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Worse self-reported outcomes but no limitations in performance-based measures in patients with long-standing hip and groin pain compared with healthy controls

Wörner, Tobias LU ; Pålsson, Anders LU ; Kostogiannis, Ioannis LU and Ageberg, Eva LU (2016) In Knee Surgery, Sports Traumatology, Arthroscopy
Abstract

PURPOSE: This study aimed to evaluate patient-reported outcomes as well as lower extremity and trunk muscle function in patients with long-standing hip and groin pain, in comparison with matched, healthy controls. It was hypothesized that patients with long-standing hip and groin pain would report more deficiency on the Copenhagen Hip and Groin Outcome Score (HAGOS) and have worse outcomes on performance-based measures than healthy controls.

METHODS: Nineteen patients with long-standing hip and groin pain and 19 healthy, activity level-, age-, gender-, and weight-matched controls were assessed with the HAGOS for self-reported outcomes, and a parallel squat (w/kg), single-leg triple jump (cm), single-leg rise (n), barbell roll-out... (More)

PURPOSE: This study aimed to evaluate patient-reported outcomes as well as lower extremity and trunk muscle function in patients with long-standing hip and groin pain, in comparison with matched, healthy controls. It was hypothesized that patients with long-standing hip and groin pain would report more deficiency on the Copenhagen Hip and Groin Outcome Score (HAGOS) and have worse outcomes on performance-based measures than healthy controls.

METHODS: Nineteen patients with long-standing hip and groin pain and 19 healthy, activity level-, age-, gender-, and weight-matched controls were assessed with the HAGOS for self-reported outcomes, and a parallel squat (w/kg), single-leg triple jump (cm), single-leg rise (n), barbell roll-out (% of height), and plank test (s) for performance-based measures. Independent sample t test was performed to assess between-group differences. The paired t test was used to analyse between-limb differences in unilateral performance tasks.

RESULTS: The patients had worse scores than the controls in all HAGOS subscales (p ≤ 0.001), while no statistically significant differences were observed for any performance measure between groups or between symptomatic and non-symptomatic limbs.

CONCLUSIONS: Despite significant self-reported functional limitations on the HAGOS, there were no significant differences between groups in performance-based strength or power measures. The results of this study highlight the need to identify performance-based measures, sensitive to functional deficiencies in patients with long-standing hip and groin pain in order to complement the clinical picture obtained by patient-reported outcomes such as the HAGOS.

LEVEL OF EVIDENCE: III.

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organization
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Contribution to journal
publication status
epub
subject
in
Knee Surgery, Sports Traumatology, Arthroscopy
publisher
Springer
external identifiers
  • Scopus:84964050286
ISSN
1433-7347
DOI
10.1007/s00167-016-4101-6
language
English
LU publication?
yes
id
5998644a-a6c2-427a-9691-35d4714cacd2
date added to LUP
2016-05-03 13:04:23
date last changed
2016-10-13 05:07:30
@misc{5998644a-a6c2-427a-9691-35d4714cacd2,
  abstract     = {<p>PURPOSE: This study aimed to evaluate patient-reported outcomes as well as lower extremity and trunk muscle function in patients with long-standing hip and groin pain, in comparison with matched, healthy controls. It was hypothesized that patients with long-standing hip and groin pain would report more deficiency on the Copenhagen Hip and Groin Outcome Score (HAGOS) and have worse outcomes on performance-based measures than healthy controls.</p><p>METHODS: Nineteen patients with long-standing hip and groin pain and 19 healthy, activity level-, age-, gender-, and weight-matched controls were assessed with the HAGOS for self-reported outcomes, and a parallel squat (w/kg), single-leg triple jump (cm), single-leg rise (n), barbell roll-out (% of height), and plank test (s) for performance-based measures. Independent sample t test was performed to assess between-group differences. The paired t test was used to analyse between-limb differences in unilateral performance tasks.</p><p>RESULTS: The patients had worse scores than the controls in all HAGOS subscales (p ≤ 0.001), while no statistically significant differences were observed for any performance measure between groups or between symptomatic and non-symptomatic limbs.</p><p>CONCLUSIONS: Despite significant self-reported functional limitations on the HAGOS, there were no significant differences between groups in performance-based strength or power measures. The results of this study highlight the need to identify performance-based measures, sensitive to functional deficiencies in patients with long-standing hip and groin pain in order to complement the clinical picture obtained by patient-reported outcomes such as the HAGOS.</p><p>LEVEL OF EVIDENCE: III.</p>},
  author       = {Wörner, Tobias and Pålsson, Anders and Kostogiannis, Ioannis and Ageberg, Eva},
  issn         = {1433-7347},
  language     = {eng},
  month        = {04},
  publisher    = {ARRAY(0x93b8590)},
  series       = {Knee Surgery, Sports Traumatology, Arthroscopy},
  title        = {Worse self-reported outcomes but no limitations in performance-based measures in patients with long-standing hip and groin pain compared with healthy controls},
  url          = {http://dx.doi.org/10.1007/s00167-016-4101-6},
  year         = {2016},
}