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Acute and Subacute Changes in Dynamic Postural Control After Hip Arthroscopy and Postoperative Rehabilitation.
- Source :
-
Journal of Athletic Training (Allen Press) . May2022, Vol. 57 Issue 5, p494-501. 8p. 2 Diagrams, 3 Charts, 1 Graph. - Publication Year :
- 2022
-
Abstract
- Hip pain is associated with impairments in postural control and balance. The Star Excursion Balance Test (SEBT) is a reliable and valid method for measuring dynamic postural control. To examine changes in dynamic postural control after hip arthroscopy and subsequent rehabilitation from baseline to 3 and 6 months postsurgery. Case series. Physiotherapy department. Sixty-seven individuals (47 men, 20 women; age = 31 ± 8 years, height = 1.78 ± 0.09 m, mass = 83 ± 15 kg) scheduled for hip arthroscopy to address chondrolabral conditions were matched with 67 healthy individuals serving as controls (47 men, 20 women; age = 31 ± 8 years, height = 1.77 ± 0.09 m, mass = 80 ± 16 kg). The hip arthroscopy group underwent postoperative rehabilitation including SEBT training. The SEBT reach normalized to limb length was collected before surgery (baseline) and at 3 and 6 months after arthroscopy and compared with that of the healthy matched control group. Repeated-measures analysis of variance was used to evaluate whether SEBT reach differed among the 3 time points, and t tests were used to evaluate between-limbs and between-groups differences. The SEBT reach in the hip arthroscopy group at baseline was less than that of the control group in all directions (P values <.001). At 3 months after arthroscopy, SEBT reach increased in the posteromedial (PM; P =.007), posterolateral (PL; P <.001), and anterolateral (AL; P <.001) directions from baseline. At 6 months after arthroscopy, all directions of reach had increased (P values <.001) from baseline. The anteromedial (mean difference [MD] = −2.9%, P =.02), PM (MD = −5.2%, P =.002), and AL (MD = −2.5%, P =.04) reach distances remained shorter at 6 months after surgery in the hip arthroscopy group than in the control group. No difference existed between the control and hip arthroscopy groups for reach in the PL direction (MD = −3.6%; P =.06). Dynamic balance control in the hip arthroscopy group at baseline was poorer than in a matched control group as measured using the SEBT. At 3 months after hip arthroscopy, we observed improvements in dynamic balance in the PM, PL, and AL SEBT directions. By 6 months after arthroscopy, all directions of SEBT reach had improved, but only the PL reach improved to the level of healthy control individuals. [ABSTRACT FROM AUTHOR]
- Subjects :
- *HIP surgery
*STATURE
*STATISTICS
*ANALYSIS of variance
*CONFIDENCE intervals
*ARTHROSCOPY
*POSTURAL balance
*POSTOPERATIVE care
*CASE-control method
*SUBACUTE care
*TREATMENT effectiveness
*COMPARATIVE studies
*T-test (Statistics)
*CRITICAL care medicine
*POSTOPERATIVE period
*REPEATED measures design
*DESCRIPTIVE statistics
*CHI-squared test
*INTRACLASS correlation
*DATA analysis
*REHABILITATION
Subjects
Details
- Language :
- English
- ISSN :
- 10626050
- Volume :
- 57
- Issue :
- 5
- Database :
- Academic Search Index
- Journal :
- Journal of Athletic Training (Allen Press)
- Publication Type :
- Academic Journal
- Accession number :
- 157407243
- Full Text :
- https://doi.org/10.4085/1062-6050-0709.20