Abstract
Background
Patients with symptomatic acetabular retroversion is reported having reduced functional ability and quality of life but little is known about the effect of non-surgical interventions.
Purpose/Aim of Study
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.
Materials and Methods
Patients with symptomatic acetabular retroversion and excessive anterior pelvic tilt were included. Following an 8-week control period, patients were instructed to follow an 8-week targeted (3 times/week) progressive home-based exercise intervention. Feasibility assessment included; dropout, acceptable 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. Secondary outcomes included change in remaining HAGOS subscales, EQ-5D-3L questionnaire, and pelvic tilt measured by EOS® scanning.
Findings / Results
Forty-two patients (39 women) (median [interquartile range (IQR)], 20.5 [19 - 25 years]) were included. Three patients were lost to follow-up (one regretting participating during the control period, one during the intervention period and one patient was lost at follow-up). Adherence to exercise sessions was 85%. Exercise-related pain and adverse events were acceptable. Between-period mean change score for the HAGOS-PAIN subscale was 5.2 points (95% confidence interval [CI]:[-0.3 – 10.6] and -1.6 degree [-3.9 – 0.7]) of anterior pelvic tilt. Additionally, patients who responded positively (≥ minimal clinically important difference) to the exercise intervention (n = 10, 26%), all had a pre-exercise HAGOS-PAIN score between 47.5 to 70 points.
Conclusions
Current exercise intervention was feasible. However, no clinical relevant changes in self-reported hip-related pain, function, quality of life, nor anterior pelvic tilt were found. Post-hoc responder analysis revealed that patients with moderate pain at baseline might benefit from current exercise.
Patients with symptomatic acetabular retroversion is reported having reduced functional ability and quality of life but little is known about the effect of non-surgical interventions.
Purpose/Aim of Study
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.
Materials and Methods
Patients with symptomatic acetabular retroversion and excessive anterior pelvic tilt were included. Following an 8-week control period, patients were instructed to follow an 8-week targeted (3 times/week) progressive home-based exercise intervention. Feasibility assessment included; dropout, acceptable 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. Secondary outcomes included change in remaining HAGOS subscales, EQ-5D-3L questionnaire, and pelvic tilt measured by EOS® scanning.
Findings / Results
Forty-two patients (39 women) (median [interquartile range (IQR)], 20.5 [19 - 25 years]) were included. Three patients were lost to follow-up (one regretting participating during the control period, one during the intervention period and one patient was lost at follow-up). Adherence to exercise sessions was 85%. Exercise-related pain and adverse events were acceptable. Between-period mean change score for the HAGOS-PAIN subscale was 5.2 points (95% confidence interval [CI]:[-0.3 – 10.6] and -1.6 degree [-3.9 – 0.7]) of anterior pelvic tilt. Additionally, patients who responded positively (≥ minimal clinically important difference) to the exercise intervention (n = 10, 26%), all had a pre-exercise HAGOS-PAIN score between 47.5 to 70 points.
Conclusions
Current exercise intervention was feasible. However, no clinical relevant changes in self-reported hip-related pain, function, quality of life, nor anterior pelvic tilt were found. Post-hoc responder analysis revealed that patients with moderate pain at baseline might benefit from current exercise.
| Original language | English |
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| Publication date | 22 Oct 2020 |
| Publication status | Published - 22 Oct 2020 |
| Externally published | Yes |
| Event | Dansk Ortopædisk Selskabs Kongres 2020 - Duration: 21 Oct 2020 → 23 Oct 2020 |
Conference
| Conference | Dansk Ortopædisk Selskabs Kongres 2020 |
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| Period | 21/10/2020 → 23/10/2020 |