Gluteal tendinopathy — DVA SoP factors

Reasonable Hypothesis (RH) — Statement of Principles No. 94 of 2023

At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting gluteal tendinopathy or death from gluteal tendinopathy with the circumstances of a person's relevant service:

1. (1)
   running or jogging an average of at least 30 kilometres per week for the 4 weeks before the clinical onset or clinical worsening of gluteal tendinopathy;
2. (2)
   undertaking weight bearing exercise involving repeated activity of the hip on the affected side for: (a) a minimum intensity of 5 METS; and (b) for at least 4 hours per week; and for at least the 4 weeks before the clinical onset or clinical worsening of gluteal tendinopathy;

   Note: Examples of weight bearing exercise involving repeated activity of the hip at a minimum intensity of 5 METS include marching, sustained brisk walking, climbing stairs, playing football, and dancing.

   Note: MET is defined in the Schedule 1 - Dictionary.

3. (3)
   increasing the frequency, duration or intensity of activity involving the hip on the affected side: (a) by at least 100 percent; and (b) to a minimum intensity of 5 METs; and (c) for at least 2 hours per day; within the one week before the clinical onset or clinical worsening of gluteal tendinopathy;

   Note: MET is defined in the Schedule 1 - Dictionary.

4. (4)
   having direct trauma to the affected tendon within the 4 weeks before the clinical onset or clinical worsening of gluteal tendinopathy;

   Note: direct trauma to the affected tendon is defined in the Schedule 1 - Dictionary.

5. (5)
   having surgery to the hip of the affected side within the 4 weeks before the clinical onset or clinical worsening of gluteal tendinopathy;
6. (6)
   having a systemic inflammatory disease before the clinical onset or clinical worsening of gluteal tendinopathy;

   Note: systemic inflammatory disease is defined in the Schedule 1 - Dictionary.

7. (7)
   having a significantly abnormal gait for at least the 4 weeks before the clinical onset or clinical worsening of gluteal tendinopathy;
8. (8)
   being obese at the time of the clinical onset or clinical worsening of gluteal tendinopathy;

   Note: being obese is defined in the Schedule 1 - Dictionary.

9. (9)
   inability to obtain appropriate clinical management for gluteal tendinopathy before the clinical worsening of gluteal tendinopathy;