Matthew Freke 1 , Matthew King 2 , Kay Crossley 2 , Kevin Sims 1 , Adam Semciw 2 Show Affiliations »
Abstract
CONTEXT: Hip pain is associated with impairments in postural control and balance. The Star Excursion Balance Test (SEBT) is a reliable and valid method for measuring dynamic postural control. OBJECTIVE: To examine changes in dynamic postural control after hip arthroscopy and subsequent rehabilitation from baseline to 3 and 6 months postsurgery. DESIGN: Case series. SETTING: Physiotherapy department. PATIENTS OR OTHER PARTICIPANTS: Sixty-seven individuals (47 men, 20 women; age = 31 ± 8 years, height = 1.78 ± 0.09 m, mass = 83 ± 15 kg) scheduled for hip arthroscopy to address chondrolabral conditions were matched with 67 healthy individuals serving as controls (47 men, 20 women; age = 31 ± 8 years, height = 1.77 ± 0.09 m, mass = 80 ± 16 kg). The hip arthroscopy group underwent postoperative rehabilitation including SEBT training. MAIN OUTCOME MEASURE(S): The SEBT reach normalized to limb length was collected before surgery (baseline) and at 3 and 6 months after arthroscopy and compared with that of the healthy matched control group. Repeated-measures analysis of variance was used to evaluate whether SEBT reach differed among the 3 time points, and t tests were used to evaluate between-limbs and between-groups differences. RESULTS: The SEBT reach in the hip arthroscopy group at baseline was less than that of the control group in all directions (P values < .001). At 3 months after arthroscopy, SEBT reach increased in the posteromedial (PM; P = .007), posterolateral (PL; P < .001), and anterolateral (AL; P < .001) directions from baseline. At 6 months after arthroscopy, all directions of reach had increased (P values < .001) from baseline. The anteromedial (mean difference [MD] = -2.9%, P = .02), PM (MD = -5.2%, P = .002), and AL (MD = -2.5%, P = .04) reach distances remained shorter at 6 months after surgery in the hip arthroscopy group than in the control group. No difference existed between the control and hip arthroscopy groups for reach in the PL direction (MD = -3.6%; P = .06). CONCLUSIONS: Dynamic balance control in the hip arthroscopy group at baseline was poorer than in a matched control group as measured using the SEBT. At 3 months after hip arthroscopy, we observed improvements in dynamic balance in the PM, PL, and AL SEBT directions. By 6 months after arthroscopy, all directions of SEBT reach had improved, but only the PL reach improved to the level of healthy control individuals. © by the National Athletic Trainers' Association, Inc.
CONTEXT: Hip pain is associated with impairments in postural control and balance. The Star Excursion Balance Test (SEBT) is a reliable and valid method for measuring dynamic postural control. OBJECTIVE: To examine changes in dynamic postural control after hip arthroscopy and subsequent rehabilitation from baseline to 3 and 6 months postsurgery. DESIGN: Case series. SETTING: Physiotherapy department. PATIENTS OR OTHER PARTICIPANTS: Sixty-seven individuals (47 men, 20 women; age = 31 ± 8 years, height = 1.78 ± 0.09 m, mass = 83 ± 15 kg) scheduled for hip arthroscopy to address chondrolabral conditions were matched with 67 healthy individuals serving as controls (47 men, 20 women; age = 31 ± 8 years, height = 1.77 ± 0.09 m, mass = 80 ± 16 kg). The hip arthroscopy group underwent postoperative rehabilitation including SEBT training. MAIN OUTCOME MEASURE(S): The SEBT reach normalized to limb length was collected before surgery (baseline) and at 3 and 6 months after arthroscopy and compared with that of the healthy matched control group. Repeated-measures analysis of variance was used to evaluate whether SEBT reach differed among the 3 time points, and t tests were used to evaluate between-limbs and between-groups differences. RESULTS: The SEBT reach in the hip arthroscopy group at baseline was less than that of the control group in all directions (P values < .001). At 3 months after arthroscopy, SEBT reach increased in the posteromedial (PM; P = .007), posterolateral (PL; P < .001), and anterolateral (AL; P < .001) directions from baseline. At 6 months after arthroscopy, all directions of reach had increased (P values < .001) from baseline. The anteromedial (mean difference [MD] = -2.9%, P = .02), PM (MD = -5.2%, P = .002), and AL (MD = -2.5%, P = .04) reach distances remained shorter at 6 months after surgery in the hip arthroscopy group than in the control group. No difference existed between the control and hip arthroscopy groups for reach in the PL direction (MD = -3.6%; P = .06). CONCLUSIONS: Dynamic balance control in the hip arthroscopy group at baseline was poorer than in a matched control group as measured using the SEBT. At 3 months after hip arthroscopy, we observed improvements in dynamic balance in the PM, PL, and AL SEBT directions. By 6 months after arthroscopy, all directions of SEBT reach had improved, but only the PL reach improved to the level of healthy control individuals. © by the National Athletic Trainers' Association, Inc.
Entities: Chemical
Keywords:
Star Excursion Balance Test; dynamic balance; lower extremity; rehabilitation
Mesh： See more »
Year: 2022
PMID： 35696599 PMCID： PMC9205559 DOI： 10.4085/1062-6050-0709.20
Source DB: PubMed Journal: J Athl Train ISSN： 1062-6050 Impact factor: 3.824