New recommendations say timely surgery and follow-up treatment, including physiotherapy, for hip fractures can reduce patients’ hospital stay and get them back on their feet sooner. The guidance comes from the National Institute for Health and Clinical Excellence (NICE), and advises on the management of hip fracture – from hospital admission, through to the patient’s [...]
An examination of the association between different morphotypes of femoroacetabular impingement in asymptomatic subjects and the development of osteoarthritis of the hip [Hip]
This study retrospectively examined the long-term outcome of 96 asymptomatic hips in 96 patients with a mean age of 49.3 years (16 to 65) who had radiological evidence of femoroacetabular impingement. When surveillance commenced there were 17, 34, and 45 hips with cam, pincer, and mixed impingement, respectively. Overall, 79 hips (82.3%) remained free of [...]
Feasibility of neuromuscular training in patients with severe hip or knee OA: the individualized goal-based NEMEX-TJR training program. (FREE full text)
Although improvements are achieved by general exercise, training to improve sensorimotor control may be needed for people with osteoarthritis (OA). The aim was to apply the principles of neuromuscular training, which have been successfully used in younger and middle-aged patients with knee injuries, to older patients with severe hip or knee OA. We hypothesized that [...]
Using Outcome Measure Results to Facilitate Clinical Decisions the First Year After Total Hip Arthroplasty.
The objective of his study was to model change in lower extremity functional status of patients 1-year post total hip arthroplasty (THA) using the Lower Extremity Functional Scale (LEFS) and 6-minute Walk Test (6MWT); secondarily to provide clinicians with useful data to guide practice. Given the prevalence of THA and current resource pressures, standardized outcome [...]
Increased external hip-rotation strength relates to reduced dynamic knee control in females: paradox or adaptation?
The purpose of the present study was to examine the relationship between hip muscle strength (abduction and external rotation) and frontal-plane knee control during drop jumping in recreational female athletes. Thirty-three healthy young recreational female athletes were included. Maximal isometric hip abduction and external rotation torque were measured using hand-held dynamometry, and frontal-plane knee control [...]
Hip strengthening reduces symptoms but not knee load in people with medial knee osteoarthritis and varus malalignment: a randomised controlled trial
The objective of this study was to determine whether hip abductor and adductor muscle strengthening reduces medial compartment knee load and improves symptoms in people with medial tibiofemoral OA and varus malalignment. In a randomised controlled trial, 89 participants were randomly allocated to a hip strengthening group or to a control group with no intervention. [...]
This study investigated the ability of experienced orthopedic surgeons to agree on a diagnosis of labral tear, femoroacetabular impingement (FAI), and capsular laxity using clinical examination. Eight patients under the care of an experienced hip arthroscopist underwent independent clinical evaluations by six orthopedic surgeons who specialized in management hip pain. No attempt was made to [...]
The objective of this study was to determine the efficacy of IA corticosteroid (CS) injection in pain reduction for hip OA under ultrasound (US) guidance.Â Forty patients [mean age 62.78 (8.16) years] fulfilling ACR criteria for hip OA, with synovitis detected at US, gave their consent for IA US-guided CS injection because of pain refractory [...]
Discharge planning for patients receiving rehabilitation after hip fracture: a qualitative analysis of physiotherapists’ perceptions.
The purpose of this study was to explore the perceptions of clinicians about walking requirements and discharge criteria for patients being discharged home in the community from rehabilitation after hip fracture. Twelve experienced clinicians (all females) (mean experience in rehabilitation 13 years) were interviewed using an in-depth semi-structured format. The recorded interviews were transcribed and [...]
Long-term effectiveness of exercise therapy in patients with osteoarthritis of the hip or knee: A randomized controlled trial comparing two different physical therapy interventions.
The objective of this study was to determine if behavioral graded activity (BGA) results in better long-term effectiveness (5 years after inclusion) than usual exercise therapy (UC; usual care) in patients with OA of the hip or kneeLong-term follow-up study of a single blind cluster randomized trial comparing BGA and UC. One hundred and forty-nine [...]