Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 12/2016

01-12-2016 | Hip

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

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

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 12/2016

Login to get access

Abstract

Introduction

If physical impairments that are associated with poorer outcomes can be identified in people with chondrolabral hip pathology, then rehabilitation programmes that target such modifiable impairments could potentially be established to improve quality of life. The aim of this study was to examine the relationship between quality-of-life PROs and physical impairment measurements in people with chondrolabral pathology post-hip arthroscopic surgery.

Methods

This was a cross-sectional study where multiple stepwise linear regression analyses were conducted to determine which physical impairment measurements were most associated with poorer quality-of-life patient-reported outcomes (PROs). Eighty-four patients (42 women; all aged 36 ± 10 years) with hip chondrolabral pathology 12- to 24-month post-hip arthroscopy were included. The Hip disability and Osteoarthritis Outcome Score Quality-of-life (HOOS-Q) subscale and International Hip Outcome Tool (IHOT-33) PROs were collected. Measurements of active hip ROM and strength were assessed.

Results

Modifiable post-surgical physical impairments were associated with PRO in patients with chondrolabral pathology. Greater hip flexion ROM was independently associated with better scores in both HOOS-Q and IHOT-33 (adjusted r 2 values ranged from 0.249 to 0.341). Greater hip adduction strength was independently associated with better HOOS-Q and IHOT-33 (adjusted r 2 0.227–0.317). Receiver Operator Curve analyses determined that the limit value for hip flexion ROM was 100° (sensitivity 92 %, specificity 75 %), and hip adduction strength was 0.86 Nm/kg (sensitivity 96 %, specificity 70 %).

Conclusions

Hip flexion ROM and adduction strength were associated with better quality-of-life PRO scores in patients with chondrolabral pathology 12- to 24-month post-hip arthroscopy. These impairments could be targeted by clinicians designing rehabilitation programmes to this patient group.

