Saavedra Melissa, Moraga Ricardo, Diaz Patricia, Camacho Daniel, Mardones Rodrigo
Sports Medicine Center, Clínica Las Condes, Chile.
Articular Reconstructive Surgery Hip/Knee; Hip arthroscopy Department of Orthopedics Clinica Las Condes, Santiago de Chile, Chile.
Muscles Ligaments Tendons J. 2016 Dec 21;6(3):420-426. doi: 10.11138/mltj/2016.6.3.420. eCollection 2016 Jul-Sep.
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.
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.
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.
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).
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.
IV.
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。
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)。
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。
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。
IV级。