The Short-term Outcomes of Physiotherapy for Patients with Acetabular Labral Tears: An Analysis according to Severity of Injury in Magnetic Resonance Imaging.

Conservative treatment Femoroacetabular impingement Hip joint Magnetic resonance imaging Physical therapy modalities

Journal

Hip & pelvis
ISSN: 2287-3260
Titre abrégé: Hip Pelvis
Pays: Korea (South)
ID NLM: 101599815

Informations de publication

Date de publication:
Mar 2022
Historique:
received: 19 03 2021
revised: 21 06 2021
accepted: 25 06 2021
entrez: 31 3 2022
pubmed: 1 4 2022
medline: 1 4 2022
Statut: ppublish

Résumé

The aim of this study was to evaluate the short-term outcome of physiotherapy in patients with acetabular labral tears and to assess the effectiveness of physiotherapy according to the severity of the labral tear. Thirty-five patients who underwent physiotherapy for treatment of symptomatic acetabular labral tears were enrolled. We evaluated the severity of the acetabular labral tears, which were classified based on the Czerny classification system using 3-T MRI. Clinical findings of microinstability and extra-articular pathologies of the hip joint were also examined. The International Hip Outcome Tool 12 (iHOT12) was use for evaluation of outcome scores pre- and post-intervention. The mean iHOT12 score showed significant improvement from 44.0 to 73.6 in 4.7 months. Compared with pre-intervention scores, significantly higher post-intervention iHOT12 scores were observed for Czerny stages I and II tears (all The iHOT12 score of patients with acetabular labral tears was significantly improved by physiotherapy in the short-term period. Improvement of the clinical score by physiotherapy may be poor in patients with severe acetabular labral tears. Determining the severity of acetabular labral tears can be useful in determining treatment strategies.

Identifiants

pubmed: 35355626
doi: 10.5371/hp.2022.34.1.45
pmc: PMC8931951
doi:

Types de publication

Journal Article

Langues

eng

Pagination

45-55

Informations de copyright

Copyright © 2022 by Korean Hip Society.

Déclaration de conflit d'intérêts

CONFLICT OF INTEREST: S.N. belongs to the endowed institutes of Zimmer Biomet and Smith & Nephew. The other authors declare that there is no potential conflict of interest relevant to this article.

Références

Arthroscopy. 2019 Feb;35(2):646-656.e3
pubmed: 30712639
Skeletal Radiol. 2017 Mar;46(3):299-308
pubmed: 27975135
PLoS One. 2018 Jan 11;13(1):e0191091
pubmed: 29324877
J Biomech. 2003 Feb;36(2):171-8
pubmed: 12547354
Radiology. 1996 Jul;200(1):225-30
pubmed: 8657916
Br J Sports Med. 2015 Jun;49(12):768-74
pubmed: 26031643
Arthrosc Sports Med Rehabil. 2019 Nov 13;1(1):e67-e74
pubmed: 32266342
Arthroscopy. 2015 Jun;31(6):1199-204
pubmed: 25636988
Lancet. 2018 Jun 2;391(10136):2225-2235
pubmed: 29893223
Am J Sports Med. 2018 Dec;46(14):3415-3422
pubmed: 30398893
Am J Sports Med. 2015 Jul;43(7):1698-703
pubmed: 25964274
Am J Sports Med. 2018 May;46(6):1306-1314
pubmed: 29443538
Eur J Radiol. 2014 Oct;83(10):1822-7
pubmed: 25022979
J Hip Preserv Surg. 2016 Jan 09;3(3):171-80
pubmed: 27583155
Am J Sports Med. 2013 Nov;41(11):2591-8
pubmed: 23956133
Arthroscopy. 2017 Feb;33(2):464-475.e3
pubmed: 27625005
J Bone Joint Surg Am. 2006 Jul;88(7):1448-57
pubmed: 16818969
Eur J Radiol. 2017 Mar;88:109-116
pubmed: 28189195
Am J Sports Med. 2011 Feb;39(2):296-303
pubmed: 21098820
Am J Sports Med. 2011 Jul;39 Suppl:103S-10S
pubmed: 21709039
J Orthop Surg (Hong Kong). 2011 Apr;19(1):41-5
pubmed: 21519074
Arthroscopy. 2012 May;28(5):611-6; quiz 616-8
pubmed: 22542434

Auteurs

Makoto Kawai (M)

Department of Rehabilitation, Sapporo Medical University Hospital, Sapporo, Japan.
Second Division of Physical Therapy, School of Health Sciences, Sapporo Medical University, Sapporo, Japan.

Kenji Tateda (K)

Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan.

Yuma Ikeda (Y)

Department of Rehabilitation, Sapporo Medical University Hospital, Sapporo, Japan.

Ima Kosukegawa (I)

Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan.

Satoshi Nagoya (S)

Department of Musculoskeletal Biomechanics and Surgical Development, Sapporo Medical University, Sapporo, Japan.

Masaki Katayose (M)

Department of Rehabilitation, Sapporo Medical University Hospital, Sapporo, Japan.
Second Division of Physical Therapy, School of Health Sciences, Sapporo Medical University, Sapporo, Japan.

Classifications MeSH