Is quality of life following hip arthroscopy in patients with chondrolabral pathology associated with impairments in hip strength or range of motion?

Kemp, Joanne L; Makdissi, Michael; Schache, Anthony G.; Finch, Caroline F.; Pritchard, Michael; Crossley, Kay M

doi:10.1007/s00167-015-3679-4

Cited by 32 publications

(36 citation statements)

References 33 publications

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“…Emara et al 25 suggest modifications to those activities of daily living that may be exacerbated by FAI and maintaining function within ‘safe range of movement’ as a means of improving function and reducing symptoms. Other modifiable impairments such as greater hip flexion range and adduction strength have been associated with higher quality-of-life patient-reported outcome scores in patients with chondrolabral pathology 12–24 months posthip arthroscopy 11. Programmes targeted at improving these specific impairments as well as other strength and functional movement patterns around the hip may help improve functional outcomes for those with symptomatic FAI.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Physical impairments in symptomatic femoroacetabular impingement: a systematic review of the evidence

Freke

Kemp

Svege³

et al. 2016

Br J Sports Med

122

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Section: Discussionmentioning

confidence: 99%

“…Symptomatic FAI can have a significant impact on pain, function and quality of life outcomes in the young and middle aged4 11 that may ultimately reduce their capacity to lead active and productive lives. Identifying potentially modifiable impairments in patients with symptomatic FAI is important.…”

Section: Introductionmentioning

confidence: 99%

Physical impairments in symptomatic femoroacetabular impingement: a systematic review of the evidence

Freke

Kemp

Svege³

et al. 2016

Br J Sports Med

122

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“…The average hip flexion ROM (Figure ) in the severe subgroup prior to arthroscopy was 102°. Kemp et al () previously reported the associations between decreased quality of life and decreased hip flexion ROM in a post hip arthroscopy group were strongest in those with less than 100° of ROM. This provides clinicians with a useful measure when determining the likely severity of symptoms and functional limitations in patients both before and after hip arthroscopy.…”

Section: Discussionmentioning

confidence: 95%

“…Hip chondral lesions and acetabular labral tears are well‐recognized contributors to hip and groin pain in individuals undergoing hip arthroscopy (Kemp et al, ; Kemp, Makdissi, Schache, Pritchard et al, ). These findings are often associated with femoroacetabular impingement syndrome (FAI syndrome; Griffin et al, ).…”

Section: Introductionmentioning

confidence: 99%

Strength and range of movement deficits are associated with symptom severity in people scheduled for hip arthroscopy

Freke

Kemp

Crossley

et al. 2019

European Journal of Pain

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Background Identifying the physical impairments associated with worse symptoms and greater functional limitations in people with hip pain could enable targeted rehabilitation programmes designed to improve quality of life. The objective of this study was to compare physical characteristics between subgroups of symptoms and functional limitation severity in individuals with hip pain scheduled for arthroscopic surgery. Methods Hip range of motion (ROM) and muscle strength were measured in 114 individuals (48 women; aged 32 ± 8 years) with hip pain scheduled for hip arthroscopy. Pain and disability were measured with the International Hip Outcome Tool (iHOT33) subscale of Symptoms and Functional Limitation, and a cluster analysis was used to identify mild, moderate and severe subgroups. Between‐group differences were then evaluated using multivariate analysis of covariance, including sex as a covariate, followed by post hoc testing. Significance was set at 0.05. Results Lesser hip muscle strength in all directions was reported in the severe symptoms and functional limitation group compared to the mild group. Hip flexion ROM differed when comparing the moderate to both the mild and severe subgroups. Hip internal rotation did not differ between subgroups of severity. Conclusions Individuals with hip pain and severe scores in the iHOT33 subscale of symptoms and functional limitations present with significantly lesser hip muscle strength and hip flexion ROM than individuals with moderate or mild scores. Targeted programmes to improve hip strength and flexion ROM in more severe patients may help reduce symptoms and improve function. Significance Individuals with severe hip pain and functional limitation possess significantly lesser muscle strength and flexion ROM than individuals with moderate or mild scores.

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“…Hip and groin pain is common in the community [216] and in sporting populations [221]. Hip chondral lesions and acetabular labral tears are well recognized contributors to hip and groin pain in individuals undergoing hip arthroscopy [116,117]. These findings are often associated with femoroacetabular impingement syndrome (FAIS), which is a motion-related clinical disorder of the hip with a triad of symptoms, clinical signs, and imaging findings often affecting young active adults [76].…”

Section: Hip Intra-articular Pathologymentioning

confidence: 99%

Clinical predictors of outcome following hip arthroscopy

Freke¹

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Intra-articular hip pathology, including femoro-acetabular impingement syndrome (FAIS), is a cause of hip and groin pain in otherwise healthy young adults. While arthroscopic surgery in the hip joint has historically lagged behind its counterparts in the shoulder and knee, there has recently been a rapid evolution of the management of hip injuries in the young, active population utilizing hip arthroscopic techniques which has improved understanding of mechanical hip pathology. The aims of this thesis were to; investigate the clinical presentation of individuals scheduled to undergo hip arthroscopy; assess and report pre-operative deficits in hip strength, range of movement (ROM) and dynamic balance; determine the changes that occur post surgery, and; identify potentially modifiable predictors of outcome post arthroscopy.A review of literature revealed that there is limited evidence that those with FAI syndrome have reduced hip abduction and flexion ROM compared to healthy matched controls. There were no differences in hip adduction or extension ROM, and conflicting results for external rotation and internal rotation ROM. However, people with symptomatic FAIS demonstrated deficits in hip muscle strength and reduced dynamic balance on one leg when compared to controls. For hip joint ROM, there were no significant within-group differences between pre and post intervention time points while hip muscle strength improved significantly from pre to post-hip arthroscopy in a single case series.In people undergoing hip arthroscopy, severe femoral head chondropathy, large labral tears, along with a high prevalence of labral pathology and acetabular chondropathy, were relatively common findings. Severe femoral head chondropathy and large labral tears were most associated with patient related outcomes (PROs), however, at best only explained 22% of the variability. Individuals with hip pain and severe scores in the International Hip Outcome Tool (iHOT33) subscale of symptoms and functional limitations presented with significantly lesser hip muscle strength and hip flexion ROM when compared to individuals with moderate or mild scores. Individuals scheduled for arthroscopic hip surgery were also significantly weaker, had less hip mobility and reduced dynamic balance compared to healthy matched controls. In the hip pain population, dynamic balance performance was associated with various hip strength and ROM measurements in a direction specific manner. The clinical significance of these findings may assist therapists in providing targeted rehabilitation programs for people with FAIS and chondrolabral hip pain to improve hip strength and ROM, help reduce symptoms and to improve function. 3 By three months post arthroscopy to address bony morphology and/or chondrolabral pathology, all directions of hip strength (with the exception of adduction squeeze in crook lying and flexion) and hip flexion ROM were significantly improved. While by six months post arthroscopy, strength in all directions, and flexion and rotation ROM were signifi...

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Is quality of life following hip arthroscopy in patients with chondrolabral pathology associated with impairments in hip strength or range of motion?

Abstract: Cross-sectional study, Level IV.

Cited by 32 publications

References 33 publications

Physical impairments in symptomatic femoroacetabular impingement: a systematic review of the evidence

Physical impairments in symptomatic femoroacetabular impingement: a systematic review of the evidence

Strength and range of movement deficits are associated with symptom severity in people scheduled for hip arthroscopy

Clinical predictors of outcome following hip arthroscopy

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