Department of Orthopedics and Rehabilitation, University of Iowa Hospitals & Clinics, Iowa City, IA, USA.
University Hospital, University of Columbia, MO, USA.
Iowa Orthop J. 2021 Dec;41(2):72-76.
Comprehensive conservative care prior to arthroscopic hip surgery is recommended, but not all patients pursue a course of physical therapy (PT) prior to consulting a hip surgeon. The purpose of this study is to investigate the incidence and type of PT administered to patients with hip pain prior to consulting a hip surgeon.
We conducted a single-center, questionnaire-driven study at a young adult hip preservation clinic that exclusively treats patients with hip pain. Thirty (88%) of thirty-four consecutive new patients answered the 15-item questionnaire. The questionnaire was designed to inquire about the reason for the visit, type of formal PT received (hip strengthening, leg strengthening etc.), and additional treatments received prior to the visit (electric stimulation, narcotics etc.). Descriptive statistics were utilized to quantify the reason for visit, PT prior to the visit, and type of exercises performed during physical therapy.
Overall, 21 (70%) patients received physical therapy prior to consulting with a hip surgeon. Of those who received PT, 91% (n=19) did hip strengthening exercises, 76% (n=16) did focused hip stretching exercises, 62% (n=13) did leg strengthening exercises, 57% (n=12) did joint mobilization exercises, and 52% (n=11) did focused core strengthening exercises. Only 48% (n=10) reported improvement in symptoms with PT. Of those who received additional treatments, 77% (n=20) took anti-inflammatory medications regularly, 50% (n=13) underwent electric stimulation, 31% (n=8) had chiropractic manipulation, 19% (n=5) underwent soft tissue mobilization, 15% (n=4) received steroid injections, and 12% (n=3) were prescribed narcotics for hip pain.
The present study offers insight into the incidence and type of formal PT patients with hip pain receive before consulting a hip surgeon. Treatment methods during PT visits are variable, which makes determining outcomes of conservative care difficult to assess in this population. IV.
关节镜髋关节手术前推荐全面的保守治疗，但并非所有患者在咨询髋关节外科医生前都会进行物理治疗（PT）。本研究的目的是调查在咨询髋关节外科医生之前，髋关节疼痛患者接受 PT 的发生率和类型。
我们在一家专门治疗髋关节疼痛的年轻成人髋关节保护诊所进行了一项单中心、问卷调查驱动的研究。34 名连续新患者中有 30 名（88%）回答了 15 项问卷。该问卷旨在询问就诊原因、接受的正式 PT 类型（髋关节强化、腿部强化等）以及就诊前接受的其他治疗（电刺激、麻醉剂等）。利用描述性统计来量化就诊原因、就诊前的 PT 以及在物理治疗期间进行的运动类型。
总体而言，21 名（70%）患者在咨询髋关节外科医生之前接受了物理治疗。在接受 PT 的患者中，91%（n=19）进行了髋关节强化运动，76%（n=16）进行了集中髋关节伸展运动，62%（n=13）进行了腿部强化运动，57%（n=12）进行了关节松动运动，52%（n=11）进行了集中核心强化运动。只有 48%（n=10）报告 PT 后症状有所改善。在接受其他治疗的患者中，77%（n=20）定期服用抗炎药，50%（n=13）接受电刺激，31%（n=8）接受脊椎指压治疗，19%（n=5）接受软组织松解治疗，15%（n=4）接受皮质类固醇注射，12%（n=3）因髋关节疼痛而开麻醉处方。
本研究提供了髋关节疼痛患者在咨询髋关节外科医生之前接受正式 PT 的发生率和类型的相关信息。PT 就诊期间的治疗方法各不相同，这使得在该人群中难以评估保守治疗的结果。IV。
