Prospective 12-month functional and vocational outcomes of hip arthroscopy for femoroacetabular impingement as part of an evidence-based hip pain rehabilitation pathway in an active military population
| Autor: | Alexander N. Bennett, Robert M. Barker-Davies, Andrew Roberts, J Nixon, R Villar, J M Houghton |
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| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Evidence-based practice Visual analogue scale medicine.medical_treatment Population Physical Therapy Sports Therapy and Rehabilitation Arthroscopy 03 medical and health sciences 0302 clinical medicine medicine Orthopedics and Sports Medicine education Femoroacetabular impingement 030222 orthopedics education.field_of_study Hip Rehabilitation medicine.diagnostic_test business.industry Research 030229 sport sciences medicine.disease Natural history Physical therapy Hip arthroscopy business |
| Zdroj: | BMJ Open Sport — Exercise Medicine |
| ISSN: | 2055-7647 |
| DOI: | 10.1136/bmjsem-2016-000144 |
| Popis: | Background Femoroacetabular impingement (FAI) is common with an estimated prevalence of 10–15% among young active individuals. The natural history of the disorder is progression to early osteoarthritis. Hip arthroscopy is recommended if conservative treatments fail; however, outcomes are unclear, particularly in highly active populations. Aim To evaluate the functional and vocational outcome of hip arthroscopy, as part of an evidence-based rehabilitation hip pain pathway, for the treatment of FAI in an active military population. Methods All patients in the defence rehabilitation hip pain pathway, with a confirmed diagnosis of FAI who failed conservative treatment, were assessed prior to surgery and at 2, 6 and 12 months postsurgery. Outcome measures included the Visual Analogue Scale (VAS) for hip pain, Non-Arthritic Hip Score (NAHS) for function, and vocational assessments including functional activity assessment (FAA) and Joint Medical Employment Standard for military employability and deployability. Results 101 patients completed the study (mean age=33 years) (male:female:75:26) (Royal Navy/British Army/Royal Air Force: 13%/48%/39%). Outcomes demonstrated significant improvements with large effect size. Preoperative NAHS mean=62.9 (SD 16.4), 12-month postoperative NAHS mean=78.8 (18.3), mean improvement in NAHS=15.9 (95% CI 12.3 to 19.5, p |
| Databáze: | OpenAIRE |
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