Jacobsen Julie Sandell, Hölmich Per, Thorborg Kristian, Bolvig Lars, Jakobsen Stig Storgaard, Søballe Kjeld, Mechlenburg Inger
Department of Physiotherapy, Faculty of Health Sciences, VIA University College, Hedeager 2, 8200, Aarhus N, Denmark.
Department of Physiotherapy and Occupational Therapy, Aarhus University Hospital, Tage-Hansens Gade 2, 8000 Aarhus C, Denmark.
J Hip Preserv Surg. 2017 Nov 17;5(1):39-46. doi: 10.1093/jhps/hnx041. eCollection 2018 Jan.
The primary aim was to identify muscle-tendon-related pain in 100 patients with hip dysplasia. The secondary aim was to test whether muscle-tendon-related pain is associated with self-reported hip disability and muscle strength in patient with hip dysplasia. One hundred patients (17 men) with a mean age of 29 years (SD 9) were included. Clinical entity approach was carried out to identify muscle-tendon-related pain. Associations between muscle-tendon-related pain and self-reported hip disability and muscle strength were tested with multiple regression analysis, including adjustments for age and gender. Self-reported hip disability was recorded with the Copenhagen Hip and Groin Outcome Score (HAGOS), and muscle strength was assessed with a handheld dynamometer. Iliopsoas- and abductor-related pain were most prevalent with prevalences of 56% (CI 46; 66) and 42% (CI 32; 52), respectively. Adductor-, hamstrings- and rectus abdominis-related pain were less common. There was a significant inverse linear association between muscle-tendon-related pain and self-reported hip disability ranging from -3.35 to - 7.51 HAGOS points in the adjusted analysis ( < 0.05). Besides the association between muscle-tendon-related pain and hip extension a significant inverse linear association between muscle-tendon-related pain and muscle strength was found ranging from -0.11 to - 0.12 Nm/kg in the adjusted analysis ( < 0.05). Muscle-tendon-related pain exists in about half of patients with hip dysplasia with a high prevalence of muscle-tendon-related pain in the iliopsoas and the hip abductors and affects patients' self-reported hip disability and muscle strength negatively.
主要目的是在100例髋关节发育不良患者中识别与肌腱相关的疼痛。次要目的是测试髋关节发育不良患者中与肌腱相关的疼痛是否与自我报告的髋关节功能障碍和肌肉力量相关。纳入了100例患者（17名男性），平均年龄29岁（标准差9岁）。采用临床实体法识别与肌腱相关的疼痛。通过多元回归分析测试与肌腱相关的疼痛与自我报告的髋关节功能障碍和肌肉力量之间的关联，包括对年龄和性别的调整。使用哥本哈根髋关节和腹股沟结局评分（HAGOS）记录自我报告的髋关节功能障碍，并用手持测力计评估肌肉力量。髂腰肌和外展肌相关疼痛最为普遍，患病率分别为56%（95%置信区间46%；66%）和42%（95%置信区间32%；52%）。内收肌、腘绳肌和腹直肌相关疼痛较少见。在调整分析中，与肌腱相关的疼痛与自我报告的髋关节功能障碍之间存在显著的负线性关联，范围为-3.35至-7.51 HAGOS评分（P<0.05）。除了与肌腱相关的疼痛与髋关节伸展之间的关联外，在调整分析中还发现与肌腱相关的疼痛与肌肉力量之间存在显著的负线性关联，范围为-0.11至-0.12 Nm/kg（P<0.05）。大约一半的髋关节发育不良患者存在与肌腱相关的疼痛，并在髂腰肌和髋关节外展肌中高度流行，且对患者自我报告的髋关节功能障碍和肌肉力量产生负面影响。
