Naif Alrashdi, Robert Motl, Elroy Aguiar, Donald Lein, Suzanne Perumean-Chaney, Michael Ryan, Matthew Ithurburn
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PA levels was evaluated before and six months following PAO using accelerometers (time spent in sedentary behavior, light PA, moderate-to-vigorous PA [MVPA], and daily steps) and the International Physical Activity Questionnaire (IPAQ; time spent in walking and in MVPA). Pain improvements was examined over time following PAO using a repeated-measures one-way ANOVA as well as improvements in PA levels before and six months after PAO using paired-sample <i>t</i> tests. In addition, time spent in MVPA was qualitatively summarized at each time point (before and six months after PAO) measured by both the accelerometers and IPAQ.</p><p><strong>Results: </strong>Out of 49 screened participants, 28 were enrolled, and 23 individuals (22 females; age=23.1±7.9 years) completed both study visits. Compared to pre-PAO pain, participants reported significant improvements in pain at one month and onward following PAO (<i>p</i>\\<0.011). However, PA levels at six months following PAO did not differ from pre-PAO PA levels (<i>p</i>>0.05). Qualitatively, participants reported spending more time in MVPA recorded by the IPAQ (pre-PAO=73.3±150.2 mins/day; six-months after PAO=121.2±192.2 mins/day), compared with MVPA recorded by accelerometers (pre-PAO=22.6±25.2 mins/day; six-months after PAO=25.0±21.4 mins/day).</p><p><strong>Conclusions: </strong>Individuals with AD reported significant pain reduction at one month and up to six months after PAO, but PA levels did not change six months after PAO compared to baseline testing. Future studies should consider examining longitudinal pain recovery and PA improvements over longer periods of time with larger samples of individuals with AD undergoing PAO and identifying modifiable factors to minimize pain and increase PA participation.</p><p><strong>Level of evidence: </strong>III.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":"19 6","pages":"692-703"},"PeriodicalIF":1.6000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11144661/pdf/","citationCount":"0","resultStr":"{\"title\":\"Pre- and Post-Operative Pain Intensity and Physical Activity Levels in Individuals with Acetabular Dysplasia Undergoing Periacetabular Osteotomy: A Prospective Cohort Study.\",\"authors\":\"Naif Alrashdi, Robert Motl, Elroy Aguiar, Donald Lein, Suzanne Perumean-Chaney, Michael Ryan, Matthew Ithurburn\",\"doi\":\"10.26603/001c.117403\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Acetabular dysplasia (AD) causes pain, limited function, and development of early hip osteoarthritis. Periacetabular osteotomy (PAO) is a surgical treatment for AD that aims to reposition the acetabulum to reduce pain and improve function.</p><p><strong>Purpose: </strong>To examine pain recovery and physical activity (PA) before and during the six months after PAO.</p><p><strong>Study design: </strong>Case series, prospective.</p><p><strong>Methods: </strong>Individuals with AD scheduled for PAO were enrolled. Pain intensity was evaluated before PAO and at one week and one, three, and six months following PAO. PA levels was evaluated before and six months following PAO using accelerometers (time spent in sedentary behavior, light PA, moderate-to-vigorous PA [MVPA], and daily steps) and the International Physical Activity Questionnaire (IPAQ; time spent in walking and in MVPA). Pain improvements was examined over time following PAO using a repeated-measures one-way ANOVA as well as improvements in PA levels before and six months after PAO using paired-sample <i>t</i> tests. In addition, time spent in MVPA was qualitatively summarized at each time point (before and six months after PAO) measured by both the accelerometers and IPAQ.</p><p><strong>Results: </strong>Out of 49 screened participants, 28 were enrolled, and 23 individuals (22 females; age=23.1±7.9 years) completed both study visits. Compared to pre-PAO pain, participants reported significant improvements in pain at one month and onward following PAO (<i>p</i>\\\\<0.011). However, PA levels at six months following PAO did not differ from pre-PAO PA levels (<i>p</i>>0.05). Qualitatively, participants reported spending more time in MVPA recorded by the IPAQ (pre-PAO=73.3±150.2 mins/day; six-months after PAO=121.2±192.2 mins/day), compared with MVPA recorded by accelerometers (pre-PAO=22.6±25.2 mins/day; six-months after PAO=25.0±21.4 mins/day).