PDF(Pubmed)
Abstract：
UNASSIGNED: Non-arthritic intra-articular hip pain, caused by various pathologies, leads to impairments in range of motion, strength, balance, and neuromuscular control. Although functional performance tests offer valuable insights in evaluating these patients, no clear consensus exists regarding the optimal tests for this patient population.
UNASSIGNED: This study aimed to establish expert consensus on the application and selection of functional performance tests in individuals presenting with non-arthritic intra-articular hip pain.
UNASSIGNED: A modified Delphi technique was used with fourteen physical therapy experts, all members of the International Society for Hip Arthroscopy (ISHA). The panelists participated in three rounds of questions and related discussions to reach full consensus on the application and selection of functional performance tests.
UNASSIGNED: The panel agreed that functional performance tests should be utilized at initial evaluation, re-evaluations, and discharge, as well as criterion for assessing readiness for returning to sports. Tests should be as part of a multimodal assessment of neuromuscular control, strength, range of motion, and balance, applied in a graded fashion depending on the patient\'s characteristics. Clinicians should select functional performance tests with objective scoring criteria and prioritize the use of tests with supporting psychometric evidence. A list of recommended functional performance tests with varying intensity levels is provided. Low-intensity functional performance tests encompass controlled speed in a single plane with no impact. Medium-intensity functional performance tests involve controlled speed in multiple planes with low impact. High-intensity functional performance tests include higher speeds in multiple planes with higher impact and agility requirements. Sport-specific movement tests should mimic the patient\'s particular activity or sport.
UNASSIGNED: This international consensus statement provides recommendations for clinicians regarding selection and utilization of functional performance tests for those with non-arthritic intra-articular hip pain. These recommendations will encourage greater consistency and standardization among clinicians during a physical therapy assessment.
UNASSIGNED: This study aimed to establish expert consensus on the application and selection of functional performance tests in individuals presenting with non-arthritic intra-articular hip pain.
UNASSIGNED: A modified Delphi technique was used with fourteen physical therapy experts, all members of the International Society for Hip Arthroscopy (ISHA). The panelists participated in three rounds of questions and related discussions to reach full consensus on the application and selection of functional performance tests.
UNASSIGNED: The panel agreed that functional performance tests should be utilized at initial evaluation, re-evaluations, and discharge, as well as criterion for assessing readiness for returning to sports. Tests should be as part of a multimodal assessment of neuromuscular control, strength, range of motion, and balance, applied in a graded fashion depending on the patient\'s characteristics. Clinicians should select functional performance tests with objective scoring criteria and prioritize the use of tests with supporting psychometric evidence. A list of recommended functional performance tests with varying intensity levels is provided. Low-intensity functional performance tests encompass controlled speed in a single plane with no impact. Medium-intensity functional performance tests involve controlled speed in multiple planes with low impact. High-intensity functional performance tests include higher speeds in multiple planes with higher impact and agility requirements. Sport-specific movement tests should mimic the patient\'s particular activity or sport.
UNASSIGNED: This international consensus statement provides recommendations for clinicians regarding selection and utilization of functional performance tests for those with non-arthritic intra-articular hip pain. These recommendations will encourage greater consistency and standardization among clinicians during a physical therapy assessment.
摘要：
■非关节炎性关节内髋关节疼痛，由各种病理引起的，导致运动范围受损，力量,balance,和神经肌肉控制。尽管功能性能测试在评估这些患者方面提供了有价值的见解，对于该患者人群的最佳检测方法尚无明确共识.
■本研究旨在就非关节炎性髋关节内疼痛患者功能表现测试的应用和选择建立专家共识。
■与14位物理治疗专家一起使用了改良的Delphi技术，国际髋关节镜学会（ISHA）的所有成员。小组成员参加了三轮问题和相关讨论，以就功能性能测试的应用和选择达成充分共识。
■专家小组同意在初始评估时应使用功能性能测试，重新评价,和放电，以及评估重返体育运动准备情况的标准。测试应作为神经肌肉控制的多模式评估的一部分，力量,运动范围,和平衡，根据患者的特征以分级的方式应用。临床医生应选择具有客观评分标准的功能表现测试，并优先使用具有支持心理测量学证据的测试。提供了具有不同强度水平的推荐功能性能测试列表。低强度功能性能测试包括在单个平面中控制速度而没有冲击。中等强度功能性能测试涉及在低冲击的多个平面中控制速度。高强度功能性能测试包括在具有更高冲击和敏捷性要求的多个平面中的更高速度。运动特定的运动测试应模仿患者的特定活动或运动。
■这项国际共识声明为临床医生选择和利用非关节炎性髋关节内疼痛患者的功能表现测试提供了建议。这些建议将鼓励物理治疗评估期间临床医生之间更大的一致性和标准化。
■本研究旨在就非关节炎性髋关节内疼痛患者功能表现测试的应用和选择建立专家共识。
■与14位物理治疗专家一起使用了改良的Delphi技术，国际髋关节镜学会（ISHA）的所有成员。小组成员参加了三轮问题和相关讨论，以就功能性能测试的应用和选择达成充分共识。
■专家小组同意在初始评估时应使用功能性能测试，重新评价,和放电，以及评估重返体育运动准备情况的标准。测试应作为神经肌肉控制的多模式评估的一部分，力量,运动范围,和平衡，根据患者的特征以分级的方式应用。临床医生应选择具有客观评分标准的功能表现测试，并优先使用具有支持心理测量学证据的测试。提供了具有不同强度水平的推荐功能性能测试列表。低强度功能性能测试包括在单个平面中控制速度而没有冲击。中等强度功能性能测试涉及在低冲击的多个平面中控制速度。高强度功能性能测试包括在具有更高冲击和敏捷性要求的多个平面中的更高速度。运动特定的运动测试应模仿患者的特定活动或运动。
■这项国际共识声明为临床医生选择和利用非关节炎性髋关节内疼痛患者的功能表现测试提供了建议。这些建议将鼓励物理治疗评估期间临床医生之间更大的一致性和标准化。
