H-Hip, Department of Physio and Occupational Therapy and Orthopedic Surgery, Horsens Hospital, Sundvej 30, 8700, Horsens, Denmark.
Department of Public Health, Section for Sport, Aarhus University, Aarhus, Denmark.
Knee Surg Sports Traumatol Arthrosc. 2020 May;28(5):1639-1647. doi: 10.1007/s00167-019-05503-5. Epub 2019 May 6.
Patients with femoroacetabular impingement syndrome (FAIS) are young and middle-aged persons living physically active lives including sports activities. However, measurements of the physical activity level before and after hip arthroscopic surgery in patients with FAIS using both self-reported and objective accelerometer-based measures are lacking. Furthermore, comparing patients with a reference group of persons reporting no hip problems and conducting subgroup analyses investigating changes in physical activity level and self-reported outcomes according to pre-surgery activity level may further highlight the activity pattern for patients.
Sixty patients with FAIS eligible for hip arthroscopic surgery were consecutively included in a prospective cohort study (HAFAI cohort) together with 30 reference persons reporting no hip problems. Participants completed the Copenhagen Hip and Groin Outcome Score (HAGOS) together with questions regarding their sports activities. Furthermore, participants wore a three-axial accelerometer for five consecutive days during waking hours. The accelerometer-based data were analysed and presented as total activity and type, frequency and duration of activities.
Patients experienced significant and clinically relevant changes in all HAGOS scores. 88% of patients participated in some kind of sports activity 1 year after surgery. Overall, objectively measured physical activity did not change from before to 1 year after surgery. However, subgroup analyses of the most sedentary patients preoperatively revealed significant changes towards a more active pattern. Compared to reference persons, patients performed less bicycling and running.
Despite clinically relevant changes in self-reported outcomes, patients did not increase their overall physical activity level 1 year after surgery. Physical activity levels were lower in patients than in the reference group and patients continued bicycling and running less compared with the reference group.
II.
患有髋关节撞击综合征（FAIS）的患者是生活活跃、包括进行体育活动的中青年人群。然而，FAIS 患者髋关节镜手术后使用自我报告和基于客观加速度计的测量方法评估其体力活动水平的变化尚未见报道。此外，将 FAIS 患者与报告无髋关节问题的参考组人群进行比较，并根据术前活动水平进行亚组分析，以调查体力活动水平和自我报告结果的变化，可能会进一步突出患者的活动模式。
60 例符合髋关节镜手术条件的 FAIS 患者连续纳入前瞻性队列研究（HAFAI 队列），并纳入 30 例报告无髋关节问题的参考人员。参与者完成了哥本哈根髋关节和腹股沟结局评分（HAGOS），以及关于他们运动活动的问题。此外，参与者在连续 5 天的清醒时间内佩戴三轴加速度计。对基于加速度计的数据进行分析，并以总活动以及活动类型、频率和持续时间呈现。
患者在所有 HAGOS 评分方面均经历了显著且具有临床意义的变化。88%的患者在手术后 1 年内参加了某种形式的运动。总体而言，从术前到术后 1 年，客观测量的体力活动没有变化。然而，术前最久坐的患者亚组分析显示，他们的活动模式向更活跃的方向发生了显著变化。与参考人员相比，患者骑自行车和跑步的次数较少。
尽管自我报告的结果有临床意义的变化，但患者在手术后 1 年内并未增加其总体体力活动水平。患者的体力活动水平低于参考组，并且与参考组相比，患者骑自行车和跑步的次数减少。
II 级。
