Preoperative and Postoperative Walking Gait in Women With Acetabular Labral Tears and Femoroacetabular Impingement Syndrome
| Autor: | Bret G. Freemyer, Robert Durkin, Christopher D. Stickley, Scott K. Crawford, Derek M. Beeler |
|---|---|
| Rok vydání: | 2023 |
| Předmět: |
Adult
medicine.medical_specialty Activities of daily living Physical Therapy Sports Therapy and Rehabilitation Context (language use) Walking Young Adult Arthroscopy Physical medicine and rehabilitation Activities of Daily Living Femoracetabular Impingement Medicine Humans Orthopedics and Sports Medicine Walking gait Gait business.industry Femoroacetabular Impingement Syndrome General Medicine medicine.anatomical_structure Treatment Outcome Labral tears Case-Control Studies Female Hip Joint Hip arthroscopy Ankle business |
| Zdroj: | Journal of athletic training. 57(8) |
| ISSN: | 1938-162X |
| Popis: | Context Symptomatic femoroacetabular impingement syndrome (FAIS) is a painful condition that leads to decreased function. How walking gait changes over time within the first year after surgery for FAIS and how these changes present in women are currently unknown. Objective To determine biomechanical gait differences between women with FAIS or labral tears and control individuals preoperatively and at 3 and 6 months postoperatively. Design Case-control study. Setting Laboratory. Patients or Other Participants A total of 18 female participants comprising 9 women in the FAIS group (age = 31.44 ± 7.47 years, height = 1.73 ± 0.08 m, mass = 73.61 ± 14.44 kg) and 9 women in the control group (age = 31.44 ± 6.65 years, height = 1.69 ± 0.06 m, mass = 60.93 ± 5.58 kg). Main Outcome Measure(s) Between-groups comparisons of the Hip Outcome Score Activities of Daily Living subscale (HOSADL) and gait biomechanics were conducted preoperatively and at the 3- and 6-month postoperative sessions. Statistical parametric mapping was performed on normalized time-series data. Results Preoperatively, the FAIS group had poor HOSADL scores (FAIS group = 64.1 ± 15.4 versus control group = 100.0 ± 0, P < .001), walked 15% slower, and exhibited several gait differences compared with the control group. Three months postoperatively, the FAIS group displayed greater vertical ground reaction force (P = .01), ankle-dorsiflexion angle (P = .02), and external dorsiflexion moment (P = .01) in midstance, as well as a greater knee-flexion angle through the second half of stance (P < .001). The FAIS group also demonstrated less hip-extension angle (P = .02) and hip-abduction angle (P = .01) through the second half of stance, which transitioned into less hip extension (P = .040) and hip abduction (P = .03) during the subsequent swing phase. The FAIS group improved their HOSADL to 87.6 ± 7.6 by 6 months postoperatively and had a greater dorsiflexion moment (P = .003) and ankle external rotation during stance (P = .03). In addition, the FAIS group showed a greater external hip external-rotation moment in late stance (P < .001). Conclusions The biomechanical differences between groups were most evident at 3 months postoperatively, suggesting that women with FAIS had more postoperative gait compensations in the short term after surgery. By 6 months postoperatively, patient-reported outcomes had markedly improved, and the FAIS group displayed few gait differences compared with the control group. |
| Databáze: | OpenAIRE |
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