Enoggera Health Centre, Gallipoli Barracks, Enoggera, Queensland and University of Queensland, School of Health and Rehabilitation Sciences, Brisbane, Queensland, Australia.
Australian Centre for Research into Injury in Sport and its Prevention (ACRISP), Federation University Australia, Ballarat, Victoria, Australia.
Br J Sports Med. 2016 Oct;50(19):1180. doi: 10.1136/bjsports-2016-096152. Epub 2016 Jun 14.
Femoroacetabular impingement (FAI) and accompanying pathologies are associated with pain and reduced quality of life. Physical impairments can be associated with worse symptoms and may be an important target of rehabilitation programmes in this patient group. Knowledge regarding physical impairments in individuals with symptomatic FAI is limited.
In adults aged 18-50 years with symptomatic FAI, to: (1) identify physical impairments in range of motion (ROM), hip muscle function and functional tasks; (2) to compare physical impairments with healthy controls; and (3) to evaluate the effects of interventions targeting physical impairments.
Systematic review.
A systematic review of the literature was conducted in accordance with the PRISMA statement. The modified Downs and Black checklist was used for quality appraisal. Studies of adults aged 18-50 years with symptomatic FAI that examined ROM, hip muscle function and functional tasks were included. Standardised mean differences (SMDs) were calculated where possible or best evidence synthesis and study conclusions were presented.
22 studies fulfilled all inclusion criteria. Methodological quality was varied (47-82% using Downs and Black Appraisal Criteria). Hip joint ROM did not differ in individuals with symptomatic FAI compared with control participants. Individuals with symptomatic FAI demonstrated deficits in hip muscle strength and reduced dynamic balance on 1 leg when compared with control participants. For hip joint ROM, there were no significant within-group differences between preintervention and postintervention time points. Hip muscle strength improved significantly from prehip to posthip arthroscopy in a single case series. No randomised controlled trails evaluated the effect of different types of interventions for symptomatic patients with symptomatic FAI.
Individuals with symptomatic FAI demonstrate impairments in hip muscle strength and dynamic single leg balance. This information may assist therapists in providing targeted rehabilitation programmes for individuals with FAI and associated pathology. Further research is needed to determine whether symptomatic FAI affects other aspects of functional performance; and to evaluate whether targeted interventions are effective in symptomatic FAI.
This information may assist therapists in providing targeted rehabilitation programmes for individuals with symptomatic FAI.
股骨髋臼撞击症（FAI）和伴随的病变与疼痛和生活质量下降有关。身体机能障碍可能与更严重的症状有关，并且可能是该患者群体康复计划的重要目标。关于有症状 FAI 个体的身体机能障碍的知识有限。
在 18-50 岁有症状的 FAI 的成年人中：（1）确定运动范围（ROM）、髋关节肌肉功能和功能任务方面的身体障碍；（2）与健康对照组进行比较；（3）评估针对身体障碍的干预措施的效果。
系统综述。
根据 PRISMA 声明对文献进行系统回顾。使用改良的唐斯和布莱克清单进行质量评估。纳入了 18-50 岁有症状 FAI 的成年人研究，这些研究检查了 ROM、髋关节肌肉功能和功能任务。如果可能，计算了标准化均数差（SMD），或者提供了最佳证据综合和研究结论。
22 项研究符合所有纳入标准。方法学质量参差不齐（使用唐斯和布莱克评估标准为 47-82%）。与对照组相比，有症状 FAI 个体的髋关节 ROM 无差异。与对照组相比，有症状 FAI 个体的髋关节肌肉力量较弱，单腿动态平衡能力降低。对于髋关节 ROM，在预干预和后干预时间点之间没有组内差异。在单个病例系列中，髋关节镜术前到术后髋关节肌肉力量显著提高。没有随机对照试验评估不同类型的干预措施对有症状 FAI 患者的效果。
有症状 FAI 的个体表现出髋关节肌肉力量和动态单腿平衡的障碍。这些信息可能有助于治疗师为 FAI 及相关病变患者提供针对性的康复计划。需要进一步研究以确定症状性 FAI 是否会影响其他方面的功能表现；并评估针对症状性 FAI 的针对性干预是否有效。
这些信息可能有助于治疗师为有症状 FAI 患者提供针对性的康复计划。
