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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Association of Hip Strength with the Hip Sports Test: A Functional Test to Measure Athlete’s Ability to Return to Sport Activity after Hip Arthroscopy
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Association of Hip Strength with the Hip Sports Test: A Functional Test to Measure Athlete’s Ability to Return to Sport Activity after Hip Arthroscopy

机译：髋关节力量与髋关节运动测试的关联：一项功能测试，用于测量髋关节镜检查后运动员恢复运动能力的能力

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Objectives: Excellent clinical outcomes and high rates of return to pre-operative level of activity has been reported in athletes that underwent hip arthroscopy. However, physicians often struggle to decide whether or not in an athlete is able to return to full activity. The Hip sports test (HST), like the already established knee test, may be a useful assessment tool towards this direction. The purpose of our study was evaluate the the correlation of the hip muscle strength values with the HST performance of athlete (measured on the same day) during the post-operative rehabilitation period. Muscle strength could serve as a complimentary, to sports test, tool in order to evaluate the return to sport ability of the athletes. Methods: The HST score as well as the muscle strength measurement were obtained on the same day in 115 athletes. Hip muscle strength was assessed using the MicroFET Dynometer pre-operatively and post-operatively. Measurements were made in hip flexion, extension, abduction, adduction, internal rotation, external rotation, gluteus medius and hamstrings. During the HST assessment patients were assessed in single leg squats (single knee bents), lateral agility, diagonal agility exercises as well as in forward single leg lunges in order to obtain their score. The score of 18 or more is considered a passing score for this test. Pre-operatively, 62 tests were performed whereas 53 tests were performed post-operatively. Our data were normally distributed- however, correlation was done non-parametrically using Spearman’s rank correlation coefficient (Spearman’s rho) due to the limited scale of HST. Results: The pre-operative strength change compared to the uninjured hip was -4.8% for flexion, -2.2% for extension, 2.4% for abduction, 0.3% for adduction, -2.1% for internal rotation, -1.7% for external rotation, -1.5% for gluteus medius and 1.3% for hamstring. The pre-operative median HST score was 12.5 (range: 0-20). Post-operative hip strength measurements and the distribution of HTS scores are summarized in the table.The Total HST score performance was correlated with hip muscle strength in extension (rho=0.344; p=0.001) and external Rotation (rho=0.260; p=0.006). Conclusion: The HST score performance is correlated with the hip muscle strength of hip extension and hip external rotation. Hip Sports Test score flexion Extension Abduction Adduction Internal Rotation External Rotation Gluteus Medius Hamstrings 0 41.6 31.9 38.6 33.2 18 23.2 35.4 30.7 1-17 51.9 38.5 44.3 37.9 20.2 26.3 40.8 34.1 18-20 62.3 46.2 50.1 44.3 25.8 35.2 49.4 47.7 p value 0.004 0.002 0.0125 0.056 0.004 0.0001 0.009 0.001.
机译：目的：据报道接受髋关节镜检查的运动员具有出色的临床疗效和高的恢复术前活动水平的机会。但是，医师经常难以决定运动员中是否能够恢复全部活动。像已经建立的膝盖测试一样，髋关节运动测试（HST）可能是朝这个方向发展的有用评估工具。我们研究的目的是评估术后康复期间臀部肌肉力量值与运动员的HST性能（在同一天测量）的相关性。肌肉力量可以作为运动测试的一种补充工具，以评估运动员的运动能力恢复程度。方法：当天在115名运动员中获得HST得分以及肌肉力量测量值。术前和术后使用MicroFET Dynometer评估臀部肌肉的力量。测量髋关节的屈曲，伸展，外展，内收，内旋，外旋，臀中肌和绳肌。在HST评估期间，对患者进行单腿下蹲（单膝弯曲），横向敏捷性，对角敏捷性锻炼以及向前的单腿弓步评估，以获取评分。 18分或更高的分数被认为是该考试的及格分数。术前进行了62项测试，而术后进行了53项测试。我们的数据是正态分布的-但是，由于HST的规模有限，因此使用Spearman的秩相关系数（Spearman的rho）进行非参数相关。结果：与未受伤的髋相比，术前力量变化为屈曲-4.8％，伸展-2.2％，外展2.4％，内收0.3％，内旋-2.1％，内旋-1.7％，-4.8％，臀肌-1.5％，and绳肌-1.3％。术前HST中位数为12.5（范围：0-20）。表格中总结了术后髋部力量测量结果和HTS得分分布。总HST得分表现与伸肌（rho = 0.344; p = 0.001）和外旋肌（rho = 0.260; p = 0.006）。结论：HST评分表现与髋部伸展和髋关节外旋的臀部肌肉强度相关。髋关节运动测试成绩屈曲伸展外展内收内旋外旋臀臀肌0 41.6 31.9 38.6 33.2 18 23.2 35.4 30.7 1-17 51.9 38.5 44.3 37.9 20.2 26.3 40.8 34.1 18-20 62.3 46.2 50.1 44.3 25.8 35.2 49.4 47.7 p值0.004 0.002 0.0125 0.056 0.004 0.0001 0.009 0.001

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