Return to Sport Rates in Physically Active Individuals 6 Months After Arthroscopy for Femoroacetabular Impingement Syndrome

Kathryn R. Glaws, Thomas J. Ellis, Timothy E. Hewett, Stephanie Di Stasi

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

CONTEXT: Six months is the expected time frame to return to sport (RTS) after hip arthroscopy for femoroacetabular impingement syndrome (FAIS). OBJECTIVE: The primary aims of this study were to (1) report the RTS rate of physically active individuals 6 months after arthroscopic surgery for FAIS and (2) compare the self-reported hip function between those who were able to RTS against those who had not. DESIGN: Cohort study. SETTING: The Ohio State University Wexner Medical Center. PATIENTS: A total of 42 physically active individuals scheduled for hip arthroscopy for FAIS. MAIN OUTCOME MEASURES: Self-reported function, including preinjury and current activity levels and ability to participate in sport, were collected on 42 individuals with FAIS prior to surgery and at 6-month follow-up. Participants were allocated into 2 groups based on self-reported RTS status at 6-month follow-up. Separate 2-way analyses of variance were used to test the interaction of groups (those who did/did not RTS). Main effects were reported in the absence of statistically significant interactions (P ≤ .05). RESULTS: Altogether, 28 of 42 participants (66%) returned for 6-month follow-up; 5 of the 14 participants (35.7%) lost to follow-up underwent contralateral hip surgery within the study time frame. At the 6-month follow-up, 16 of the remaining 28 participants (57.1%) reported that they had returned to sport, 5 of whom returned at their prior level of participation. There was no statistically significant interaction of group and time for either hip outcome score subscale (P ≥ .20). Self-reported hip function improved over time, regardless of group (P ≤ .001). Participants in the yRTS group demonstrated higher hip outcome score-sport scores than did the nRTS group, regardless of time (P = .04). CONCLUSIONS: Though just over half of participants returned to sport 6 months after hip arthroscopy for FAIS, only 18% returned to their previous level of sports participation. Participants who returned to sport reported better function than those who did not, but self-reported hip function improved over time regardless of group. The most commonly reported reasons for not returning to sport were weakness (69.6%), fear (65.2%), and pain (56.5%).

Original languageEnglish (US)
Pages (from-to)570-575
Number of pages6
JournalJournal of sport rehabilitation
Volume28
Issue number6
DOIs
StatePublished - Aug 1 2019

Fingerprint

Femoracetabular Impingement
Arthroscopy
Hip
Sports
Return to Sport
Lost to Follow-Up
Fear
Analysis of Variance
Cohort Studies

Keywords

  • FAIS
  • hip arthroscopy
  • hip function
  • hip outcome score

ASJC Scopus subject areas

  • Biophysics
  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

Return to Sport Rates in Physically Active Individuals 6 Months After Arthroscopy for Femoroacetabular Impingement Syndrome. / Glaws, Kathryn R.; Ellis, Thomas J.; Hewett, Timothy E.; Di Stasi, Stephanie.

In: Journal of sport rehabilitation, Vol. 28, No. 6, 01.08.2019, p. 570-575.

Research output: Contribution to journalArticle

@article{6745d68b52e746f094f3c4cee578f429,
title = "Return to Sport Rates in Physically Active Individuals 6 Months After Arthroscopy for Femoroacetabular Impingement Syndrome",
abstract = "CONTEXT: Six months is the expected time frame to return to sport (RTS) after hip arthroscopy for femoroacetabular impingement syndrome (FAIS). OBJECTIVE: The primary aims of this study were to (1) report the RTS rate of physically active individuals 6 months after arthroscopic surgery for FAIS and (2) compare the self-reported hip function between those who were able to RTS against those who had not. DESIGN: Cohort study. SETTING: The Ohio State University Wexner Medical Center. PATIENTS: A total of 42 physically active individuals scheduled for hip arthroscopy for FAIS. MAIN OUTCOME MEASURES: Self-reported function, including preinjury and current activity levels and ability to participate in sport, were collected on 42 individuals with FAIS prior to surgery and at 6-month follow-up. Participants were allocated into 2 groups based on self-reported RTS status at 6-month follow-up. Separate 2-way analyses of variance were used to test the interaction of groups (those who did/did not RTS). Main effects were reported in the absence of statistically significant interactions (P ≤ .05). RESULTS: Altogether, 28 of 42 participants (66{\%}) returned for 6-month follow-up; 5 of the 14 participants (35.7{\%}) lost to follow-up underwent contralateral hip surgery within the study time frame. At the 6-month follow-up, 16 of the remaining 28 participants (57.1{\%}) reported that they had returned to sport, 5 of whom returned at their prior level of participation. There was no statistically significant interaction of group and time for either hip outcome score subscale (P ≥ .20). Self-reported hip function improved over time, regardless of group (P ≤ .001). Participants in the yRTS group demonstrated higher hip outcome score-sport scores than did the nRTS group, regardless of time (P = .04). CONCLUSIONS: Though just over half of participants returned to sport 6 months after hip arthroscopy for FAIS, only 18{\%} returned to their previous level of sports participation. Participants who returned to sport reported better function than those who did not, but self-reported hip function improved over time regardless of group. The most commonly reported reasons for not returning to sport were weakness (69.6{\%}), fear (65.2{\%}), and pain (56.5{\%}).",
keywords = "FAIS, hip arthroscopy, hip function, hip outcome score",
author = "Glaws, {Kathryn R.} and Ellis, {Thomas J.} and Hewett, {Timothy E.} and {Di Stasi}, Stephanie",
year = "2019",
month = "8",
day = "1",
doi = "10.1123/jsr.2017-0138",
language = "English (US)",
volume = "28",
pages = "570--575",
journal = "Journal of Sport Rehabilitation",
issn = "1056-6716",
publisher = "Human Kinetics Publishers Inc.",
number = "6",

}

TY - JOUR

T1 - Return to Sport Rates in Physically Active Individuals 6 Months After Arthroscopy for Femoroacetabular Impingement Syndrome

AU - Glaws, Kathryn R.

