role throughout the disease course.The American Physi-cal Therapy Association and its related academic institutions published the clinical practice guideline titled Hip Pain and Mobility Deficits-Hip Osteoarthritis.Following the first revision in 2017,the 2025 version serves as the second update,placing further emphasis on evidence for physical therapy interventions.This article provides a comparative interpretation of the key updates in the 2025 guideline,including diagnostic classification,the imaging pathway,outcome measures and assessment,and intervention recommendations.The aim is to offer clinicians actionable references for stratified manage-ment strategies and to promote standardized assessment and clinical treatment for patients with HOA.