Level of evidence

Cross-sectional study, Level IV.
Literature
1.
Abbott JH, Robertson MC, Chapple C, Pinto D, Wright AA, Leon de la Barra S, Baxter GD, Theis JC, Campbell AJ (2013) Manual therapy, exercise therapy, or both, in addition to usual care, for osteoarthritis of the hip or knee: a randomized controlled trial. Osteoarthr Cartil 21(4):525–534CrossRefPubMed
2.
Agricola R, Waarsing J, Arden N, Carr A, Bierma-Zeinstra SMA, Thomas GE, Weinans H, Glyn-Jones S (2013) Cam impingement of the hip—a risk factor for hip osteoarthritis. Nat Rev Rheumatol 9:630–634CrossRefPubMed
3.
Arokoski MH, Haara M, Helminen HJ, Arokoski JP (2004) Physical function in men with and without hip osteoarthritis. Arch Phys Med Rehabil 85(4):574–581CrossRefPubMed
4.
Arokoski MH (2002) Hip muscle strength and cross sectional area in men with and without hip osteoarthritis. J Rheumatol 29(10):2185–2195PubMed
5.
Bennell KL, Egerton T, Pua Y, Haxby Abbot J, Sims K, Buchbinder R (2011) Building the rationale and structure for a complex physical therapy intervention within the context of a clinical trial: a multimodal individualized treatment for patients with hip osteoarthritis. Phys Ther 91(10):1525–1541CrossRefPubMed
6.
Clohisy JC, Baca G, Beaulé PE, Kim Y-J, Larson CM, Millis MB, Podeszwa DA, Schoenecker PL, Sierra RJ, Sink EL, Sucato DJ, Trousdale RT, Zaltz I, ANCHOR Study Group (2013) Descriptive epidemiology of femoroacetabular impingement: a north american cohort of patients undergoing surgery. Am J Sports Med 41(6):1348–1356CrossRefPubMed
7.
Cowan SM, Blackburn MS, McMahon K, Bennell KL (2010) Current Australian physiotherapy management of hip osteoarthritis. Physiotherapy 96(4):289–295CrossRefPubMed
8.
Dhollander AAM, Lambrecht S, Verdonk PCM, Audenaert EA, Almqvist KF, Pattyn C, Verdonk R, Elewaut D, Verbruggen G (2012) First insights into human acetabular labrum cell metabolism. Osteoarthritis Cartilage 20(7):670–677CrossRefPubMed
9.
Dippmann C, Thorborg K, Kraemer O, Winge S, Palm H, Holmich P (2014) Hip arthroscopy with labral repair for femoroacetabular impingement: short-term outcomes. Knee Surg Sports Traumatol Arthrosc 22(4):744–749CrossRefPubMed
10.
Egerton T, Hinman RS, Takla A, Bennell KL, O’Donnell J (2013) Intraoperative cartilage degeneration predicts outcome 12 months after hip arthroscopy. Clin Orthop Rel R 471(2):593–599CrossRef
11.
Ericsson YB, Roos EM, Dahlberg L (2006) Muscle strength, functional performance, and self-reported outcomes four years after arthroscopic partial meniscectomy in middle-aged patients. Arthrit Care Res 55(6):946–952CrossRef
12.
Fransen M, McConnell S, Hernandez-Molina G, Reichenbach S (2010) Does land-based exercise reduce pain and disability associated with hip osteoarthritis? A meta-analysis of randomized controlled trials. Osteoarthritis Cartilage 18(5):613–620CrossRefPubMed
13.
Freeman S, Mascia A, McGill SM (2013) Arthrogenic neuromusculature inhibition: a foundational investigation of existence in the hip joint. Clin Biomech 28:171–177CrossRef
14.
Hatton AL, Kemp JL, Brauer SG, Clark RA, Crossley KM (2014) Dynamic single-leg balance performance is impaired in individuals with hip chondropathy. Arthrit Care Res 66(5):709–716CrossRef
15.
Jacobson NS, Truax P (1991) Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. J Consult Clin Psychol 59(1):12–19CrossRefPubMed
16.
Kemp JL, Collins NJ, Makdissi M, Schache AG, Machotka Z, Crossley K (2012) Hip arthroscopy for intra-articular pathology: a systematic review of outcomes with and without femoral osteoplasty. Br J Sports Med 46(9):632–643CrossRefPubMed
17.
Kemp JL, Collins NJ, Roos EM, Crossley KM (2013) Psychometric properties of patient-reported outcome measures for hip arthroscopy. Am J Sports Med 41:2065–2073CrossRefPubMed
18.
Kemp JL, MacDonald D, Collins N, Hatton AL, Crossley KM (2014) Hip Arthroscopy in the setting of hip osteoarthritis: systematic review of outcomes and progression to hip arthroplasty. Clin Orthop Rel R 473(3):1055–1073CrossRef
19.
Kemp JL, Makdissi M, Pritchard MG, Schache AG, Pollard TCB, Crossley KM (2014) Chondropathy of the hip at arthroscopy: prevalence and relationship to labral pathology, femoro-acetabular impingement and patient-reported outcomes. Br J Sports Med 48(11):1102–1107CrossRefPubMed
20.
Kemp JL, Schache A, Makdissi M, Pritchard M, Sims K, Crossley K (2014) Is hip range of motion and strength impaired in people with hip chondrolabral pathology? J Musculoskelet Neuronal Interact 14(3):334–342PubMed
21.
Kemp JL, Schache AG, Makdissi M, Sims K, Crossley KM (2013) Greater understanding of normal hip physical function may guide clinicians in providing targeted rehabilitation programmes. J Sci Med Sport 16:292–296CrossRefPubMed
22.
McCarthy J, Noble P, Aluisio FV, Schuck M, Wright J, Lee JA (2003) Anatomy, pathologic features, and treatment of acetabular labral tears. Clin Orthop Rel R 406:38–47CrossRef
23.
24.
Mohtadi NGH, Griffin DR, Pedersen ME, Chan D, Safran MR, Parsons N, Sekiya JK, Kelly BT, Werle JR, Leunig M, McCarthy JC, Martin HD, Byrd JWT, Philippon MJ, Martin RL, Guanche CA, Clohisy JC, Sampson TG, Kocher MS, Larson CM (2012) The development and validation of a self-administered quality-of-life outcome measure for young, active patients with symptomatic hip disease: the international hip outcome tool (iHOT-33). Arthroscopy 28(5):595–610CrossRefPubMed
25.
Montgomery SR, Ngo SS, Hobson T, Nguyen S, Alluri R, Wang JC, Hame SL (2013) Trends and demographics in hip arthroscopy in the United States. Arthroscopy 29(4):661–665CrossRefPubMed
26.
Neumann DA (2010) Kinesiology of the hip: a focus on muscular actions. J Orthop Sports Phys 40(2):82–94CrossRef
27.
Nilsdotter AK, Lohmander LS, Klässbo M, Roos EM (2003) Hip disability and osteoarthritis outcome score (HOOS)—validity and responsiveness in total hip replacement. BMC Musculoskelet Dis 4:10–18CrossRef
28.
Outerbridge RE (1961) The etiology of chondromalacia patellae. JBJS 43(1):752
29.
Retchford T, Crossley KM, Grimaldi A, Kemp JL, Cowan SM (2013) Can local muscles augment stability in the hip? A narrative literature review. J Musculoskelet Neuronal Interact 13(1):1–12PubMed
30.
Ryan J, DeBurca N, McCreesh K (2014) Risk factors for groin/hip injuries in field based sports: a systematic review. Br J Sports Med 48:1089–1096CrossRefPubMed
31.
Sparks DR, Beason DP, Etheridge BS, Alonso JE, Eberhardt AW (2005) Contact pressures in the flexed hip joint during lateral trochanteric loading. J Orthop Res 23(2):359–366CrossRefPubMed
32.
Thorstensson CA, Petersson IF, Jacobsson LTH, Boegard TL, Roos EM (2004) Reduced functional performance in the lower extremity predicted radiographic knee osteoarthritis five years later. Ann Rheum Dis 63:402–407CrossRefPubMedPubMedCentral
33.
Tyler TF, Nicholas SJ, Campbell RJ, McHugh MP (2001) The association of hip strength and flexibility with the incidence of adductor muscle strains in professional ice hockey players. Am J Sports Med 29(2):124–128PubMed
Metadata
Title
Is quality of life following hip arthroscopy in patients with chondrolabral pathology associated with impairments in hip strength or range of motion?
Authors
Joanne L. Kemp
Michael Makdissi
Anthony G. Schache
Caroline F. Finch
Michael G. Pritchard
Kay M. Crossley
Publication date
01-12-2016
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 12/2016
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-015-3679-4

Other articles of this Issue 12/2016

Knee Surgery, Sports Traumatology, Arthroscopy 12/2016 Go to the issue

Ankle

Effects of boric acid on the healing of Achilles tendons of rats

Editorial

PRP: Product Rich in Placebo?

Ankle

Increasing incidence of acute Achilles tendon rupture and a noticeable decline in surgical treatment from 1994 to 2013. A nationwide registry study of 33,160 patients

Sports Medicine

Professional football can be considered a healthy sport?

Shoulder

Anterior shoulder instability with engaging Hill–Sachs defects: a comparison of arthroscopic Bankart repair with and without posterior capsulodesis

Ankle

Osteochondral transplantation of autologous graft for the treatment of osteochondral lesions of talus: 5- to 7-year follow-up