| Titre : | Exercise in patients with acetabular retroversion and excessive anterior pelvic tilt : A feasibility and intervention study (2022) |
| Auteurs : | Anders Falk Brekke ; Søren Overgaard ; Bo Mussmann ; Erik Poulsen ; Anders Holsgaard-Larsen |
| Type de document : | Article |
| Dans : | Musculoskeletal Science and Practice (Vol. 61, October 2022) |
| Article en page(s) : | p. 102613 |
| Note générale : | https://doi.org/10.1016/j.msksp.2022.102613 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Conflit fémoro-acétabulaire ; Douleur ; Exercice physique |
| Résumé : | Background Acetabular retroversion is associated with femoroacetabular impingement syndrome (FAIS). Anterior pelvic tilt enhances risk of FAIS. Objectives To investigate feasibility and change in patient-reported symptoms of a home-based exercise intervention in patients with acetabular retroversion and excessive anterior pelvic tilt, in comparison with a prior control period. Design Prospective intervention study. Methods Patients (18?40 years) not eligible for surgery, with radiographic signs of acetabular retroversion and excessive anterior pelvic tilt were recruited. An 8-week control period was followed by an 8-week training period. The home-based intervention consisted of education and exercises for core stability, muscle strengthening and stretching for reducing anterior pelvic tilt. Feasibility assessments were dropout (?10%), adherence (?75% of sessions), exercise-related pain, and adverse events. Primary outcome was change in the Copenhagen Hip and Groin Outcome Score (HAGOS) pain-subscale. Pelvic tilt was measured by EOS scanning. Results Forty-two patients (93% female, mean age 22.2 + 4.2 years) were included. Dropout rate was 7% and satisfactory adherence was demonstrated by 85%. Exercise-related pain and adverse events were acceptable. Between-period mean change score for HAGOS-PAIN was 5.2 points (95% CI: ?0.3?10.6) and ?1.6° (95% CI: ?3.9?0.7) of anterior pelvic tilt. Patients responding positively (?10 points) (n = 10, 26%), had pre-exercise moderate pain (HAGOS-PAIN 47.5?70 points). Conclusions Current exercise intervention was feasible. However, we found no clinically relevant changes in self-reported hip-related pain or anterior pelvic tilt. Post hoc responder analysis revealed that patients with moderate pain at baseline might benefit from this exercise. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2468781222001138 |
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