González-DE-LA-Flor Ángel, García-Arrabé Maríá, Fernández-Pardo Teresa, Cotteret Charles
Faculty of Sport Sciences, European University of Madrid, Madrid, Spain -
Faculty of Sport Sciences, European University of Madrid, Madrid, Spain.
Eur J Phys Rehabil Med. 2024 Dec;60(6):1027-1035. doi: 10.23736/S1973-9087.24.08378-3. Epub 2024 Oct 7.
Femoroacetabular impingement syndrome (FAIS) significantly affects the physical function and quality of life of the young and middle-aged population. Pelvic tilt and trunk muscle endurance are physical features poorly studied in FAIS.
This study aimed to compare the anterior pelvic tilt and anterior, lateral, and posterior trunk muscles endurance between people with FAIS and healthy individuals, within FAIS sub types and between the symptomatic and asymptomatic hip in people with FAIS.
Cross-sectional study.
Participants were recruited and screened for potential eligibility at the Rehabilitation, Sports Medicine, and Physiotherapy Unit between April 2021 and February 2022.
Sixty-nine patients with FAIS and 69 controls.
A study adhering to STROBE guidelines recruited 138 participants (69 FAIS, 69 controls). The degree of pelvic tilt was measured by the palpation meter (PALM) tool. To assess trunk musculature endurance, isometric trunk tests described by McGill were performed (extension resistance test, flexion resistance test, and side plank test). Cases were classified based on FAIS subtypes. Differences between groups and subgroups were performed using t-tests and ANCOVA, respectively.
Significant differences in anterior pelvic tilt were observed between the control and FAIS groups (P<0.001, d=0.72). Participants with FAIS exhibited greater pelvic tilt (MD=1.57, 95% CI=0.83 to 2.3). Trunk muscle endurance showed statistically significant differences (P<0.001, d=0.72) for posterior muscles. In comparisons between symptomatic and asymptomatic hips, significant differences were found in pelvic tilt (P<0.001, d=0.26) and lateral trunk muscle endurance (P<0.001, d=0.43). FAIS subtypes demonstrated significant differences in lateral trunk muscle endurance (P=0.002, η
This study found that patients with FAIS present large anterior pelvic tilt and lower posterior trunk muscle endurance. Although anterior pelvic tilt was comparable for all FAIS subtypes, Pincer-type with or without labral tear exhibited lower lateral trunk muscle endurance compared with Cam-type with or without labral tear. In addition, the symptomatic hip of FAIS patients showed lower lateral trunk muscle endurance compared to the asymptomatic hip.
Incorporating rehabilitation strategies that address pelvic tilt and trunk muscle strengthening in individuals with FAIS might be considered as a potential means to improve these physical impairments, pending careful evaluation of their effectiveness.
股骨髋臼撞击综合征（FAIS）显著影响中青年人群的身体功能和生活质量。骨盆倾斜和躯干肌肉耐力是FAIS中研究较少的身体特征。
本研究旨在比较FAIS患者与健康个体之间、FAIS各亚型之间以及FAIS患者有症状和无症状髋关节之间的骨盆前倾以及躯干前侧、外侧和后侧肌肉耐力。
横断面研究。
2021年4月至2022年2月期间，在康复、运动医学和物理治疗科招募并筛选了符合潜在条件的参与者。
69例FAIS患者和69名对照者。
一项遵循STROBE指南的研究招募了138名参与者（69例FAIS患者，69名对照者）。使用触诊仪（PALM）工具测量骨盆倾斜度。为评估躯干肌肉耐力，进行了McGill描述的等长躯干测试（伸展阻力测试、屈曲阻力测试和侧板测试）。根据FAIS亚型对病例进行分类。分别使用t检验和协方差分析来比较组间和亚组间的差异。
对照组和FAIS组之间观察到骨盆前倾存在显著差异（P<0.001，d=0.72）。FAIS患者表现出更大的骨盆倾斜度（MD=1.57，95%CI=0.83至2.3）。躯干肌肉耐力方面，后侧肌肉存在统计学显著差异（P<0.001，d=0.72）。在有症状和无症状髋关节的比较中，骨盆倾斜度（P<0.001，d=0.26）和躯干外侧肌肉耐力（P<0.001，d=0.43）存在显著差异。FAIS各亚型在躯干外侧肌肉耐力方面表现出显著差异（P=0.002，ηp2=0.209）。
本研究发现，FAIS患者存在较大的骨盆前倾和较低的躯干后侧肌肉耐力。尽管所有FAIS亚型的骨盆前倾度相当，但伴有或不伴有盂唇撕裂的钳夹型与伴有或不伴有盂唇撕裂的凸轮型相比，表现出较低的躯干外侧肌肉耐力。此外，FAIS患者有症状的髋关节与无症状髋关节相比，表现出较低的躯干外侧肌肉耐力。
在对FAIS患者的康复策略有效性进行仔细评估之前，将解决骨盆倾斜和加强躯干肌肉的康复策略纳入其中，可能被视为改善这些身体损伤的一种潜在方法。
