McGovern Ryan P, Martin RobRoy L, Kivlan Benjamin R, Christoforetti John J
Rangos School of Health Sciences, Duquesne University, Pittsburgh, PA, USA.
Int J Sports Phys Ther. 2019 Feb;14(1):135-147.
Non-arthritic hip pain is defined as being related to pathologies of the intra-articular structures of the hip that can be symptomatic. A trial of non-operative management is commonly recommended before consideration of surgery for individuals with non-arthritic hip conditions. There is a need to describe a non-operative or conservative treatment plan for individuals with non-arthritic hip pain.
The purpose of this literature review was to systematically examine the literature in order to identify and provide evidence for non-operative or conservative management of individuals with non-arthritic hip pain. A proposed home exercise program will be provided for individuals with non-arthritic hip pain.
Review of the Literature.
MATERIALS/METHODS: A literature search of PubMed, Medline, SPORTSDiscus, and CINAHL was conducted. Keywords included: "hip" AND "femoroacetabular impingement" OR "labral tear." Studies were included if they described non-operative management for individuals with non-arthritic hip pain. Studies were excluded if they recommended a trial of conservative treatment without specific management or interventions and/or activity modification without specific details for intervention.
A total of 49 studies met the eligibility criteria and were included in the review. Rehabilitation recommendations were identified from manuscripts including clinical trials, case series, discussion articles, or systematic reviews related to the non-operative or conservative management of non-arthritic hip pain. Rehabilitation interventions focused on patient education, activity modification, limitation of aggravating factors, an individualized physical therapy protocol, and use of a home exercise program.
Rehabilitation should address biomechanical deficiencies with neuromuscular training of the hip and lumbopelvic regions. While the current literature on non-operative management is limited, future randomized control trials will establish the effectiveness of specific physical therapy protocols for individuals with non-arthritic hip pain.
3b.
非关节炎性髋关节疼痛被定义为与髋关节关节内结构的病理状况相关且有症状表现。对于患有非关节炎性髋关节疾病的个体，通常建议在考虑手术之前先进行非手术治疗试验。有必要为患有非关节炎性髋关节疼痛的个体描述一种非手术或保守治疗方案。
本综述的目的是系统地研究文献，以便识别并为非关节炎性髋关节疼痛个体的非手术或保守治疗提供证据。将为非关节炎性髋关节疼痛个体提供一个建议的家庭锻炼计划。
文献综述。
材料/方法：对PubMed、Medline、SPORTSDiscus和CINAHL进行了文献检索。关键词包括：“髋关节”以及“股骨髋臼撞击症”或“盂唇撕裂”。如果研究描述了针对非关节炎性髋关节疼痛个体的非手术治疗，则纳入研究。如果研究只是推荐进行保守治疗试验但没有具体的管理措施或干预方法，和/或推荐进行活动调整但没有具体的干预细节，则排除该研究。
共有49项研究符合纳入标准并被纳入综述。从包括临床试验、病例系列、讨论文章或与非关节炎性髋关节疼痛的非手术或保守治疗相关的系统综述的手稿中确定了康复建议。康复干预措施侧重于患者教育、活动调整、限制加重因素、个性化的物理治疗方案以及家庭锻炼计划的使用。
康复应通过对髋关节和腰骶部区域进行神经肌肉训练来解决生物力学缺陷问题。虽然目前关于非手术治疗的文献有限，但未来的随机对照试验将确定特定物理治疗方案对非关节炎性髋关节疼痛个体的有效性。
3b。
