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髋关节翻修关节镜术后基于标准的康复:临床评论

Criteria-Based Rehabilitation Following Revision Hip Arthroscopy: A Clinical Commentary.

作者信息

Leo Haley, Shelton Trevor, Bradley Helen

出版信息

Int J Sports Phys Ther. 2023 Apr 1;18(2):477-492. doi: 10.26603/001c.71355. eCollection 2023.

Abstract

UNLABELLED

Hip revision arthroscopy is becoming an increasingly popular surgery for those with unsatisfactory outcomes following primary hip arthroscopy. With the relatively uncommon but potentially increased difficulty of rehabilitation from this surgery, a lack of established research regarding rehabilitative programs remains. Therefore, the purpose of this clinical commentary is to propose a criterion-based progression that considers the intricacies present following a hip revision arthroscopy from early rehabilitation through return to sport. Criteria are presented clearly to promote objective progression through rehabilitation as opposed to relying on time since surgery as revision surgeries do not always follow traditional tissue healing time-frames. This criterion based progression promotes range of motion (ROM), strength, gait, neuromuscular control, load introduction and gradual return to play.

LEVEL OF EVIDENCE

摘要

未标注

髋关节翻修关节镜手术对于初次髋关节镜手术效果不佳的患者来说正变得越来越受欢迎。由于该手术康复相对不常见但潜在难度增加,关于康复计划的既定研究仍然缺乏。因此,本临床评论的目的是提出一种基于标准的进展方案,该方案考虑了髋关节翻修关节镜手术后从早期康复到恢复运动所存在的复杂性。标准清晰呈现,以促进康复过程中的客观进展,而不是依赖手术时间,因为翻修手术并不总是遵循传统的组织愈合时间框架。这种基于标准的进展方案促进了活动范围(ROM)、力量、步态、神经肌肉控制、负荷引入以及逐渐恢复运动。

证据水平

5级。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f46/10069339/c50ebf147fde/ijspt_2023_18_2_71355_148708.jpg

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