You Mingke, Yang Shuoyao, Li Jian, Chen Gang
Department of Orthopedics, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu 610041, China.
J Clin Med. 2023 May 23;12(11):3612. doi: 10.3390/jcm12113612.
The purpose of this protocol was to discover the connection between patients with non-surgical pain or other discomfort and their psychosocial status. Cognitive behavior therapy will be used, which we verified will determine the effect and feasibility of postoperative rehabilitation processes.
This study will include 200 patients ranging from 18 to 60 years old who have underwent or will undergo FAI arthroscopy in the West China Hospital Sports Medicine Center from 2023 to 2026. A standardized prospective single-center parallel-group randomized controlled trial will be used for these participants. The participants will be divided into intervention (telephone versus face-to-face versus music versus floatation) and control groups. The follow-up periods will be measured pre-operatively, as well as postoperatively at 1, 3, and 6 months. The primary outcomes will include the modified Harris Hip Score (mHHS) and the Visual Analogic Score (VAS), and the secondary outcomes will include the range of motion (ROM), the Huaxi Emotional-distress Index (HEI), and the depression, anxiety, and stress scale (DASS-21 scale). Furthermore, the Patient Health Questionnaire-9 (PHQ-9) and a Short-Form 12 (SF-12) questionnaire will also be evaluated.
This study will evaluate the clinical and cost-effectiveness of different types of psychosocial-therapy-based rehabilitation methods designed to improve the quality of life of FAI patients with persistent symptoms.
本方案的目的是发现非手术疼痛或其他不适患者与其心理社会状态之间的联系。将采用认知行为疗法,我们已证实该疗法将确定术后康复过程的效果和可行性。
本研究将纳入200名年龄在18至60岁之间的患者,他们于2023年至2026年在华西医院运动医学中心接受或将要接受髋关节撞击综合征关节镜手术。将对这些参与者采用标准化的前瞻性单中心平行组随机对照试验。参与者将被分为干预组(电话干预组、面对面干预组、音乐干预组、漂浮干预组)和对照组。随访期将在术前以及术后1个月、3个月和6个月进行测量。主要结局指标将包括改良Harris髋关节评分(mHHS)和视觉模拟评分(VAS),次要结局指标将包括关节活动范围(ROM)、华西情绪困扰指数(HEI)以及抑郁、焦虑和压力量表(DASS - 21量表)。此外,还将评估患者健康问卷 - 9(PHQ - 9)和简明健康调查问卷12(SF - 12)。
本研究将评估不同类型的基于心理社会治疗的康复方法在改善有持续症状的髋关节撞击综合征患者生活质量方面的临床效果和成本效益。