Kjeldsen Troels, Reimer Lisa U, Drejer Susan M, Hvid Lars G, Mechlenburg Inger, Dalgas Ulrik
Department of Orthopaedics, Aarhus University Hospital, Aarhus N, Denmark.
Exercise Biology, Department of Public Health, Aarhus University, Aarhus C, Denmark.
Physiother Theory Pract. 2022 May;38(5):704-716. doi: 10.1080/09593985.2020.1790070. Epub 2020 Jul 9.
Little is known about the feasibility of applying progressive resistance training (PRT) to patients with symptomatic external snapping hip (SESH).
To investigate whether PRT is feasible in patients with SESH and to report changes to hip function, awareness of the hip joint and muscle strength following PRT.
Feasibility was measured by drop-out rate, adverse events, pain exacerbation (VAS) and adherence to PRT. At baseline and the end of treatment, patients completed the Copenhagen Hip and Groin Outcome Score (HAGOS), the Forgotten Joint Score (FJS), maximal voluntary isometric (MVC) and dynamic hip muscle strength and a loaded stair test (LST).
Three out of nine included female patients (33%) dropped out. Pain scores were acceptable (VAS ≤ 50 mm) in 76% of all training sessions, and an overall decrease in pain during PRT was found (-10 mm, 95% CI [-3; -18]). For those who completed the intervention, training adherence was 97 ± 4%. Paired analyzes showed improvements in all HAGOS subscales, FJS, muscle strength and the LST.
Progressive resistance training seems feasible in a subset of patients with SESH despite a high drop-out rate. The present study suggests large effect sizes for hip pain, function, awareness and muscle strength.
对于将渐进性抗阻训练（PRT）应用于有症状的臀肌挛缩症（SESH）患者的可行性知之甚少。
探讨PRT对SESH患者是否可行，并报告PRT后髋关节功能、髋关节意识和肌肉力量的变化。
通过退出率、不良事件、疼痛加剧（视觉模拟评分法[VAS]）和对PRT的依从性来衡量可行性。在基线和治疗结束时，患者完成哥本哈根髋关节和腹股沟结局评分（HAGOS）、遗忘关节评分（FJS）、最大自主等长收缩（MVC）和动态髋部肌肉力量以及负重楼梯试验（LST）。
9名纳入研究的女性患者中有3名（33%）退出。在所有训练课程中，76%的疼痛评分可接受（VAS≤50 mm），并且发现PRT期间疼痛总体下降（-10 mm，95%置信区间[-3；-18]）。对于完成干预的患者，训练依从性为97±4%。配对分析显示，所有HAGOS子量表、FJS、肌肉力量和LST均有改善。
尽管退出率较高，但渐进性抗阻训练在一部分SESH患者中似乎是可行的。本研究表明，对髋部疼痛、功能、意识和肌肉力量有较大的效应量。
