The effectiveness of hydrotherapy on return to play in sports following hip arthroscopic surgery: a comparative study.

IF 1.3 4区 医学 Q3 ORTHOPEDICS
HIP International Pub Date : 2024-01-01 Epub Date: 2023-04-10 DOI:10.1177/11207000231167349
Alexandra Dimitrakopoulou, Bryan English, Christiana Kartsonaki, Adam Gledhill, Ernest Schilders
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引用次数: 0

Abstract

Background: The postoperative management of femoroacetabular impingement (FAI) is variable with favourable surgical outcomes. Yet there is no evidence on the efficacy of hydrotherapy in athletes undergoing hip arthroscopy for FAI. The purpose of this study was to evaluate the role and the impact of hydrotherapy on return to sports following hip arthroscopy for symptomatic FAI.

Methods: 2 cohorts of mixed level of athletes from various sports: a hydrotherapy group that followed land-based exercises in combination with hydrotherapy exercises and a control group that followed solely the same land-based exercises. Pre- and postoperative pain and hip-specific outcome scores were completed, and patient satisfaction was rated.

Results: A total of 88 hip arthroscopies were included with a minimum of 2 years follow-up; the hydrotherapy group comprised of 36 hips and the control group, 52 hips. There was a significant improvement in time to return to previous performance (HR 1.91, 95% CI, 1.21-3.01; p = 0.005) in the hydrotherapy group compared with the control. The hip-specific scores and patient satisfaction were considerably improved in the hydrotherapy group.

Conclusions: The analysis of our data indicates that the incorporation of hydrotherapy into postoperative rehabilitation for hip arthroscopy for FAI accelerates the return of athletes to their pre-injury performance, since recovery time decreased significantly.

水疗对髋关节镜手术后恢复运动的效果:一项比较研究。
背景:股骨髋臼撞击症(FAI)的术后治疗方法多种多样,手术效果良好。然而,目前还没有证据表明水疗对接受髋关节镜手术治疗股骨髋臼撞击症的运动员有疗效。本研究的目的是评估水疗对有症状的髋关节置换术后恢复运动的作用和影响。方法:由来自不同运动项目的两组不同水平的运动员组成:水疗组在进行陆上运动的同时进行水疗运动,对照组则只进行同样的陆上运动。术前和术后疼痛和髋关节特异性结果评分均已完成,患者满意度也已评定:共有88例髋关节镜手术接受了至少2年的随访;水疗组有36个髋关节,对照组有52个髋关节。与对照组相比,水疗组患者恢复到以往表现的时间明显缩短(HR 1.91,95% CI,1.21-3.01;P = 0.005)。水疗组的髋关节特异性评分和患者满意度均显著提高:我们的数据分析表明,在髋关节镜手术治疗 FAI 的术后康复中加入水疗可加快运动员恢复到受伤前的表现,因为恢复时间明显缩短。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
HIP International
HIP International 医学-整形外科
CiteScore
4.20
自引率
0.00%
发文量
70
审稿时长
2 months
期刊介绍: HIP International is the official journal of the European Hip Society. It is the only international, peer-reviewed, bi-monthly journal dedicated to diseases of the hip. HIP International considers contributions relating to hip surgery, traumatology of the hip, prosthetic surgery, biomechanics, and basic sciences relating to the hip. HIP International invites reviews from leading specialists with the aim of informing its readers of current evidence-based best practice. The journal also publishes supplements containing proceedings of symposia, special meetings or articles of special educational merit. HIP International is divided into six independent sections led by editors of the highest scientific merit. These sections are: • Biomaterials • Biomechanics • Conservative Hip Surgery • Paediatrics • Primary and Revision Hip Arthroplasty • Traumatology
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