Lumbo-Pelvic-Hip Complex Pain in a Competitive Basketball Player

Reiman, Michael P.; Cox, Kara D.; Jones, Kay S.; Byrd, J. W. Thomas

doi:10.1177/1941738110386001

Cited by 3 publications

(8 citation statements)

References 20 publications

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“…A majority of the reports used restricted weight bearing for a period of 4 weeks, 10,19,20,22 23 in a clinical commentary, recommended restricted weightbearing periods of 1 week after labral debridement and up to 6 weeks after repair. Range-of-motion precautions typically focused on limiting flexion to 90° for a period of 2 to 4 weeks, with a progressive increase to normal limits over a course of up to 8 weeks.…”

Section: Evidence Acquisitionmentioning

confidence: 99%

“…Three publications used patient questionnaires as outcome measures, including the Lower Extremity Functional Scale, modified Harris hip score, and hip outcome score. 10,19,22 No comparison trials were identified.…”

Section: Evidence Acquisitionmentioning

confidence: 99%

“…10,[19][20][21] Two case reports presented positive outcomes from the intervention program at an average of 5 months; however, details regarding the rehabilitation program and follow-up were limited. 18,22 All studies used 1 or a combination of the following as outcome measures: muscle performance, range of motion, muscle length, provocation tests (eg, FABER), numeric pain-rating scales, and sport-specific or functional testing. Three publications used patient questionnaires as outcome measures, including the Lower Extremity Functional Scale, modified Harris hip score, and hip outcome score.…”

Section: Evidence Acquisitionmentioning

confidence: 99%

“…Five of the publications were single case reports and 1 publication was a case series, for a total of 57 subjects (23 male, 34 female) averaging 27.5 years of age. 10,[18][19][20][21][22] All of the publications reported 1 or more of the following arthroscopic procedures: FAI, labral repair, labral debridement, osteoplasty, and chondroplasty. 10,[18][19][20][21][22] Four of the publications described a successful outcome using a 4-or 5-phase rehabilitation program ranging from 12 weeks to 6 months with a follow-up range of 4 months to 2.5 years.…”

Section: Evidence Acquisitionmentioning

confidence: 99%

“…10,[18][19][20][21][22] All of the publications reported 1 or more of the following arthroscopic procedures: FAI, labral repair, labral debridement, osteoplasty, and chondroplasty. 10,[18][19][20][21][22] Four of the publications described a successful outcome using a 4-or 5-phase rehabilitation program ranging from 12 weeks to 6 months with a follow-up range of 4 months to 2.5 years. 10,[19][20][21] Two case reports presented positive outcomes from the intervention program at an average of 5 months; however, details regarding the rehabilitation program and follow-up were limited.…”

Section: Evidence Acquisitionmentioning

confidence: 99%

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Postoperative Rehabilitation After Hip Arthroscopy: A Search for the Evidence

Cheatham¹,

Enseki²,

Kolber³

2015

Journal of Sport Rehabilitation

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Context: Hip arthroscopy has become an increasingly popular option for active individuals with recalcitrant hip pain. Conditions that may be addressed through hip arthroscopy include labral pathology, femoral acetabular impingement, capsular hyperlaxity, ligamentum teres tears, and the presence of intra-articular bodies. Although the body of literature examining operative procedures has grown, there is a paucity of evidence specifically on the efficacy of postoperative rehabilitation programs. To date, there are no systematic reviews that have evaluated the available evidence on postoperative rehabilitation. Objective: To evaluate the available evidence on postoperative rehabilitation programs after arthroscopy of the hip joint. Evidence Acquisition: A search of the PubMed, CINAHL, SPORTDiscus, ProQuest, and Google Scholar databases was conducted in January 2014 according the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for reporting systematic reviews. Evidence Synthesis: Six studies met the inclusion criteria and were either case series or case reports (level 4 evidence) that described a 4-or 5-phase postoperative rehabilitation program. The available evidence supports a postoperative period of restricted weight bearing and mobility; however, the specific interventions in the postoperative phases are variable with no comparison trials. Conclusion: This review identified a paucity of evidence on postoperative rehabilitation after hip arthroscopy. Existing reports are descriptive in nature, so the superiority of a particular approach cannot be determined. One can surmise from existing studies that a 4-to 5-stage program with an initial period of weight-bearing and mobility precautions is efficacious in regard to function, patient satisfaction, and return to competitive-level athletics. Clinicians may consider such a program as a general guideline but should individualize treatment according to the surgical procedure and surgeon guidelines. Future research should focus on comparative trials to determine the effect of specific postoperative rehabilitation designs.

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Section: Evidence Acquisitionmentioning

confidence: 99%

Section: Evidence Acquisitionmentioning

confidence: 99%

Section: Evidence Acquisitionmentioning

confidence: 99%

Section: Evidence Acquisitionmentioning

confidence: 99%

Section: Evidence Acquisitionmentioning

confidence: 99%

See 3 more Smart Citations

Postoperative Rehabilitation After Hip Arthroscopy: A Search for the Evidence

Cheatham¹,

Enseki²,

Kolber³

2015

Journal of Sport Rehabilitation

View full text Add to dashboard Cite

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Co-diagnoses of spondylolysis and femoroacetabular impingement: a case series of adolescent athletes

Moley

Gribbin

Vargas

et al. 2018

Journal of Hip Preservation Surgery

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Locating the source of lumbopelvic–hip pain requires the consideration of multiple clinical pathways. Although low back pain has an incidence of 50% in the adolescent population, the pathophysiology in this population typically differs from that of other age groups. Dynamic mechanical impairments of the hip, such as femoroacetabular impingement, may contribute to the pathogenesis of adolescent low back pain. Eight adolescent male athletes who presented to a single provider with a primary complaint of low back pain with hip pain or motion loss on exam and were ultimately diagnosed with lumbar spondylolysis and dynamic mechanical hip issues between 2009 and 2011 were included. The age at spondylolysis diagnosis ranged from 15 to 19 years (mean ± standard deviation: 16.3 ± 1.3 years). Seven patients had cam-type impingement, whereas one presented with pincer-type impingement. All patients demonstrated either decreased internal rotation at 90 degrees of hip flexion and neutral abduction or pain on the Flexion Adduction Internal Rotation test on at least one of hip. All eight patients were treated initially with 6 weeks of physical therapy consisting of attempted restoration of hip motion and the graduated progression of hip and spine stabilization exercises. Five patients (62.5%) returned to sport at an average of 11.2 weeks (range: 6–16 weeks). For three patients (37.5%), hip pain and motion loss persisted, thus requiring surgery. All subjects had symptoms for at least 6 weeks, with 6 months as the longest duration. This report is the first documented series of adolescent athletes with co-diagnoses of spondylolysis and femoroacetabular impingement. Study Information: This retrospective case series was approved by the Institutional Review Board at Hospital for Special Surgery.

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