PDF(Pubmed)
Abstract：
BACKGROUND: Detailed postoperative rehabilitation protocols after hip arthroscopy for femoroacetabular impingement syndrome (FAIS) are still a matter of debate. Adjunctive hip bracing represents a promising tool to improve early patients\' mobilization. To present, the effect of hip brace therapy on postoperative functional outcomes and specific patient individual psychologic factors remains controversially discussed. Consequently, we aimed to report postoperative outcomes focusing on hip function, pain and kinesiophobia between braced and unbraced patients.
METHODS: A prospective, randomized-controlled trial was conducted, including patients undergoing hip arthroscopy for FAIS. After exclusion, a final study cohort of 36 patients in the intervention group (postoperative hip brace) and 36 patients in the control group (no hip brace) were compared for kinesiophobia (Tampa Scale of Kinesiophobia), pain (Visual analog scale) and joint function (International Hip Outcome Tool-12) within the first six postoperative months.
RESULTS: Hip arthroscopy significantly improved all patient-reported outcomes in both groups. Intergroup analysis revealed significantly lower levels of kinesiophobia in braced patients at 6-months follow up (30.7 vs. 34.1, p = 0.04) while not negatively affecting pain and joint function. No intra- and postoperative complications occurred within both groups.
CONCLUSIONS: This study could demonstrate that bracing after hip arthroscopy can positively influence kinesiophobia, while the brace did not negatively impact postoperative pain and quality of life. Thus, hip bracing could be a viable assistive therapy in the postoperative rehabilitation phase after hip arthroscopy.
METHODS: A prospective, randomized-controlled trial was conducted, including patients undergoing hip arthroscopy for FAIS. After exclusion, a final study cohort of 36 patients in the intervention group (postoperative hip brace) and 36 patients in the control group (no hip brace) were compared for kinesiophobia (Tampa Scale of Kinesiophobia), pain (Visual analog scale) and joint function (International Hip Outcome Tool-12) within the first six postoperative months.
RESULTS: Hip arthroscopy significantly improved all patient-reported outcomes in both groups. Intergroup analysis revealed significantly lower levels of kinesiophobia in braced patients at 6-months follow up (30.7 vs. 34.1, p = 0.04) while not negatively affecting pain and joint function. No intra- and postoperative complications occurred within both groups.
CONCLUSIONS: This study could demonstrate that bracing after hip arthroscopy can positively influence kinesiophobia, while the brace did not negatively impact postoperative pain and quality of life. Thus, hip bracing could be a viable assistive therapy in the postoperative rehabilitation phase after hip arthroscopy.
摘要：
背景：髋关节镜检查治疗股骨髋臼撞击综合征（FAIS）后详细的术后康复方案仍存在争议。辅助髋关节支撑是改善早期患者活动的有希望的工具。为了呈现,髋关节支架治疗对术后功能结局和特定患者个体心理因素的影响仍存在争议。因此,我们旨在报告术后结局，重点关注髋关节功能，有支撑和无支撑患者之间的疼痛和运动恐惧症。
方法：前瞻性，进行了随机对照试验，包括接受FAIS髋关节镜检查的患者。排除后,最后一项研究队列包括干预组（术后髋关节支架）的36例患者和对照组（无髋关节支架）的36例患者进行了运动恐惧症（运动恐惧症坦帕量表）的比较，术后前六个月的疼痛（视觉模拟量表）和关节功能（国际髋关节结果工具-12）。
结果：髋关节镜检查能显著改善两组患者报告的预后。组间分析显示，在6个月的随访中，带支架患者的运动恐惧症水平显着降低（30.7vs.34.1，p=0.04），而不会对疼痛和关节功能产生负面影响。两组患者均未发生术中、术后并发症。
结论：这项研究可以证明，髋关节镜检查后的支撑可以对运动恐惧症产生积极影响，而支具对术后疼痛和生活质量没有负面影响。因此，髋关节支撑术在髋关节镜检查术后康复阶段可能是一种可行的辅助治疗方法.
方法：前瞻性，进行了随机对照试验，包括接受FAIS髋关节镜检查的患者。排除后,最后一项研究队列包括干预组（术后髋关节支架）的36例患者和对照组（无髋关节支架）的36例患者进行了运动恐惧症（运动恐惧症坦帕量表）的比较，术后前六个月的疼痛（视觉模拟量表）和关节功能（国际髋关节结果工具-12）。
结果：髋关节镜检查能显著改善两组患者报告的预后。组间分析显示，在6个月的随访中，带支架患者的运动恐惧症水平显着降低（30.7vs.34.1，p=0.04），而不会对疼痛和关节功能产生负面影响。两组患者均未发生术中、术后并发症。
结论：这项研究可以证明，髋关节镜检查后的支撑可以对运动恐惧症产生积极影响，而支具对术后疼痛和生活质量没有负面影响。因此，髋关节支撑术在髋关节镜检查术后康复阶段可能是一种可行的辅助治疗方法.
