Full recovery of hip muscle strength is not achieved at return to sports in patients with femoroacetabular impingement surgery
Full recovery of hip muscle strength is not achieved at return to sports in patients with femoroacetabular impingement surgery
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DOI：
10.1007/s00167-018-5337-0
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发表时间：
2020-04-01
影响因子：
3.8
通讯作者：
Augustsson, Jesper
中科院分区：
文献类型：
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作者：
Hallberg, Sam;Sansone, Mikael;Augustsson, Jesper
本研究的目的是研究股骨髋臼撞击手术（FAI）综合征患者在接受单侧关节镜治疗后恢复运动的动态髋关节外旋强度。方法采用横断面研究，观察组（n = 22）和匹配的对照组（n = 22）。使用Augustsson强度测试测量髋关节的动态外旋强度，该测试在检查髋关节肌肉力量的侧对侧差异方面显示出很高的可靠性。结果观察组关节镜治疗组髋动态外旋强度明显低于未治疗组（p < 0.004）。结论本横断面研究表明，在恢复运动时，接受单侧关节镜治疗的FAI综合征患者髋关节肌力恢复不足。因此，康复方案应强调术后髋部肌肉的力量训练。需要进一步的研究来确定关节镜治疗FAI后髋关节强度降低对长期预后的影响。临床相关性：本研究的结果强调了股骨髋臼撞击手术患者在恢复运动前进行术后力量训练的重要性。
Purpose The purpose of this study was to study dynamic hip external rotation strength in patients with Femoroacetabular impingement surgery (FAI) syndrome who have undergone unilateral arthroscopic treatment and returned to sports. Methods A cross-sectional study was performed using an observational group (n = 22) and a matched control group (n = 22). Dynamic external rotation strength of the hip was measured using the Augustsson Strength Test, which has shown high reliability for examining side-to-side differences in hip muscle strength. Results Dynamic hip external rotation strength was significantly lower in the arthroscopically treated hip compared with the non-treated hip within the observational group (p < 0.004). Conclusion This cross-sectional study shows that at return to sports, patients who have undergone unilateral arthroscopic treatment for FAI syndrome do not have adequate hip muscle strength recovery. Rehabilitation protocols should, therefore, emphasise post-operative strength training of the hip muscles. Additional research is needed to determine the consequences of reduced hip strength for the long-term outcome after arthroscopically treated FAI. Clinical relevance: The results of this study underline the importance of post-operative strength training prior to returning to sports in patients with femoroacetabular impingement surgery.