■髋臼发育不良(AD)引起疼痛,有限的功能,和早期髋关节骨关节炎的发展。髋臼周围截骨术(PAO)是AD的一种手术治疗方法,旨在重新定位髋臼以减轻疼痛并改善功能。
■在PAO之前和之后的六个月中检查疼痛恢复和身体活动(PA)。
■案例系列,前瞻性。
■已注册为PAO计划的AD患者。在PAO之前和一周和一周时评估疼痛强度,三,在PAO之后六个月。使用加速度计在PAO之前和之后六个月评估PA水平(久坐行为所花费的时间,光PA,中度至剧烈的PA[MVPA],和每日步数)和国际身体活动问卷(IPAQ;步行和MVPA中花费的时间)。使用重复测量的单向ANOVA检查PAO后随时间的疼痛改善,以及使用配对样本t检验在PAO之前和之后六个月的PA水平改善。此外,通过加速度计和IPAQ在每个时间点(PAO之前和之后6个月)定性总结了在MVPA中花费的时间。
■在49名筛选的参与者中,28人报名参加,23人(22名女性;年龄=23.1±7.9岁)完成了两次研究访问。与PAO前疼痛相比,参与者报告PAO后1个月及之后疼痛有显著改善(p<0.011).然而,PAO后六个月的PA水平与PAO前的PA水平没有差异(p>0.05)。定性,参与者报告说,在IPAQ记录的MVPA中花费的时间更多(PAO前=73.3±150.2分钟/天;PAO后六个月=121.2±192.2分钟/天),与加速度计记录的MVPA相比(PAO前=22.6±25.2分钟/天;PAO后六个月=25.0±21.4分钟/天)。
■患有AD的人在PAO后一个月和六个月内报告疼痛明显减轻,但与基线测试相比,PAO后6个月PA水平没有变化.未来的研究应该考虑检查纵向疼痛恢复和PA的改善,在更长的时间内,使用更大的AD患者接受PAO的样本,并确定可改变的因素,以最大程度地减少疼痛和增加PA参与。
■III.
UNASSIGNED: 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.
UNASSIGNED: To examine pain recovery and physical activity (PA) before and during the six months after PAO.
UNASSIGNED: Case series, prospective.
UNASSIGNED: 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.
UNASSIGNED: 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).
UNASSIGNED: 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.
UNASSIGNED: III.