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髋关节软骨-盂唇损伤严重程度、髋关节动力肌肌力与生活质量的相关性:髋关节镜检查术治疗髋关节撞击综合征患者的一项横断面研究。

Association between severity of hip chondrolabral injuries, dynamic hip muscle strength and quality of life: A cross-sectional study in patients with femoroacetabular impingement syndrome scheduled for hip arthroscopy.

机构信息

LaBClin Neuromusculoskeletal Rehabilitation and Clinical Biomechanics Laboratory, Florianópolis, Brazil; Centre of Health and Sports Sciences, University of the State of Santa Catarina, Florianópolis, Brazil.

Centre for Health, Activity and Rehabilitation Research (CHARR) - School of Physiotherapy, University of Otago, Dunedin, New Zealand.

出版信息

Clin Biomech (Bristol). 2021 Apr;84:105348. doi: 10.1016/j.clinbiomech.2021.105348. Epub 2021 Apr 2.

DOI:10.1016/j.clinbiomech.2021.105348
PMID:33857760
Abstract

BACKGROUND

We assessed the association between: the severity of hip chondral or labral pathology with dynamic hip muscle strength or quality of life in patients with femoroacetabular impingement syndrome scheduled for hip arthroscopy. We also assessed the association between dynamic hip muscle strength with quality of life.

METHODS

Eighty-three participants with femoroacetabular impingement syndrome scheduled for hip arthroscopy were included. We measured dynamic hip abduction and adduction muscle strength with an isokinetic dynamometer (Nm/kg), and quality of life with the iHoT-33 questionnaire. The severity of hip chondrolabral pathologies was scored using the modified Beck classification. Linear regression analyses were conducted to assess the association between severity of hip chondral or labral pathology with dynamic hip muscle strength and quality of life.

FINDINGS

The regression analyses showed no association between the (i) severity of hip chondral (adjusted r: 0.14) or labral (adjusted r: 0.08) pathology and quality of life (P > 0.05), (ii) between the severity of hip chondral or labral pathology and dynamic hip abduction and adduction muscle strength (P > 0.05). Significant correlation was observed for quality of life and hip abduction (adjusted r:0.29; P < 0.001) or adduction (adjusted r: 0.32; P < 0.001) muscle strength.

INTERPRETATION

The severity of hip chondral or labral pathologies were not associated with quality of life or dynamic hip muscle strength in participants with femoroacetabular impingement syndrome. Greater dynamic hip abduction and adduction muscle strength were associated with better quality of life in participants with femoroacetabular impingement syndrome scheduled for hip arthroscopy.

摘要

背景

我们评估了髋关节软骨或盂唇病变的严重程度与接受髋关节镜检查的髋关节撞击综合征患者的动态髋关节肌肉力量或生活质量之间的关系。我们还评估了动态髋关节肌肉力量与生活质量之间的关系。

方法

共纳入 83 名接受髋关节镜检查的髋关节撞击综合征患者。我们使用等速测力计(Nm/kg)测量了髋关节外展和内收的动态肌肉力量,使用 iHoT-33 问卷评估了生活质量。使用改良 Beck 分类法对髋关节软骨和盂唇病变的严重程度进行评分。进行线性回归分析,以评估髋关节软骨或盂唇病变严重程度与动态髋关节肌肉力量和生活质量之间的关系。

结果

回归分析显示,(i)髋关节软骨(调整后的 r:0.14)或盂唇(调整后的 r:0.08)病变严重程度与生活质量之间无关联(P>0.05),(ii)髋关节软骨或盂唇病变严重程度与髋关节外展和内收肌肉力量之间无关联(P>0.05)。生活质量与髋关节外展(调整后的 r:0.29;P<0.001)或内收(调整后的 r:0.32;P<0.001)肌肉力量之间存在显著相关性。

解释

髋关节撞击综合征患者髋关节软骨或盂唇病变的严重程度与生活质量或动态髋关节肌肉力量无关。髋关节外展和内收肌肉力量越强,接受髋关节镜检查的髋关节撞击综合征患者的生活质量越好。

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