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有髋关节相关疼痛但无股骨髋臼撞击综合征临床体征者的临床特征

Clinical features of people with hip-related pain, but no clinical signs of femoroacetabular impingement syndrome.

作者信息

Retchford Timothy H, Tucker Kylie J, Weinrauch Patrick, Cowan Sallie M, Grimaldi Alison, Kemp Joanne L, Crossley Kay M

机构信息

University of Queensland, St Lucia, Brisbane, Australia; Charles Sturt University, Albury, New South Wales, Australia.

University of Queensland, St Lucia, Brisbane, Australia.

出版信息

Phys Ther Sport. 2018 Nov;34:201-207. doi: 10.1016/j.ptsp.2018.10.007. Epub 2018 Oct 15.

DOI:10.1016/j.ptsp.2018.10.007
PMID:30388668
Abstract

OBJECTIVES

Identifying impairments in hip range of motion (ROM) and muscle strength in people with hip-related pain, without signs of femoro-acetabular impingement syndrome (FAIS).

STUDY AIMS

to determine if hip strength and ROM i) differs between the symptomatic and less-symptomatic hip of people with hip-related pain; and between people with hip-related pain and healthy controls; and ii) are associated with hip-related Quality of Life and pain.

DESIGN

Cross-sectional study.

SETTING

University laboratory.

PARTICIPANTS

Thirty participants with hip-related pain who were awaiting hip arthroscopy (22 women; age = 37 ± 10yrs), 32 healthy controls (19 women; age = 30 ± 10yrs).

MAIN OUTCOME MEASURES

Hip ROM, muscle strength, pain intensity and the Hip disability and Osteoarthritis Outcome Score (HOOS) were assessed.

RESULTS

Less hip flexion ROM (p = 0.004), and extension (p = 0.004), abduction (p = 0.001) and internal rotation (IR) (p = 0.048) strength were measured on the symptomatic compared to non-symptomatic side. Hip-related pain participants had lower hip abduction strength (p = 0.045), and less flexion (p < 0.001), IR (p = 0.027) and external rotation (ER) (p = 0.019) ROM compared to controls. Less ER ROM (p = 0.03-0.04), and greater abduction (p = 0.03-0.04) and adduction strength (p = 0.02) were associated with better patient reported outcome measures.

CONCLUSIONS

Specific impairments in hip ROM and strength were identified in people with hip-related pain but no FAIS.

摘要

目的

在无股骨髋臼撞击综合征(FAIS)体征的髋部相关疼痛患者中识别髋关节活动范围(ROM)和肌肉力量的损伤。

研究目的

确定髋关节力量和ROM是否:i)在髋部相关疼痛患者的症状性髋关节和症状较轻的髋关节之间存在差异;以及在髋部相关疼痛患者和健康对照之间存在差异;ii)与髋部相关的生活质量和疼痛相关。

设计

横断面研究。

地点

大学实验室。

参与者

30名等待髋关节镜检查的髋部相关疼痛患者(22名女性;年龄 = 37 ± 10岁),32名健康对照(19名女性;年龄 = 30 ± 10岁)。

主要观察指标

评估髋关节ROM、肌肉力量、疼痛强度以及髋关节功能障碍和骨关节炎结果评分(HOOS)。

结果

与无症状侧相比,症状性侧的髋关节屈曲ROM(p = 0.004)、伸展(p = 0.004)、外展(p = 0.001)和内旋(IR)(p = 0.048)力量较低。与对照组相比,髋部相关疼痛患者的髋关节外展力量较低(p = 0.045),屈曲(p < 0.001)、IR(p = 指027)和外旋(ER)(p = 0.019)ROM较小。较小的ER ROM(p = 0.03 - 0.04)、较大的外展(p = 0.03 - 0.04)和内收力量(p = 0.02)与更好的患者报告结局指标相关。

结论

在无FAIS的髋部相关疼痛患者中发现了髋关节ROM和力量的特定损伤。

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