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Progressive resistance training in patients with hip dysplasia

OBJECTIVES: To examine whether progressive resistance training is feasible in
patients with symptomatic hip dysplasia scheduled for periacetabular osteotomy.
A secondary objective was to investigate patient-reported outcomes, functional
performance and hip muscle strength. DESIGN: Feasibility study. METHODS: Seventeen patients (median age 28 years, range 22-40 years) performed 8
weeks (20 sessions) of supervised sessions of progressive resistance training.
Training-adherence, number of dropouts and adverse events, and visual analogue
scale scores on pain were registered. Patients completed the Hip and Groin
Outcome Score, performed 2 hop-tests, and hip peak torque was assessed by
isokinetic dynamometry. RESULTS: Training-adherence was 90.3+/-9%. Few and minor
adverse events were observed, one patient dropped out and acceptable pain levels
were reported during the intervention. Scores on 4 out of 6 subscales on
patient-reported outcome improved (p <0.05), as did standing distance jump
(12.2%, 95% confidence interval (CI) [1.3, 23.0]), countermovement jump (25.1%,
95% CI [1.3, 48.8]). Isokinetic concentric hip flexion peak torque showed
significant improvements (16.6%, 95% CI [4.6, 28.6]) on the affected side while
isometric hip flexion (10.9%, 95% CI [0.3, 21.6]) improved on the non-affected side. CONCLUSION: Supervised progressive resistance training is feasible in
patients with hip dysplasia.
The intervention may improve pain levels,
patient-reported outcomes, functional performance and hip flexion muscle strength.

Langue : ANGLAIS

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