Alrashdi Naif Z, Brown-Taylor Lindsey, Bell Megan M, Ithurburn Matthew P
Department of Physical Therapy, The University of Alabama at Birmingham, Birmingham, Alabama, USA.
Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Majmaah University, Majmaah, 11952, Kingdom of Saudi Arabia.
Phys Ther. 2021 Nov 1;101(11). doi: 10.1093/ptj/pzab185.
The purpose of the study was to synthesize studies of movement patterns and their association with hip pain, function/activity, and morphology in individuals with femoroacetabular impingement syndrome (FAIS).
PubMed, SPORTDiscus, CINAHL, Embase, and Scopus databases were searched using predefined terms. Two authors independently reviewed abstracts and full texts. Studies were included if they enrolled individuals with FAIS, reported kinematic or kinetic data during movement tasks, and tested the data's associations with hip pain, function/activity, or morphology. Exclusion criteria were studies that did not evaluate associations between movement patters and pain, function/activity, or hip morphology. Additionally, studies with hip conditions other than FAIS, case reports, conference proceedings, review articles, and non-English studies were excluded. Descriptive consolidation and qualitative synthesis were performed for the included studies.
Of the 1155 potential studies, 5 studies met all eligibility criteria. Movement patterns were evaluated during walking (n = 4) and squatting (n = 1). Studies reported multiple associations between variables of interest. Statistically significant associations were identified between movement patterns and hip pain (n = 2), function/activity (n = 2), or morphology (n = 3). Significant associations included increased hip flexion moment impulse during walking was associated with worse pain, increased hip flexion moment during walking was associated with worse hip function, decreased hip external rotation during gait and hip internal rotation during squat were associated with larger cam deformity, and increased hip flexion moment impulse during walking was also associated with more severe acetabular cartilage abnormalities.
Very little current evidence has evaluated the associations between altered movement patterns and hip pain, function/activity, or morphology in individuals with FAIS, and only low-intensity tasks have been tested. These studies found some preliminary associations between altered hip biomechanics and higher hip pain, worse hip function, and specific measures of hip morphology in individuals with FAIS.
This review is a first step in gaining a better understanding of movement patterns and their associations with hip pain, function/activity, and morphology, which could ultimately assist with the development of movement retraining interventions and potentially improve rehabilitation outcomes for those with FAIS.
本研究旨在综合分析股骨髋臼撞击综合征（FAIS）患者的运动模式及其与髋部疼痛、功能/活动和形态学之间的关联。
使用预定义术语检索PubMed、SPORTDiscus、CINAHL、Embase和Scopus数据库。两位作者独立审查摘要和全文。纳入的研究需满足以下条件：纳入FAIS患者，报告运动任务期间的运动学或动力学数据，并测试这些数据与髋部疼痛、功能/活动或形态学之间的关联。排除标准为未评估运动模式与疼痛、功能/活动或髋部形态学之间关联的研究。此外，排除患有FAIS以外髋部疾病的研究、病例报告、会议论文、综述文章和非英文研究。对纳入的研究进行描述性汇总和定性综合分析。
在1155项潜在研究中，5项研究符合所有纳入标准。运动模式在步行（n = 4）和深蹲（n = 1）期间进行了评估。研究报告了感兴趣变量之间的多种关联。在运动模式与髋部疼痛（n = 2）、功能/活动（n = 2）或形态学（n = 3）之间发现了具有统计学意义的关联。显著关联包括步行期间髋部屈曲力矩冲量增加与疼痛加重相关，步行期间髋部屈曲力矩增加与髋部功能恶化相关，步态期间髋部外旋减少和深蹲期间髋部内旋减少与更大的凸轮畸形相关，以及步行期间髋部屈曲力矩冲量增加也与更严重的髋臼软骨异常相关。
目前很少有证据评估FAIS患者运动模式改变与髋部疼痛、功能/活动或形态学之间的关联，且仅测试了低强度任务。这些研究发现FAIS患者髋部生物力学改变与更高的髋部疼痛、更差的髋部功能以及髋部形态学的特定指标之间存在一些初步关联。
本综述是更好地理解运动模式及其与髋部疼痛、功能/活动和形态学之间关联的第一步，这最终可能有助于制定运动再训练干预措施，并有可能改善FAIS患者的康复效果。
