针对慢性复发性股髋撞击综合征患者的髋关节强化和特定任务运动训练

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport Pub Date : 2025-03-27 DOI:10.1016/j.ptsp.2025.03.010

Lee T. Atkins , Kelsey Ede , Megan Reid , Daniel Chan

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引用次数: 0

摘要

目的：研究髋关节强化和特定任务运动训练对一名女性患者的效果，该患者经历了多次外科手术，但仍有慢性复发性fais相关症状。研究设计——案例报告。方法一名23岁的活跃女性，有11年的FAIS病史和两次手术史，最近因运动水平增加而第三次复发。患者进行了渐进式锻炼，重点是改善髋关节伸展、外展和外旋强度。患者还接受了特定任务的运动训练，旨在减少引起症状的运动期间髋关节内收和内旋。结果：治疗后，患者自我报告的运动时髋关节疼痛改善了2.2分，在5项活动中有4项消除了疼痛。患者表现出髋伸肌（22%）、外展肌（36%）和外旋肌（20%）的力量增加。患者在所有活动中表现出髋关节内收减少（平均差值为10.6°），在五项活动中的三项活动中表现出髋关节内旋减少（平均差值为3.7°）。结论：本病例报告强调了针对长期FAIS患者和多次手术的髋关节强化和特定任务运动训练的效果。

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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Hip-focused strengthening and task-specific movement training for an individual with chronic, recurrent femoroacetabular impingement syndrome

Objectives

Examine the effects of hip-focused strengthening and task-specific movement training for a female who has undergone multiple surgical procedures yet continues to experience chronic, recurrent FAIS-related symptoms.

Study design

Case Report.

Methods

A 23-year-old active female with an eleven-year history of FAIS and two previous surgical procedures recently experienced a third recurrence of symptoms brought on by increased physical activity levels. The patient performed progressive exercises focused on improving hip extension, abduction, and external rotation strength. The patient also received task-specific movement training aimed at minimizing hip adduction and internal rotation during movement that provoked her symptoms.

Results

Following treatment, the patient's self-reported hip pain during movement improved 2.2 points and was abolished during four of the five activities examined. The patient exhibited strength gains for the hip extensors (22 %), abductors (36 %), and external rotators (20 %). The patient exhibited decreased hip adduction during all activities (mean difference = 10.6°) and decreased hip internal rotation during three of the five activities (mean difference = 3.7°).

Conclusion

This case report highlights the effects of hip-focused strengthening and task-specific movement training for a patient with longstanding FAIS and multiple surgical procedures.

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来源期刊

Physical Therapy in Sport 医学-康复医学

CiteScore

4.50

自引率

8.30%

发文量

125

审稿时长

39 days

期刊介绍： Physical Therapy in Sport is an international peer-reviewed journal that provides a forum for the publication of research and clinical practice material relevant to the healthcare professions involved in sports and exercise medicine, and rehabilitation. The journal publishes material that is indispensable for day-to-day practice and continuing professional development. Physical Therapy in Sport covers topics dealing with the diagnosis, treatment, and prevention of injuries, as well as more general areas of sports and exercise medicine and related sports science. The journal publishes original research, case studies, reviews, masterclasses, papers on clinical approaches, and book reviews, as well as occasional reports from conferences. Papers are double-blind peer-reviewed by our international advisory board and other international experts, and submissions from a broad range of disciplines are actively encouraged.