Background: Arthroscopic hip-preservation surgery is commonly performed to address nonarthritic sources of hip pain in young, active individuals. However, there is little evidence to support postoperative rehabilitation protocols, including the most appropriate frequency and length of individual formal physical therapy sessions. There is also a lack of information to look at patients’ perceived value of their home program/self-practice in relation to outcomes. Purpose: To investigate postoperative rehabilitation factors after hip arthroscopy related to formal physical therapy and home program/self-practice and their correlation with patient outcomes and satisfaction. Study Design: Cohort study; Level of evidence, 3. Methods: A total of 125 patients who underwent hip arthroscopy for femoroacetabular impingement syndrome and a labral tear (75 men) were included. The mean age was 34.6 ± 14.4 years, and the mean follow-up time was 4.9 ± 1.6 years. Hip Outcome Score–Activities of Daily Living subscale (HOS-ADL) scores, overall satisfaction scores, and factors related to supervised physical therapy and home program/self-practice were collected. Correlations between continuous variables and differences in the length of individual formal physical therapy and patients’ rating of the importance of their home program/self-practice between those who would and those who would not undergo surgery again were assessed. Results: The frequency and length of individual formal physical therapy sessions were significantly correlated with postoperative HOS-ADL scores ( r = 0.22, P = .014; and r = 0.24, P = .007, respectively) and level of satisfaction ( r = 0.24, P = .007; and r = 0.21, P = .02, respectively). The length of individual formal physical therapy sessions was significantly greater in those who noted they would undergo surgery again (35.3 vs 26.3; P = .033). A significant correlation was identified between the rating of the importance of their home program/self-practice and postoperative HOS-ADL scores ( r = 0.29; P = .001) and their level of satisfaction ( r = 0.23; P = .009). There was a significant difference in the rating of the importance of their home program/self-practice between those who would undergo surgery again and those who would not (8.9 vs 7.8; P = .007). Conclusion: Surgeons and physical therapists should emphasize the value of home program/self-practice when it comes to outcomes and may want to encourage their patients to participate in more frequent, longer, formal physical therapy sessions.
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机译：背景：常见的是关节镜髋关节保存手术，以解决年轻，活跃个体的髋关节疼痛的非接受症来源。但是，几乎没有证据支持术后康复协议，包括最适合个体正式物理治疗课程的频率和长度。还有缺乏信息，以了解他们家庭计划/自我实践的患者的感知价值与结果。目的：探讨与正式物理治疗和家庭计划/自我实践相关的髋关节关节镜后术后康复因子及其与患者结果和满意度的相关性。研究设计：队列研究;证据水平，3.方法：包括125例接受髋关节镜检查的髋关节镜综合征的125名患者，并包括患者撕裂（75名男子）。平均年龄为34.6±14.4岁，平均随访时间为4.9±1.6岁。收集了日常生活分量（HOS-ADL）分数，总满意度评分和与监督物理治疗和家庭计划/自我实践有关的因素的髋关节结果。综合变量与患者的差异与患者的差异之间的相关性，患者在那些不会再次进行手术的人之间的家庭计划/自我实践之间的重要性。结果：各种正式物理治疗次数的频率和长度与术后HOS-ADL分数显着相关（r = 0.22，p = .014;和r = 0.24，p = .007，p = .007）和满意度（r = 0.24，p = .007;和r = 0.21，分别为p = .02）。在那些注意到他们会再次进行手术的人中，个人正式的物理治疗会话的长度明显更大（35.3 vs 26.3; p = .033）。在其家庭计划/自我实践和术后HOS-ADL分数的重要性评级之间确定了一个显着的相关性（r = 0.29; p = .001）及其满意度（r = 0.23; p = .009） 。他们的家庭计划/自我练习的重要性评级差异很大，那些再次接受手术的人和那些不会（8.9 VS 7.8; P = .007）。结论：外科医生和物理治疗师应强调家庭计划/自我练习的价值，当涉及结果，可能希望鼓励患者参加更频繁，更长，正式的物理治疗课程。
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