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Evaluating Functional Performance Tests in those with Non-arthritic Intra-articular Hip Pain: An International Consensus Statement.

作者信息

Martin RobRoy L, Takla Amir, Disantis Ashley, Kohlrieser David, Enseki Keelan, Lifshitz Liran, Grant Louise, Bizzini Mario, Voight Mike, Ryan Mark, McGovern Ryan, Tyler Timothy, Steinfeld-Mass Yael, Campbell Ashley, Zhang Yongni

机构信息

Duquesne University.

Swinburne University of Technology.

出版信息

Int J Sports Phys Ther. 2023 Dec 2;18(6):1346-1355. doi: 10.26603/001c.89269. eCollection 2023.


DOI:10.26603/001c.89269
PMID:38050542
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10693491/
Abstract

BACKGROUND: Non-arthritic intra-articular hip pain, caused by various pathologies, leads to impairments in range of motion, strength, balance, and neuromuscular control. Although functional performance tests offer valuable insights in evaluating these patients, no clear consensus exists regarding the optimal tests for this patient population. PURPOSE: This study aimed to establish expert consensus on the application and selection of functional performance tests in individuals presenting with non-arthritic intra-articular hip pain. STUDY DESIGN: A modified Delphi technique was used with fourteen physical therapy experts, all members of the International Society for Hip Arthroscopy (ISHA). The panelists participated in three rounds of questions and related discussions to reach full consensus on the application and selection of functional performance tests. RESULTS: The panel agreed that functional performance tests should be utilized at initial evaluation, re-evaluations, and discharge, as well as criterion for assessing readiness for returning to sports. Tests should be as part of a multimodal assessment of neuromuscular control, strength, range of motion, and balance, applied in a graded fashion depending on the patient's characteristics. Clinicians should select functional performance tests with objective scoring criteria and prioritize the use of tests with supporting psychometric evidence. A list of recommended functional performance tests with varying intensity levels is provided. Low-intensity functional performance tests encompass controlled speed in a single plane with no impact. Medium-intensity functional performance tests involve controlled speed in multiple planes with low impact. High-intensity functional performance tests include higher speeds in multiple planes with higher impact and agility requirements. Sport-specific movement tests should mimic the patient's particular activity or sport. CONCLUSION: This international consensus statement provides recommendations for clinicians regarding selection and utilization of functional performance tests for those with non-arthritic intra-articular hip pain. These recommendations will encourage greater consistency and standardization among clinicians during a physical therapy assessment.

摘要

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本文引用的文献

[1]
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[2]
What tests should be used to assess functional performance in youth and young adults following anterior cruciate ligament or meniscal injury? A systematic review of measurement properties for the OPTIKNEE consensus.

Br J Sports Med. 2022-12

[3]
Hamstring Strain Injury in Athletes.

J Orthop Sports Phys Ther. 2022-3

[4]
Correlation Between Y-Balance Test and Balance, Functional Performance, and Outcome Measures in Patients Following ACL Reconstruction.

Int J Sports Phys Ther. 2022-2-1

[5]
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.

Phys Ther Sport. 2021-11

[6]
The Single Leg Squat Test: A "Top-Down" or "Bottom-Up" Functional Performance Test?

Int J Sports Phys Ther. 2021-4-1

[7]
Ankle Stability and Movement Coordination Impairments: Lateral Ankle Ligament Sprains Revision 2021.

J Orthop Sports Phys Ther. 2021-4

[8]
Patient-Reported Outcome Measures and Clinically Important Outcome Values in Hip Arthroscopy: A Systematic Review.

JBJS Rev. 2021-1-26

[9]
The Effect of Hip Joint Mobilizations Using a Mobilization Belt on Hip Range of Motion and Functional Outcomes.

J Sport Rehabil. 2020-12-8

[10]
Assessment of Disability Related to Hip Dysplasia Using Objective Measures of Physical Performance.

Orthop J Sports Med. 2020-2-27

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