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Can a clinical assessment predict the functional status progression in patients with femoroacetabular impingement syndrome?
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- Author(s): Frasson, Viviane Bortoluzzi1,2 ; Vaz, Marco Aurélio2,3; Telöken, Marco Aurélio4; Gusmão, Paulo David Fortis4; Crestani, Marcus Vinicius4; Baroni, Bruno Manfredini1
- Source:
Brazilian Journal of Physical Therapy. Mar2024, Vol. 28 Issue 2, pN.PAG-N.PAG. 1p.- Subject Terms:
*HIP surgery; *PHYSICAL therapy; *PREDICTIVE tests; *SURGERY; *PATIENTS; *BODY mass index; *PREDICTION models; *ARTHROSCOPY; *FUNCTIONAL assessment; *QUESTIONNAIRES; *FEMORACETABULAR impingement; *FUNCTIONAL status; *DESCRIPTIVE statistics; *MUSCLE strength; *CASE-control method; *COMPARATIVE studies; *HEALTH outcome assessment; *REGRESSION analysis; *RANGE of motion of joints; *DISEASE progression; *DISEASE complications - Source:
- Additional Information
- Abstract: • Knowledge regarding predictive factors is essential in patients with FAIS. • iHOT-33, a normal FV and BMI can predict the iHOT-33 delta score. • Muscle strength and joint mobility were not prognostic factors. • This study helps to align patients' expectations with their potential outcome. Femoroacetabular impingement syndrome (FAIS) is a hip joint motion-related clinical disorder with a triad of symptoms, clinical signs, and imaging findings. However, scientific evidence is still unclear regarding the best treatment for FAIS. To assess the value of a physical therapy evaluation in predicting the progression of functional status over the subsequent years in patients with FAIS who are candidates for hip arthroscopy surgery. In this case-series study, patients with FAIS, candidates for hip arthroscopy surgery, underwent a standard physical therapy evaluation. Baseline data were collected between 2013 and 2019. In 2020/2021, the patients' functional status was assessed through the International Hip Outcome Tool (iHOT-33). Functional status progression was calculated as the difference between the follow-up and baseline iHOT-33 scores. A multivariate forward stepwise regression analysis was conducted to explore the relationship between baseline characteristics and the functional status progression. From 353 patients who completed the baseline assessment, 145 completed the iHOT-33 follow-up. The mean (±SD) follow-up time was 58.7 (27.2) months (minimum 12 and maximum 103 months). The iHOT-33 scores increased 20.7 (21.8) points on average, ranging from -39.8 to 76.9 points. Among the 15 potential predictive factors assessed in this study, only baseline iHOT-33 score (β -0.44; -0.061, -0.27), femoral version (β 9.03; 1.36, 16.71), and body mass index (β -0.99; -1.98, -0.01) had the ability to predict the functional status progression. Patients with a lower baseline iHOT-33 score, lower body mass index, and normal femoral version were more likely to increase their functional status after a minimum of one year of follow-up. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Brazilian Journal of Physical Therapy is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Abstract:
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