AU - Ellis, Thomas J.

AU - Hewett, Timothy E.

AU - Di Stasi, Stephanie

PY - 2019/8/1

Y1 - 2019/8/1

N2 - CONTEXT: Six months is the expected time frame to return to sport (RTS) after hip arthroscopy for femoroacetabular impingement syndrome (FAIS). OBJECTIVE: The primary aims of this study were to (1) report the RTS rate of physically active individuals 6 months after arthroscopic surgery for FAIS and (2) compare the self-reported hip function between those who were able to RTS against those who had not. DESIGN: Cohort study. SETTING: The Ohio State University Wexner Medical Center. PATIENTS: A total of 42 physically active individuals scheduled for hip arthroscopy for FAIS. MAIN OUTCOME MEASURES: Self-reported function, including preinjury and current activity levels and ability to participate in sport, were collected on 42 individuals with FAIS prior to surgery and at 6-month follow-up. Participants were allocated into 2 groups based on self-reported RTS status at 6-month follow-up. Separate 2-way analyses of variance were used to test the interaction of groups (those who did/did not RTS). Main effects were reported in the absence of statistically significant interactions (P ≤ .05). RESULTS: Altogether, 28 of 42 participants (66%) returned for 6-month follow-up; 5 of the 14 participants (35.7%) lost to follow-up underwent contralateral hip surgery within the study time frame. At the 6-month follow-up, 16 of the remaining 28 participants (57.1%) reported that they had returned to sport, 5 of whom returned at their prior level of participation. There was no statistically significant interaction of group and time for either hip outcome score subscale (P ≥ .20). Self-reported hip function improved over time, regardless of group (P ≤ .001). Participants in the yRTS group demonstrated higher hip outcome score-sport scores than did the nRTS group, regardless of time (P = .04). CONCLUSIONS: Though just over half of participants returned to sport 6 months after hip arthroscopy for FAIS, only 18% returned to their previous level of sports participation. Participants who returned to sport reported better function than those who did not, but self-reported hip function improved over time regardless of group. The most commonly reported reasons for not returning to sport were weakness (69.6%), fear (65.2%), and pain (56.5%).

AB - CONTEXT: Six months is the expected time frame to return to sport (RTS) after hip arthroscopy for femoroacetabular impingement syndrome (FAIS). OBJECTIVE: The primary aims of this study were to (1) report the RTS rate of physically active individuals 6 months after arthroscopic surgery for FAIS and (2) compare the self-reported hip function between those who were able to RTS against those who had not. DESIGN: Cohort study. SETTING: The Ohio State University Wexner Medical Center. PATIENTS: A total of 42 physically active individuals scheduled for hip arthroscopy for FAIS. MAIN OUTCOME MEASURES: Self-reported function, including preinjury and current activity levels and ability to participate in sport, were collected on 42 individuals with FAIS prior to surgery and at 6-month follow-up. Participants were allocated into 2 groups based on self-reported RTS status at 6-month follow-up. Separate 2-way analyses of variance were used to test the interaction of groups (those who did/did not RTS). Main effects were reported in the absence of statistically significant interactions (P ≤ .05). RESULTS: Altogether, 28 of 42 participants (66%) returned for 6-month follow-up; 5 of the 14 participants (35.7%) lost to follow-up underwent contralateral hip surgery within the study time frame. At the 6-month follow-up, 16 of the remaining 28 participants (57.1%) reported that they had returned to sport, 5 of whom returned at their prior level of participation. There was no statistically significant interaction of group and time for either hip outcome score subscale (P ≥ .20). Self-reported hip function improved over time, regardless of group (P ≤ .001). Participants in the yRTS group demonstrated higher hip outcome score-sport scores than did the nRTS group, regardless of time (P = .04). CONCLUSIONS: Though just over half of participants returned to sport 6 months after hip arthroscopy for FAIS, only 18% returned to their previous level of sports participation. Participants who returned to sport reported better function than those who did not, but self-reported hip function improved over time regardless of group. The most commonly reported reasons for not returning to sport were weakness (69.6%), fear (65.2%), and pain (56.5%).

KW - FAIS

KW - hip arthroscopy

KW - hip function

KW - hip outcome score

UR - http://www.scopus.com/inward/record.url?scp=85067607720&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85067607720&partnerID=8YFLogxK

U2 - 10.1123/jsr.2017-0138

DO - 10.1123/jsr.2017-0138

M3 - Article

C2 - 29651906

AN - SCOPUS:85067607720

VL - 28

SP - 570

EP - 575

JO - Journal of Sport Rehabilitation

JF - Journal of Sport Rehabilitation

SN - 1056-6716

IS - 6

ER -