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首页> 外文期刊>Sportverletzung Sportschaden: Organ der Gesellschaft fu?r Orthopa?disch-Traumatologische Sportmedizin >Functional deficits and self-perceived performance after surgical hip dislocation
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Functional deficits and self-perceived performance after surgical hip dislocation

机译:手术髋关节脱位后的功能缺陷和自我感觉表现

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BACKGROUND: Surgical hip dislocation (SHD) is a common procedure to treat several hip problems, namely femoroacetabular impingements. After surgery patients are required to walk with reduced weight-bearing for six to eight weeks. The literature describes important changes in general health and functional state after immobilization but little is known about physical and functional recovery of these deficits. The aim of the study was to investigate the conditional deficits and changes of patients 3 and 12 months after SHD, and to compare them to healthy subjects. MATERIALS AND METHODS: A prospective cross-sectional study with three groups was performed: 29 patients 3 months after SHD (G3), 28 patients 12 months after SHD (G12) and 34 healthy persons (G0). Strength, endurance, gait, stair climbing and balance were measured and self-perceived performance and satisfaction with daily-life activities was evaluated with questionnaires. Group differences were tested with Kruskal-Wallis test and post-hoc with the Mann-Whitney U test. RESULTS: Significant differences were found for G3 compared to G0 in strength and endurance parameters, as well as for gait and self-perceived performance. G12 also showed significant differences compared to G0 and only little differences were found compared to G3. CONCLUSION: The remaining deficits in patients twelve month after SHD with regard to conditional and functional parameters indicate that full recovery for activities of daily life has not been achieved by these patients. A specific therapy program may be able to improve the patient's strength, endurance and functional performance and may possibly lead to effective protection of the joint and enhanced performance in daily life.
机译:背景:外科髋关节脱位(SHD)是治疗几种髋关节问题的常见方法,即股骨髋臼撞击。手术后,患者必须减轻负重行走六到八周。文献描述了固定后总体健康和功能状态的重要变化,但对这些缺陷的身体和功能恢复知之甚少。该研究的目的是调查SHD术后3个月和12个月患者的条件缺陷和变化,并将其与健康受试者进行比较。材料与方法:前瞻性横断面研究分为三组:SHD术后3个月(G3)29例,SHD术后12个月(G12)28例,健康人34例(G0)。测量强度,耐力,步态,爬楼梯和平衡,并通过问卷评估自我感知的表现和对日常生活活动的满意度。组差异用Kruskal-Wallis检验进行检验,事后用Mann-Whitney U检验进行检验。结果:与G0相比,G3在力量和耐力参数以及步态和自我感觉的表现上存在显着差异。与G0相比,G12也显示出显着差异,而与G3相比,仅发现了很小的差异。结论:在SHD后12个月,患者在条件和功能参数方面仍存在缺陷,表明这些患者尚未实现日常生活活动的完全恢复。特定的治疗程序可能能够改善患者的力量,耐力和功能表现,并可能导致关节的有效保护和日常生活中的表现增强。

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