股骨髋臼撞击的保守物理治疗

Q4 Medicine
A. Nikolova, Y. Yordanov
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引用次数: 0

摘要

股骨-髋臼撞击(FAI)综合征是髋关节运动相关障碍,髋臼与股骨近端过早接触。这是一个相对较新的临床实体,尚未建立严格的治疗方案和指南。此外,患者经常被误诊,得不到适当治疗。我们报告了一个年轻的成年女性患者的临床病例,在过去的2年里,出现了双侧FAI-CAM型畸形。建立了一个个人渐进的整体弹性阻力训练计划,其中包括使用普拉提概念刺激所有受影响的肌肉群。髋关节特异性和功能性下肢强化针对髋深外旋肌、外展肌和屈肌的横向、额位和矢状面。提高动态稳定性和核心稳定性是本病例具有挑战性的物理治疗的主要目的。随访6个月,功能恢复良好。所有的治疗活动都是在无疼痛的活动范围内进行的,这对于分别获得良好的患者依从性和成功的结果至关重要。应用的治疗策略被证明是可靠的,并且在处理FAI组患者时可以成为当代物理治疗的一个有用的工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Conservative Physiotherapy Treatment of Femoroacetabular Impingement
Abstract The femoro-acetabular impingement (FAI) syndrome is a motion-related disorder of the hip joint with premature contact between the acetabulum and the proximal femur. It is a relatively new clinical entity and no strict treatment protocols and guidelines have been established yet. Furthermore, patients are often misdiagnosed and not properly treated. We report a clinical case of a young adult female patient presenting with a bilateral FAI-CAM type deformity during the last 2 years. An individual progressive global elastic resistant training program was established which involved stimulation to all affected muscle groups using Pilates concept. Hip-specific and functional lower limb strengthening targeted the deep hip external rotators, abductors and flexors in the transverse, frontal, and sagittal planes. Improving the dynamic stability and Core stability was the main aim of the challenging physiotherapy treatment in this case. A good functional result was registered at 6 months follow up. All therapeutic activities were performed in a pain free range of motion which was of paramount importance for achieving excellent patient compliance and successful outcome respectively. The applied treatment strategy demonstrated to be reliable and could be a helpful tool in the armamentarium of contemporary physiotherapy when dealing with the FAI group of patients.
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来源期刊
Acta Medica Bulgarica
Acta Medica Bulgarica Medicine-Medicine (all)
CiteScore
0.30
自引率
0.00%
发文量
33
审稿时长
25 weeks
期刊介绍: About 30 years ago - in 1973, on the initiative of the Publishing House „Medicine and Physical Culture", namely its former director Mr. Traian Ivanov, the Ministry of Health set up and accepted to subsidize a new medical magazine that was to be published only in the English language and had to reflect the status and the achievements of the Bulgarian medical science. Thus the language barrier was overcome and stable relations were established with the international medical society, large libraries, and university centers. The famous internationally known scientist professor Assen A. Hadjiolov was elected edition-in-chief by the first editorial staff and the magazine was named Acta Medica Bulgarica.
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