Reaction Time and Brake Pedal Depression Following Arthroscopic Hip Surgery: A Prospective Case-Control Study

Balazs, George C.; Donohue, Michael A.; Brelin, Alaina M.; Brooks, Daniel I.; McCabe, Michael P.; Anderson, Terrence D.

doi:10.1016/j.arthro.2018.02.030

Cited by 13 publications

(34 citation statements)

References 44 publications

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“…This study was largely limited by the relatively small sample size as it included only 11 patients with right hip arthroscopy. In contrast, the study by Balazs et al tested 59 patients undergoing FAI surgery [4]. This study reported patients undergoing arthroscopic FAI surgery have prolonged preoperative BRT compared with healthy controls, and signi cantly prolonged BRT postoperatively, which normalised at 4 weeks.…”

Section: Discussionmentioning

confidence: 91%

“…Hip arthroscopy is often indicated in young, active adults, and the waiting time required before resuming driving following the surgery is a common concern among patients [1,2]. Pain, loss of proprioception, and discomfort from the surgical intervention may result in delayed response of the affected leg, which could potentially lead to poor driving performance [3][4][5]. The literature suggests that driving performance can recover in 2 to 6 weeks following lower leg surgical intervention.…”

Section: Introductionmentioning

confidence: 99%

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Time Taken to Resume Driving Following Hip Arthroscopy Surgery

Jo¹,

Lee²,

Jang³

et al. 2020

Preprint

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Background: Resuming driving is a common concern among patients undergoing hip arthroscopy. The goals of the current study were 1) to assess whether patients who have undergone right hip arthroscopy have poorer driving performance than patients with normal hips and 2) to analyse the time required to regain preoperative driving performance with respect to different types of operations.Methods: Forty-seven patients who had undergone right hip arthroscopy and who consented to our test protocol were included in this study. The patients were divided into two groups based on the type of operation that they underwent, namely, the femoroacetabular impingement surgery (FAI) group and the simple hip arthroscopy (SA) group. Using an immersive driving simulator, the patients were tested for brake reaction time (BRT), total brake time (TBT), and brake pedal depression pressure (BPD). Following the surgery, the first assessments were conducted when the patient could comfortably sit on the driving seat, and follow-up assessments were conducted for 6 consecutive weeks at weekly intervals. For the control group, 20 healthy volunteers were put through driving assessments thrice at weekly intervals. Braking parameters were compared between preoperative and postoperative measurements and between studied and controlled subjects.Results: The preoperative braking parameters of the patients who underwent arthroscopy showed no significant difference compared with normal controls (p values 0. 373, 0.763, and 0.447 for BRT, TBT, and BPD, respectively). All braking parameters returned to normal in 2 weeks in the FAI group and in 1 week in the SA group.Conclusion: Our study indicates that the driving performance of the patients undergoing right hip arthroscopy have comparable driving performance as compare to the normal hips and that the braking reaction returns to the preoperative state 1 week after SA and 2 weeks after FAI surgery.

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Section: Discussionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Time Taken to Resume Driving Following Hip Arthroscopy Surgery

Jo¹,

Lee²,

Jang³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…This study was largely limited by the small sample size, as it included only 11 patients who underwent right hip arthroscopy. In the study by Balazs et al, 59 patients undergoing FAI surgery were also tested at a 2-week interval [3]. However, this study did not report the number of patients undergoing arthroscopy on the right side.…”

Section: Discussionmentioning

confidence: 98%

“…To the best of our knowledge, three studies have evaluated the time required to recover fitness to drive after hip arthroscopy [2][3][4]. Two studies specifically assessed patients undergoing arthroscopic FAI surgery using a simple driving simulator.…”

Section: Discussionmentioning

confidence: 99%

Time taken to resume driving following hip arthroscopy

Lee

Jang

et al. 2020

BMC Musculoskelet Disord

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Background Resuming driving is a common concern among patients undergoing hip arthroscopy. The present study aimed to assess whether patients who had undergone right hip arthroscopy presented with poorer driving performance than patients with normal hips and to analyze the time required to regain preoperative driving performance. Methods Forty-seven patients who had undergone right hip arthroscopy and consented to our test protocol were included in this study. Using an immersive driving simulator, the patients were tested for their brake reaction time (BRT), total brake time (TBT), and brake pedal depression (BPD) preoperatively and postoperatively. The first postoperative assessments were conducted when the patients could comfortably sit on the driving seat, and the follow-up assessments were conducted for 6 consecutive weeks at weekly intervals. The patients were divided into the following two groups based on the type of surgery that they underwent: the femoroacetabular impingement (FAI) surgery group and the simple hip arthroscopy (SA) group. Twenty healthy volunteers underwent driving assessments thrice at weekly intervals and constituted the control group. The braking parameters were compared between preoperative and postoperative measurements and among the FAI surgery, SA, and control groups. Results The preoperative braking parameters of the patients who underwent arthroscopy did not differ significantly from those of the controls (p = 0.373, 0.763, and 0.447 for the BRT, TBT, and BPD, respectively). All braking parameters returned to normal in 2 weeks in the FAI surgery group and in 1 week in the SA group. Conclusions Our study suggests that the driving performance of patients who underwent right hip arthroscopy is comparable to that of individuals with normal hips and that the braking parameters may normalize to the preoperative state at 1 week after SA and 2 weeks after FAI surgery.

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“…To the best of our knowledge, three studies have evaluated the time required to recover tness to drive after hip arthroscopy [2][3][4]. Two studies speci cally assessed patients undergoing arthroscopic FAI surgery using a simple driving simulator.…”

Section: Discussionmentioning

confidence: 99%

Time Taken to Resume Driving Following Hip Arthroscopy

Lee

Jang

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Resuming driving is a common concern among patients undergoing hip arthroscopy. The present study aimed to assess whether patients who had undergone right hip arthroscopy presented with poorer driving performance than patients with normal hips and to analyze the time required to regain preoperative driving performance. Methods: Forty-seven patients who had undergone right hip arthroscopy and consented to our test protocol were included in this study. Using an immersive driving simulator, the patients were tested for their brake reaction time (BRT), total brake time (TBT), and brake pedal depression (BPD) preoperatively and postoperatively. The first postoperative assessments were conducted when the patients could comfortably sit on the driving seat, and the follow-up assessments were conducted for 6 consecutive weeks at weekly intervals. The patients were divided into the following two groups based on the type of surgery that they underwent: the femoroacetabular impingement (FAI) surgery group and the simple hip arthroscopy (SA) group. Twenty healthy volunteers underwent driving assessments thrice at weekly intervals and constituted the control group. The braking parameters were compared between preoperative and postoperative measurements and among the FAI surgery, SA, and control groups. Results: The preoperative braking parameters of the patients who underwent arthroscopy did not differ significantly from those of the controls (p=0.373, 0.763, and 0.447 for the BRT, TBT, and BPD, respectively). All braking parameters returned to normal in 2 weeks in the FAI surgery group and in 1 week in the SA group. Conclusions: Our study suggests that the driving performance of patients who underwent right hip arthroscopy is comparable to that of individuals with normal hips and that the braking parameters may normalize to the preoperative state at 1 week after SA and 2 weeks after FAI surgery.

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Reaction Time and Brake Pedal Depression Following Arthroscopic Hip Surgery: A Prospective Case-Control Study

Cited by 13 publications

References 44 publications

Time Taken to Resume Driving Following Hip Arthroscopy Surgery

Time Taken to Resume Driving Following Hip Arthroscopy Surgery

Time taken to resume driving following hip arthroscopy

Time Taken to Resume Driving Following Hip Arthroscopy

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