</p><p><strong>Conclusions: </strong>Individuals with AD reported significant pain reduction at one month and up to six months after PAO, but PA levels did not change six months after PAO compared to baseline testing. Future studies should consider examining longitudinal pain recovery and PA improvements over longer periods of time with larger samples of individuals with AD undergoing PAO and identifying modifiable factors to minimize pain and increase PA participation.</p><p><strong>Level of evidence: </strong>III.</p>\",\"PeriodicalId\":47892,\"journal\":{\"name\":\"International Journal of Sports Physical Therapy\",\"volume\":\"19 6\",\"pages\":\"692-703\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2024-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11144661/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Sports Physical Therapy\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.26603/001c.117403\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"SPORT SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Sports Physical Therapy","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.26603/001c.117403","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"SPORT SCIENCES","Score":null,"Total":0}
引用次数: 0
摘要
背景：髋臼发育不良（AD）会导致疼痛、功能受限和早期髋关节炎。髋臼周围截骨术（PAO）是一种针对髋臼发育不良的手术治疗方法，旨在重新定位髋臼以减轻疼痛并改善功能：研究设计：病例系列，前瞻性：研究设计：病例系列，前瞻性。在 PAO 前、PAO 后一周及 1、3 和 6 个月时对疼痛强度进行评估。使用加速度计（久坐时间、轻度活动时间、中强度活动时间 [MVPA] 和每日步数）和国际体力活动问卷（IPAQ；步行时间和 MVPA）对 PAO 前和 PAO 后六个月的活动水平进行评估。采用重复测量单因素方差分析研究了 PAO 后疼痛随时间的改善情况，并采用配对样本 t 检验研究了 PAO 前和 PAO 后 6 个月的 PA 水平改善情况。此外，在每个时间点（PAO 前和 PAO 后 6 个月），通过加速度计和 IPAQ 测量的 MVPA 所花费的时间也进行了定性总结：在 49 名经过筛选的参与者中，有 28 人参加了研究，其中 23 人（22 名女性；年龄=23.1±7.9 岁）完成了两次研究访问。与PAO前的疼痛相比，参与者报告PAO后一个月及以后的疼痛明显改善（p/p>0.05）。定性分析显示，与加速度计记录的MVPA（PAO前=22.6±25.2分钟/天；PAO后6个月=25.0±21.4分钟/天）相比，参与者在IPAQ记录的MVPA（PAO前=73.3±150.2分钟/天；PAO后6个月=121.2±192.2分钟/天）上花费了更多时间：结论：注意力缺失症患者在 PAO 后一个月和六个月内疼痛明显减轻，但 PAO 后六个月的水平与基线测试相比没有变化。未来的研究应考虑对接受PAO治疗的更多AD患者样本进行更长时间的纵向疼痛恢复和PA改善情况检查，并确定可改变的因素，以最大限度地减少疼痛和增加PA参与：证据等级：III。
Pre- and Post-Operative Pain Intensity and Physical Activity Levels in Individuals with Acetabular Dysplasia Undergoing Periacetabular Osteotomy: A Prospective Cohort Study.
Background: Acetabular dysplasia (AD) causes pain, limited function, and development of early hip osteoarthritis. Periacetabular osteotomy (PAO) is a surgical treatment for AD that aims to reposition the acetabulum to reduce pain and improve function.
Purpose: To examine pain recovery and physical activity (PA) before and during the six months after PAO.
Study design: Case series, prospective.
Methods: Individuals with AD scheduled for PAO were enrolled. Pain intensity was evaluated before PAO and at one week and one, three, and six months following PAO. PA levels was evaluated before and six months following PAO using accelerometers (time spent in sedentary behavior, light PA, moderate-to-vigorous PA [MVPA], and daily steps) and the International Physical Activity Questionnaire (IPAQ; time spent in walking and in MVPA). Pain improvements was examined over time following PAO using a repeated-measures one-way ANOVA as well as improvements in PA levels before and six months after PAO using paired-sample t tests. In addition, time spent in MVPA was qualitatively summarized at each time point (before and six months after PAO) measured by both the accelerometers and IPAQ.
Results: Out of 49 screened participants, 28 were enrolled, and 23 individuals (22 females; age=23.1±7.9 years) completed both study visits. Compared to pre-PAO pain, participants reported significant improvements in pain at one month and onward following PAO (p\<0.011). However, PA levels at six months following PAO did not differ from pre-PAO PA levels (p>0.05). Qualitatively, participants reported spending more time in MVPA recorded by the IPAQ (pre-PAO=73.3±150.2 mins/day; six-months after PAO=121.2±192.2 mins/day), compared with MVPA recorded by accelerometers (pre-PAO=22.6±25.2 mins/day; six-months after PAO=25.0±21.4 mins/day).
Conclusions: Individuals with AD reported significant pain reduction at one month and up to six months after PAO, but PA levels did not change six months after PAO compared to baseline testing. Future studies should consider examining longitudinal pain recovery and PA improvements over longer periods of time with larger samples of individuals with AD undergoing PAO and identifying modifiable factors to minimize pain and increase PA participation.
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