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通过哈里斯和韦尔髋关节评分量化的髋关节镜检查后运动疗法康复的比较分析:一项回顾性研究。

Comparative analysis of kinesiotherapy rehabilitation after hip arthroscopy, quantified by harris and vail hip scores: a retrospective study.

作者信息

Saavedra Melissa, Moraga Ricardo, Diaz Patricia, Camacho Daniel, Mardones Rodrigo

机构信息

Sports Medicine Center, Clínica Las Condes, Chile.

Articular Reconstructive Surgery Hip/Knee; Hip arthroscopy Department of Orthopedics Clinica Las Condes, Santiago de Chile, Chile.

出版信息

Muscles Ligaments Tendons J. 2016 Dec 21;6(3):420-426. doi: 10.11138/mltj/2016.6.3.420. eCollection 2016 Jul-Sep.

Abstract

BACKGROUND

It has been proven that femoroacetabular impingement cases improve following arthroscopic surgery. However, rehabilitation has a major role in the patient's recovery. The protocol used by our institution consists of an evidence-based guideline for the different phases of rehabilitation.

OBJECTIVE

Describe and determine the effectiveness of our institution's kinesiotherapy rehabilitation program during 2011-2016, comparing Harris and Vail Hip Scores scales (HHS and VHS, respectively) at the beginning of each treatment phase.

MATERIALS AND METHODS

This is an observational, descriptive, longitudinal and retrospective study which, from a total of 684 subjects who underwent surgery, and 103 subjects who followed our institution's rehabilitation program, ultimately uses a sample of 48 subjects for analysis; these subjects were included because they completed the scales on the three occasions determined.

RESULTS

Significant exact differences were found in: multivariate contrasts HHS (F=147.420; p=0.000); VHS (F=82,160; p=0,000). Mauchly's sphericity test: HHS (W=0.722; p=0.001); VHS (W=0.830; p=0.014). The within-subject effect showed significant exact differences in: HHS (F=169.451; p=0.000); VHS (F=115.387; p=0.000).

CONCLUSION

Results showed significant exact differences p=0.00. In spite of its limitations, this study provides a guideline for a patient's safe return to daily life activities.

LEVEL OF EVIDENCE

IV.

摘要

背景

已证实股骨髋臼撞击症患者在关节镜手术后病情会有所改善。然而,康复治疗在患者恢复过程中起着重要作用。我们机构采用的方案包括针对康复不同阶段的循证指南。

目的

描述并确定我们机构在2011年至2016年期间的运动疗法康复计划的有效性,比较每个治疗阶段开始时的Harris髋关节评分量表(HHS)和Vail髋关节评分量表(VHS)。

材料与方法

这是一项观察性、描述性、纵向和回顾性研究,从总共684名接受手术的受试者和103名遵循我们机构康复计划的受试者中,最终选取48名受试者作为分析样本;纳入这些受试者是因为他们在规定的三个时间点完成了量表测评。

结果

发现存在显著的精确差异:多变量对比中HHS(F = 147.420;p = 0.000);VHS(F = 82,160;p = 0,000)。Mauchly球形检验:HHS(W = 0.722;p = 0.001);VHS(W = 0.830;p = 0.014)。组内效应显示出显著的精确差异:HHS(F = 169.451;p = 0.000);VHS(F = 115.387;p = 0.000)。

结论

结果显示存在显著的精确差异p = 0.00。尽管本研究存在局限性,但它为患者安全恢复日常生活活动提供了指导方针。

证据等级

IV级。

相似文献

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Rehabilitation After Hip Arthroscopy: A Movement Control-Based Perspective.髋关节镜检查后的康复:基于运动控制的视角
Clin Sports Med. 2016 Jul;35(3):503-521. doi: 10.1016/j.csm.2016.02.012. Epub 2016 Apr 12.
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Rehabilitation Following Hip Arthroscopy - A Systematic Review.髋关节镜检查后的康复——一项系统综述
Front Surg. 2015 May 26;2:21. doi: 10.3389/fsurg.2015.00021. eCollection 2015.

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