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长期髋关节和腹股沟疼痛患者的身体机能障碍:髋关节相关疼痛患者或非髋关节相关腹股沟疼痛患者与健康对照组的横断面比较。

Physical impairments in longstanding hip and groin pain: Cross-sectional comparison of patients with hip-related pain or non-hip-related groin pain and healthy controls.

机构信息

Department of Health Sciences, Lund University, Lund, Sweden.

Department of Orthopaedics, Clinical Sciences, Lund University, Lund, Sweden.

出版信息

Phys Ther Sport. 2021 Nov;52:224-233. doi: 10.1016/j.ptsp.2021.09.011. Epub 2021 Sep 30.

Abstract

OBJECTIVES

To compare physical impairments between patients with hip-related pain and those with non-hip-related groin pain, and to compare both patient groups with healthy controls.

DESIGN

Cross-sectional.

PARTICIPANTS

Eighty-one hip and groin pain patients were consecutively included and categorized into having hip-related pain or non-hip-related groin pain. Twenty-eight healthy controls were recruited.

SETTINGS

Tertiary care.

MAIN OUTCOME MEASURES

All participants performed physical impairment testing including hip ROM, muscle function, and functional tasks. An analysis of covariates was used for analysis between patients groups and controls.

RESULTS

Patients with hip-related pain showed reduced hip ROM in internal rotation compared to patients with non-hip-related groin pain and controls (p ≤ 0.026, d -0.65; -0.97). No differences in muscle function or performance in functional tasks were observed between patients with hip-related pain and those with non-hip-related groin pain (p ≥ 0.136, d 0.00; 0.68). Both patient groups had worse muscle function and worse performance in functional tasks compared to controls (p ≤ 0.048, d -0.67; -1.83).

CONCLUSIONS

Both patients with and without hip-related pain had worse muscle function and worse performance in functional tasks compared to matched controls but no differences were observed between the patient groups. Only patients with hip-related pain had reduced ROM in internal rotation.

摘要

目的

比较髋关节相关疼痛患者与非髋关节相关腹股沟疼痛患者之间的躯体功能障碍,并将这两组患者与健康对照组进行比较。

设计

横断面研究。

参与者

连续纳入 81 例髋部和腹股沟疼痛患者,并分为髋关节相关疼痛或非髋关节相关腹股沟疼痛。招募了 28 名健康对照者。

地点

三级护理。

主要观察指标

所有参与者均进行躯体功能障碍测试,包括髋关节活动度、肌肉功能和功能任务。采用协方差分析对患者组与对照组进行分析。

结果

与非髋关节相关腹股沟疼痛患者和对照组相比,髋关节相关疼痛患者的髋关节内旋活动度减小(p≤0.026,d=-0.65;-0.97)。髋关节相关疼痛患者与非髋关节相关腹股沟疼痛患者之间的肌肉功能或功能任务表现无差异(p≥0.136,d0.00;0.68)。与对照组相比,两组患者的肌肉功能和功能任务表现均较差(p≤0.048,d=-0.67;-1.83)。

结论

髋关节相关疼痛和非髋关节相关腹股沟疼痛患者的肌肉功能和功能任务表现均较匹配的对照组差,但两组患者之间无差异。只有髋关节相关疼痛患者的髋关节内旋活动度减小。

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