保守治疗可迅速改善关节炎前期髋关节疼痛患者的功能活动和临床疗效。

Conservative management acutely improves functional movement and clinical outcomes in patients with pre-arthritic hip pain.

作者信息

McGovern Ryan P, Martin RobRoy L, Phelps Amy L, Kivlan Benjamin R, Nickel Beth, Christoforetti John J

机构信息

Department of Orthopaedics and Sports Medicine, Texas Health Sports Medicine, Allegheny Health Network, 1120 Raintree Circle, Suite 280, Allen, TX 75013, USA.

Department of Physical Therapy, Duquesne University, University of Pittsburgh Center for Sports Medicine, 600 Forbes Ave., Pittsburgh, PA 15282, USA.

出版信息

J Hip Preserv Surg. 2020 Jan 22;7(1):95-102. doi: 10.1093/jhps/hnz075. eCollection 2020 Jan.

Abstract

Conservative management for individuals with pre-arthritic hip pain is commonly prescribed prior to consideration of surgical management. The purpose of this study is to determine if patients with pre-arthritic hip pain will improve their functional movement control and clinical outcome measures following the implementation of physical therapy and a home-exercise programme. Information was retrospectively collected on consecutive patients and included: demographics, diagnosis, initial and follow-up evaluation of the single leg squat test (SLST) and step-down test (SDT), and patient-reported outcome measures. An independent -test and one-way analysis of covariance were performed for continuous patient-reported outcome measures and a Fisher's exact test was performed for patient satisfaction. Forty-six patients (31 female and 15 male) diagnosed with pre-arthritic hip pain were included. A total of 30 patients improved their functional movement control during performance of the SLST, whereas 31 patients improved performance of the SDT. There was a statistically significant difference between patients that improved and did not improve ( ≤ 0.017). Patients with pre-arthritic hip pain who improved their functional movement control following a prescribed rehabilitation intervention are likely to report less pain and greater functional ability in their daily and sports-related activities. This study supports conservative management to acutely improve outcomes for patients with pre-arthritic hip pain.

摘要

在考虑手术治疗之前,通常会先为髋关节疼痛前期的患者采取保守治疗。本研究的目的是确定髋关节疼痛前期的患者在实施物理治疗和家庭锻炼计划后,其功能运动控制和临床结局指标是否会得到改善。对连续的患者进行回顾性信息收集,包括:人口统计学资料、诊断结果、单腿深蹲试验(SLST)和下台阶试验(SDT)的初始及随访评估,以及患者报告的结局指标。对连续的患者报告结局指标进行独立t检验和单因素协方差分析,对患者满意度进行Fisher精确检验。纳入46例诊断为髋关节疼痛前期的患者(31例女性,15例男性)。共有30例患者在进行SLST时改善了其功能运动控制,而31例患者改善了SDT的表现。改善和未改善的患者之间存在统计学显著差异(P≤0.017)。髋关节疼痛前期的患者在接受规定的康复干预后改善了功能运动控制,可能在日常和与运动相关的活动中报告疼痛减轻和功能能力增强。本研究支持采用保守治疗来显著改善髋关节疼痛前期患者的预后。

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