PMID- 35155708
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220501
IS  - 2325-9671 (Print)
IS  - 2325-9671 (Electronic)
IS  - 2325-9671 (Linking)
VI  - 10
IP  - 2
DP  - 2022 Feb
TI  - Prehabilitation and Rehabilitation Program for Patients Undergoing Arthroscopic 
      Acetabular Labral Repair: A Comprehensive 5-Phase Patient-Guided Program.
PG  - 23259671211071073
LID - 10.1177/23259671211071073 [doi]
LID - 23259671211071073
AB  - BACKGROUND: Many of the current rehabilitation programs for patients undergoing 
      hip arthroscopy fail to consider the progression of soft tissue healing and 
      inflammation that can be heightened due to aggressive therapy to the operative 
      hip in the immediate postoperative period. HYPOTHESIS: It was hypothesized that 
      introducing conservative physical therapy (PT) preoperatively along with a slow 
      progression to return to activity using a structured, patient-guided 
      postoperative program would improve patient outcomes. STUDY DESIGN: Case series; 
      Level of evidence, 4. METHODS: The authors conducted a retrospective review of 
      patients who received a hip arthroscopy, were at least 18 years old, and who had 
      completed the following patient-reported outcomes (PROs) at 1-year follow-up: 
      modified Harris Hip Score (mHHS), Hip Outcome Score, Nonarthritic Hip Score, 
      International Hip Outcome Tool-33, and Lower Extremity Functional Scale. Patients 
      who underwent previous surgery on the ipsilateral hip and those with cartilage 
      erosion down to exposed subchondral bone (Outerbridge grade 4) were excluded. 
      Paired-samples t tests were used to compare the change in PRO scores at 3-month, 
      6-month, and 1-year follow-up, and the percentage of patients who achieved 
      minimal clinically important difference (MCID) and substantial clinical benefit 
      (SCB) thresholds on the mHHS were stratified according to their Outerbridge grade 
      (0-3). RESULTS: Overall, 202 patients (53% female, 47% male) were included in the 
      analysis. Significant improvement was seen from 3 to 6 months on all PRO measures 
      and from 6 months to 1 year on all but the mHHS (P < .05 for all except the 
      mHHS). A significantly smaller percentage of patients with Outerbridge grade 3 
      cartilage damage achieved the MCID and SCB on the mHHS compared with those with 
      grade 0, both at 6 months (grade 3 vs 0: 20% vs 63.2% [MCID]; 18.0% vs 52.6% 
      [SCB]; both P = .03) and 1 year (grade 3 vs 0: 22.0% vs 57.9% [MCID]; 14.0% vs 
      52.6% [SCB]; both P < .05). CONCLUSION: A structured, patient-guided PT protocol 
      after arthroscopic acetabular labral repair can significantly improve 
      postoperative outcomes.
CI  - (c) The Author(s) 2022.
FAU - Naessig, Sara
AU  - Naessig S
AD  - Sports Medicine Center, Department of Orthopaedic Surgery, Massachusetts General 
      Hospital, Mass General Brigham, Boston, Massachusetts, USA.   .
FAU - Kucharik, Michael
AU  - Kucharik M
AD  - Sports Medicine Center, Department of Orthopaedic Surgery, Massachusetts General 
      Hospital, Mass General Brigham, Boston, Massachusetts, USA.   .
FAU - Meek, Wendy
AU  - Meek W
AD  - Sports Medicine Center, Department of Orthopaedic Surgery, Massachusetts General 
      Hospital, Mass General Brigham, Boston, Massachusetts, USA.   .
FAU - Eberlin, Christopher
AU  - Eberlin C
AD  - Sports Medicine Center, Department of Orthopaedic Surgery, Massachusetts General 
      Hospital, Mass General Brigham, Boston, Massachusetts, USA.   .
FAU - Martin, Scott
AU  - Martin S
AD  - Sports Medicine Center, Department of Orthopaedic Surgery, Massachusetts General 
      Hospital, Mass General Brigham, Boston, Massachusetts, USA.   .
LA  - eng
PT  - Journal Article
DEP - 20220208
PL  - United States
TA  - Orthop J Sports Med
JT  - Orthopaedic journal of sports medicine
JID - 101620522
PMC - PMC8829742
OTO - NOTNLM
OT  - hip arthroscopy
OT  - physical therapy
OT  - return to play
COIS- The authors have declared that there are no conflicts of interest in the 
      authorship and publication of this contribution. AOSSM checks author disclosures 
      against the Open Payments Database (OPD). AOSSM has not conducted an independent 
      investigation on the OPD and disclaims any liability or responsibility relating 
      thereto.
EDAT- 2022/02/15 06:00
MHDA- 2022/02/15 06:01
PMCR- 2022/02/08
CRDT- 2022/02/14 05:35
PHST- 2021/09/08 00:00 [received]
PHST- 2021/10/07 00:00 [accepted]
PHST- 2022/02/14 05:35 [entrez]
PHST- 2022/02/15 06:00 [pubmed]
PHST- 2022/02/15 06:01 [medline]
PHST- 2022/02/08 00:00 [pmc-release]
AID - 10.1177_23259671211071073 [pii]
AID - 10.1177/23259671211071073 [doi]
PST - epublish
SO  - Orthop J Sports Med. 2022 Feb 8;10(2):23259671211071073. doi: 
      10.1177/23259671211071073. eCollection 2022 Feb.