Recovery of Lower Extremity Function in the Initial Year Following Periacetabular Osteotomy: A Single Subject Analysis.

Little is known regarding how lower extremity joint function recovers in the 6 months following periacetabular osteotomy (PAO) for activities other than walking. Assess patient-reported outcomes, hip strength, lower extremity joint moments, and moment distributions during sit-to-stand in a female at...

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Published in:Physiotherapy Theory & Practice Vol. 38; no. 9; pp. 1233 - 1245
Main Authors: Schroeder, Cailyn, Zavala, Linnea, Opstedal, Laura, Becker, James
Format: diagnostic images pictorial research tables/charts Journal Article
Published: Taylor & Francis Ltd Sep2022
Online Access:View this record in EBSCOhost
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      dt: Sep2022
      vid: 38
      iid: 9
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/09593985.2020.1833388
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        atl: Recovery of Lower Extremity Function in the Initial Year Following Periacetabular Osteotomy: A Single Subject Analysis.
      aug:
        au:
          Schroeder, Cailyn
          Zavala, Linnea
          Opstedal, Laura
          Becker, James
        affil: Department of Health and Human Development, Montana State University, Bozeman, MT, USA
      sug:
        subj:
          Recovery
          Lower Extremity Physiology
          Osteotomy Methods
          Movement
          Balance, Postural
          Hip Surgery Methods
          Arthroscopy
          Surgical Patients
          Human
          Outcome Assessment
          Muscle Strength Evaluation
          Female
          Treatment Outcomes
          Young Adult
          Adult
          Physical Therapy
          Protocols
          Quality of Life
          Summated Rating Scaling
          Dynamometry
          Rising
          Data Analysis, Statistical
          Patient-Reported Outcomes
          Patient Attitudes
          Rehabilitation
          Funding Source
          Adult: 19-44 years
          Female
      ab: Little is known regarding how lower extremity joint function recovers in the 6 months following periacetabular osteotomy (PAO) for activities other than walking. Assess patient-reported outcomes, hip strength, lower extremity joint moments, and moment distributions during sit-to-stand in a female athlete during the one-year period following PAO. Patient-reported outcomes (i.e. hip and groin outcome score; HAGOS), hip strength, and lower extremity joint moments and contributions to peak support moment during the sit-to-stand were assessed pre-operatively and at 6 weeks, 12 weeks, 6 months, and 13 months following PAO. HAGOS scores returned to normative ranges, however overall quality of life scores remained low. By 13-month muscle strength recovered to baseline values. Following surgery, peak support and hip extensor moments were higher on the non-surgical limb, but the contributions of hip, knee, and ankle to peak support moment did not change. On the surgical limb, while peak support moments were lower, the hip contributed less, and the knee contributed more. These asymmetric loading patterns gradually normalized over 1 yea-. Asymmetric loading following PAO should be considered when developing rehabilitation plans following this surgery.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Unknown
    language: English
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