Department of Health Sciences, Lund University, Box 157, 22100, Lund, Sweden.
Sports Orthopaedic Research Center (SORC-C), Department of Orthopaedic Surgery, Copenhagen University Hospital, Amager-Hvidovre, Copenhagen, Denmark.
Knee Surg Sports Traumatol Arthrosc. 2018 Aug;26(8):2519-2526. doi: 10.1007/s00167-017-4676-6. Epub 2017 Aug 14.
The rising number of hip arthroscopies (HA) is leading to increasing numbers of patients requiring post-surgical rehabilitation; however, evidence regarding post-operative rehabilitation is currently limited. The purpose of the study was to describe and compare current rehabilitation strategies and views among surgeons and physiotherapists in Scandinavia.
Scandinavian surgeons and physiotherapists experienced with HA and post-surgical rehabilitation were asked to complete an online survey. Ninety clinicians (28 surgeons, 62 physiotherapists) responded.
Both professions mostly rated physiotherapy as very or extremely important in the rehabilitation process. The majority advocated criteria-based or combined criteria- and time-based progression. Expected rehabilitation timelines were reported with large intra-professional variation but general inter-professional agreement. However, compared with physiotherapists surgeons expected fewer weeks on crutches and faster return to competitive sport. Surgeons more often reported use of evidence-based self-reported outcomes while physiotherapists more often evaluated readiness for return to play.
Among surgeons and physiotherapists, physiotherapy is considered very important following HA. Generally, very similar views were held between professions. Surgeons expected reduced time on crutches and to return to competitive sports than physiotherapists. Surgeons also used evidence-based self-reported outcomes to a higher degree than physiotherapists. Being the first study to provide an overview on currently applied rehabilitation strategies following HA, results of this study may guide much needed, future research on the rehabilitation process following HA.
IV.
髋关节镜检查（HA）的数量不断增加，导致越来越多的患者需要术后康复；然而，目前关于术后康复的证据有限。本研究的目的是描述和比较斯堪的纳维亚地区外科医生和物理治疗师目前的康复策略和观点。
对有 HA 和术后康复经验的斯堪的纳维亚外科医生和物理治疗师进行在线调查。90 名临床医生（28 名外科医生，62 名物理治疗师）做出了回应。
两个专业都认为物理治疗在康复过程中非常重要或极其重要。大多数人主张基于标准或结合标准和基于时间的进展。报告的预期康复时间存在很大的专业内差异，但具有普遍的专业间一致性。然而，与物理治疗师相比，外科医生预计拐杖使用时间更短，更快恢复竞技运动。外科医生更经常报告使用基于证据的自我报告结果，而物理治疗师更经常评估重返比赛的准备情况。
在外科医生和物理治疗师中，HA 后物理治疗被认为非常重要。一般来说，两个专业之间的观点非常相似。外科医生预计拐杖使用时间和重返竞技运动的时间比物理治疗师短。外科医生也比物理治疗师更频繁地使用基于证据的自我报告结果。作为第一项提供 HA 后当前应用康复策略概述的研究，本研究的结果可能指导 HA 后康复过程急需的未来研究。
IV。
