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Benefits of a specific and supervised rehabilitation program in femoroacetabular impingement patients undergoing hip arthroscopy: a randomized control trial
Muller-Torrente A, Puig-Torregrosa J, Montero-Navarro S, Sanz-Reig J, Morera-Balaguer J, Mas-Martinez J, Sanchez-Mas J, Botella-Rico JM
Journal of Clinical Medicine 2021 Jul;10(14):3125
clinical trial
7/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

(1) To assess the efficacy of a specific rehabilitation protocol for femoroacetabular impingement syndrome (FAIS), patients who underwent hip arthroscopy (HA) were compared with a control group. (2) Patients with symptomatic FAIS who were scheduled for HA were randomized either to a control group (n = 45, 66.6% men, 41.8 +/- 12.4 years) following a general post-surgical treatment protocol or to an experimental group (n = 45, 71.2% men, 40.9 +/- 7.6 years) following a specific rehabilitation protocol supervised by a physiotherapist. Range of motion (ROM), orthopedic tests and pain were assessed immediately before surgery and at 4 and 14 weeks after surgery. The hip functional status was assessed by the modified Harris Hip Score (mHHS) before surgery and at the end of follow-up. (3) At 14 weeks after surgery and compared with the control group, the experimental group showed a lower percentage of positives for hip provocation tests (15.6% versus 46.6% on Faber test; 15.6% versus 77.8% on Fadir test; 2.2% versus 20% on Ober test, experimental versus control group, p < 0.001), a greater improvement in mHHS (27.2 versus 10.7 points, p < 0.001) and higher ROM for all the movements evaluated: flexion (99.6 +/- 12.2 versus 89.6 +/- 4.5, p < 0.001), extension (20.6 +/- 5.8 versus 13.3 +/- 2.6, p < 0.001), adduction (30.6 +/- 5.7 versus 23.4 +/- 8.4, p < 0.001), abduction (43.4 +/- 10.7 versus 32.8 +/- 8.4, p < 0.001) and both internal (28.2 +/- 8.5 versus 18.7 +/- 6.1, p < 0.001) and external hip rotation (36.8 +/- 9.3 versus 27.4 +/- 5.6. p < 0.001). The pain decreased after surgery for both groups, although the reduction was greater in the experimental group at the end of intervention (13.8 +/- 16.1 versus 34.9 +/- 16.3 mm, experimental versus control group, p < 0.001). (4) The specific and supervised rehabilitation program in patients with FAIS undergoing HA showed better benefits at 14 weeks of treatment than the benefits achieved by a care protocol in terms of pain reduction and recovery of hip motion.

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