A Pre-Operative Exercise Intervention Can Be Safely Delivered to People with Femoroacetabular Impingement and Improve Clinical and Biomechanical Outcomes

Autor: Guenther, Jerrad R.; Cochrane, Christopher K.; Crossley, Kay M.; Gilbart, Michael K.; Hunt, Michael A.
Sprache: Englisch
Veröffentlicht: 2017
Quelle: PubMed Central (PMC)
Online Zugang: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5963554/
http://www.ncbi.nlm.nih.gov/pubmed/30275636
http://dx.doi.org/10.3138/ptc.2016-34
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5963554/
https://doi.org/10.3138/ptc.2016-34
Erfassungsnummer: ftpubmed:oai:pubmedcentral.nih.gov:5963554

Zusammenfassung

Purpose: This study aimed to investigate the effects of a pre–hip arthroscopy exercise intervention on hip strength, pain, and function in individuals with femoroacetabular impingement (FAI). Methods: A total of 20 individuals with FAI completed a 10-week, partially supervised exercise programme; this included three phases of increasing resistance and functionality, consisting of four to six exercises per phase. Hip strength in all six directions; hip pain; function, as measured by the Hip disability and Osteoarthritis Outcome Score (HOOS); and objective physical function, as measured by the Timed Stair Climb test, were determined before and after the intervention. Results: Maximum isometric hip strength significantly increased in abduction (p=0.008), adduction (p=0.021), and internal rotation (p=0.006) at follow-up. Increases in flexion, extension, and external rotation strength did not reach statistical significance. Self-reported HOOS pain (p<0.01) and activities of daily living sub-scale scores (p<0.01) significantly improved at follow-up. Timed Stair Climb times (p<0.001) also significantly decreased at follow-up. Conclusion: A 10-week exercise programme can be safely completed by adults with FAI before surgery, and statistically significant changes in strength, function, and self-reported clinical outcomes can be achieved.