Benefits of a Specific and Supervised Rehabilitation Program in Femoroacetabular Impingement Patients Undergoing Hip Arthroscopy: A Randomized Control Trial
| Autor: | Sergio Montero-Navarro, Jordi Puig-Torregrosa, Javier Sanz-Reig, José M. Botella-Rico, Jaume Morera-Balaguer, Jesús Sánchez-Más, Alexis Müller-Torrente, Jesús Más-Martínez |
|---|---|
| Přispěvatelé: | Producción Científica UCH 2021, UCH. Departamento de Ciencias Biomédicas, UCH. Departamento de Enfermería y Fisioterapia |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Hip joint - Rehabilitation medicine.medical_treatment Provocation test Arthroscopy Femoroacetabular impingement syndrome - Physical therapy Article law.invention rehabilitation 03 medical and health sciences 0302 clinical medicine hip arthroscopy Randomized controlled trial law medicine In patient physical therapy Artroscopia Femoroacetabular impingement Síndrome de pinzamiento femoroacetabular - Fisioterapia femoroacetabular impingement 030222 orthopedics Rehabilitation business.industry 030229 sport sciences General Medicine medicine.disease Cadera - Rehabilitación Anesthesia Orthopedic surgery Medicine Hip arthroscopy Range of motion business |
| Zdroj: | Journal of Clinical Medicine Volume 10 Issue 14 CEU Repositorio Institucional Fundación Universitaria San Pablo CEU (FUSPCEU) Journal of Clinical Medicine, Vol 10, Iss 3125, p 3125 (2021) |
| ISSN: | 2077-0383 |
| DOI: | 10.3390/jcm10143125 |
| Popis: | (1) To assess the efficacy of a specific rehabilitation protocol for femoroacetabular impingement syndrome (FAIS), patients who underwent hip arthroscopy (HA) were compared with a control group. (2) Patients with symptomatic FAIS who were scheduled for HA were randomized either to a control group (n = 45, 66.6% men, 41.8 ± 12.4 years) following a general post-surgical treatment protocol or to an experimental group (n = 45, 71.2% men, 40.9 ± 7.6 years) following a specific rehabilitation protocol supervised by a physiotherapist. Range of motion (ROM), orthopedic tests and pain were assessed immediately before surgery and at 4 and 14 weeks after surgery. The hip functional status was assessed by the modified Harris Hip Score (mHHS) before surgery and at the end of follow-up. (3) At 14 weeks after surgery and compared with the control group, the experimental group showed a lower percentage of positives for hip provocation tests (15.6% vs. 46.6% on Faber test 15.6% vs. 77.8% on Fadir test 2.2% vs. 20% on Ober test, experimental vs. control group, p < 0.001), a greater improvement in mHHS (27.2 vs. 10.7 points, p < 0.001) and higher ROM for all the movements evaluated: flexion (99.6 ± 12.2 vs. 89.6 ± 4.5, p < 0.001), extension (20.6 ± 5.8 vs. 13.3 ± 2.6, p < 0.001), adduction (30.6 ± 5.7 vs. 23.4 ± 8.4, p < 0.001), abduction (43.4 ± 10.7 vs. 32.8 ± 8.4, p < 0.001) and both internal (28.2 ± 8.5 vs. 18.7 ± 6.1, p < 0.001) and external hip rotation (36.8 ± 9.3 vs. 27.4 ± 5.6. p < 0.001). The pain decreased after surgery for both groups, although the reduction was greater in the experimental group at the end of intervention (13.8 ± 16.1 vs. 34.9 ± 16.3 mm, experimental vs. control group, p < 0.001). (4) The specific and supervised rehabilitation program in patients with FAIS undergoing HA showed better benefits at 14 weeks of treatment than the benefits achieved by a care protocol in terms of pain reduction and recovery of hip motion. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|