scholarly journals Hip joint range of motion is restricted by pain rather than mechanical impingement in individuals with femoroacetabular impingement syndrome

Author(s):  
Josefine E. Naili ◽  
Anders Stålman ◽  
Anders Valentin ◽  
Mikael Skorpil ◽  
Lars Weidenhielm

Abstract Introduction Discerning whether range of motion (ROM) is restricted by morphology or other pain sources is challenging in patients with femoroacetabular impingement syndrome (FAIS). Computed tomography (CT) motion simulation provides a hypothetical ROM based on morphology. This study aimed to explore associations between ROM measured using CT motion simulation and maximum passive ROM measured clinically using three dimensional (3D) motion analysis in patients with FAIS, prior to and post arthroscopic hip surgery. Materials and methods Eight males with FAIS (in total 12 hip joints) were included in this explorative feasibility study. Participants were examined using CT according to a low-dose protocol prior to and 7-months post arthroscopic surgery. Software was used to simulate at which ROM the impingement would occur. With the hip in 90 degrees’ flexion, maximum passive range of internal hip rotation, and maximum passive internal hip rotation coupled with adduction was examined clinically using 3D motion analysis pre- and postoperatively. Spearman rank correlation coefficients and linear regressions examined associations between methods. Results Preoperatively, the correlation between maximum internal hip rotation measured using CT motion simulation and 3D motion analysis was strong (r = 0.71, p = 0.009). Linear regressions demonstrated that maximal internal rotation measured using CT motion simulation was predominantly larger than when measured using 3D motion analysis. Postoperatively, and when maximum internal rotation was coupled with adduction, no correlations were found between the two methods. Conclusions The hypothetical morphology restricted ROM is larger than clinically assessed pain restricted ROM, both prior to and post hip arthroscopy. These findings suggest that ROM is restricted by pain rather than mechanical, morphology-based impingement in individuals with FAIS.

Author(s):  
Lisa Reissner ◽  
Gabriella Fischer ◽  
Renate List ◽  
William R. Taylor ◽  
Pietro Giovanoli ◽  
...  

2014 ◽  
Vol 7 (S1) ◽  
Author(s):  
Se won Yoon ◽  
Jeong woo Lee ◽  
Soo ji Park ◽  
Woong sik Park ◽  
Moon jeong Kim

2021 ◽  
Vol 355 ◽  
pp. 109108
Author(s):  
Manish Anand ◽  
Jed A. Diekfuss ◽  
Alexis B. Slutsky-Ganesh ◽  
Dustin R. Grooms ◽  
Scott Bonnette ◽  
...  

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Phob Ganokroj ◽  
Nuchanun Sompornpanich ◽  
Pichitpol Kerdsomnuek ◽  
Bavornrat Vanadurongwan ◽  
Pisit Lertwanich

Abstract Background Measurement of hip rotation is a crucial clinical parameter for the identification of hip problems and the monitoring of symptoms. The objective of this study was to determine whether the use of two smartphone applications is valid and reliable for the measurement of hip rotation. Methods An experimental, cross-sectional study was undertaken to assess passive hip internal and external rotation in three positions by two examiners. The hip rotational angles were measured by a smartphone clinometer application in the sitting and prone positions, and by a smartphone compass application in the supine position; their results were compared with those of the standard, three-dimensional, motion analysis system. The validities and inter-rater and intra-rater reliabilities of the smartphone applications were evaluated. Results The study involved 24 participants. The validities were good to excellent for the internal rotation angles in all positions (ICC 0.81–0.94), good for the external rotation angles in the prone position (ICC 0.79), and fair for the sitting and supine positions (ICC 0.70–0.73). The measurement of the hip internal rotation in the supine position had the highest ICC value of 0.94 (0.91, 0.96). The two smartphone applications showed good-to-excellent intra-rater reliability, but good-to-excellent inter-rater reliability for only three of the six positions (two other positions had fair reliability, while one position demonstrated poor reliability). Conclusions The two smartphone applications have good-to-excellent validity and intra-rater reliability, but only fair-to-good inter-rater reliability for the measurement of the hip rotational angle. The most valid hip rotational position in this study was the supine IR angle measurement, while the lowest validity was the ER angle measurement in the sitting position. The smartphone application is one of the practical measurements in hip rotational angles. Trial registration Number 20181022003 at the Thai Clinical Trials Registry (http://www.clinicaltrials.in.th) which was retrospectively registered at 2018-10-18 15:30:29.


Proceedings ◽  
2020 ◽  
Vol 49 (1) ◽  
pp. 43
Author(s):  
Alanna Weisberg ◽  
Julie Le Gall ◽  
Pro Stergiou ◽  
Larry Katz

Maximal ball velocity is a significant performance indicator in many sports, such as baseball. Doppler radar guns are widely assumed to underestimate velocity. Accuracy increases as the cosine angle between the radar gun and the object decreases. The purpose of this study was to investigate the impact of player handedness and the location of the radar gun on the accuracy of ball velocity. Throws were analyzed in four conditions: the radar gun on the right side, throwing with the right arm, then with the left arm; and the radar gun on the left side, throwing with the right arm, then with the left arm. The Cronbach’s alpha for all four conditions showed α-values above 0.97; however, a paired t-test indicated significant differences between the 3D motion analysis and the radar gun. Bland–Altman plots show a high degree of scatter in all conditions. Results suggest that the radar gun measurements can be highly inconsistent when compared to 3D motion analysis.


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