Despite patient-reported outcomes improve, patients with femoroacetabular impingement syndrome do not increase their objectively measured sport and physical activity level 1 year after hip arthroscopic surgery. Results from the HAFAI cohort

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Despite patient-reported outcomes improve, patients with femoroacetabular impingement syndrome do not increase their objectively measured sport and physical activity level 1 year after hip arthroscopic surgery. Results from the HAFAI cohort. / Kierkegaard, Signe; Dalgas, Ulrik; Lund, Bent; Lipperts, Matthijs; Søballe, Kjeld; Mechlenburg, Inger.

I: Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 06.05.2019.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

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@article{1f79e4f818a84902b3c343478106f1e7,
title = "Despite patient-reported outcomes improve, patients with femoroacetabular impingement syndrome do not increase their objectively measured sport and physical activity level 1 year after hip arthroscopic surgery. Results from the HAFAI cohort",
abstract = "PURPOSE: Patients with femoroacetabular impingement syndrome (FAIS) are young and middle-aged persons living physically active lives including sports activities. However, measurements of the physical activity level before and after hip arthroscopic surgery in patients with FAIS using both self-reported and objective accelerometer-based measures are lacking. Furthermore, comparing patients with a reference group of persons reporting no hip problems and conducting subgroup analyses investigating changes in physical activity level and self-reported outcomes according to pre-surgery activity level may further highlight the activity pattern for patients.METHODS: Sixty patients with FAIS eligible for hip arthroscopic surgery were consecutively included in a prospective cohort study (HAFAI cohort) together with 30 reference persons reporting no hip problems. Participants completed the Copenhagen Hip and Groin Outcome Score (HAGOS) together with questions regarding their sports activities. Furthermore, participants wore a three-axial accelerometer for five consecutive days during waking hours. The accelerometer-based data were analysed and presented as total activity and type, frequency and duration of activities.RESULTS: Patients experienced significant and clinically relevant changes in all HAGOS scores. 88{\%} of patients participated in some kind of sports activity 1 year after surgery. Overall, objectively measured physical activity did not change from before to 1 year after surgery. However, subgroup analyses of the most sedentary patients preoperatively revealed significant changes towards a more active pattern. Compared to reference persons, patients performed less bicycling and running.CONCLUSION: Despite clinically relevant changes in self-reported outcomes, patients did not increase their overall physical activity level 1 year after surgery. Physical activity levels were lower in patients than in the reference group and patients continued bicycling and running less compared with the reference group.LEVEL OF EVIDENCE: II.",
keywords = "Femoroacetabular impingement, Hip arthroscopy, Participation, Physical activity, Sport",
author = "Signe Kierkegaard and Ulrik Dalgas and Bent Lund and Matthijs Lipperts and Kjeld S{\o}balle and Inger Mechlenburg",
year = "2019",
month = "5",
day = "6",
doi = "10.1007/s00167-019-05503-5",
language = "English",
journal = "Knee Surgery, Sports Traumatology, Arthroscopy",
issn = "0942-2056",
publisher = "Springer",

}

RIS

TY - JOUR

T1 - Despite patient-reported outcomes improve, patients with femoroacetabular impingement syndrome do not increase their objectively measured sport and physical activity level 1 year after hip arthroscopic surgery. Results from the HAFAI cohort

AU - Kierkegaard, Signe

AU - Dalgas, Ulrik

AU - Lund, Bent

AU - Lipperts, Matthijs

AU - Søballe, Kjeld

AU - Mechlenburg, Inger

PY - 2019/5/6

Y1 - 2019/5/6

N2 - PURPOSE: Patients with femoroacetabular impingement syndrome (FAIS) are young and middle-aged persons living physically active lives including sports activities. However, measurements of the physical activity level before and after hip arthroscopic surgery in patients with FAIS using both self-reported and objective accelerometer-based measures are lacking. Furthermore, comparing patients with a reference group of persons reporting no hip problems and conducting subgroup analyses investigating changes in physical activity level and self-reported outcomes according to pre-surgery activity level may further highlight the activity pattern for patients.METHODS: Sixty patients with FAIS eligible for hip arthroscopic surgery were consecutively included in a prospective cohort study (HAFAI cohort) together with 30 reference persons reporting no hip problems. Participants completed the Copenhagen Hip and Groin Outcome Score (HAGOS) together with questions regarding their sports activities. Furthermore, participants wore a three-axial accelerometer for five consecutive days during waking hours. The accelerometer-based data were analysed and presented as total activity and type, frequency and duration of activities.RESULTS: Patients experienced significant and clinically relevant changes in all HAGOS scores. 88% of patients participated in some kind of sports activity 1 year after surgery. Overall, objectively measured physical activity did not change from before to 1 year after surgery. However, subgroup analyses of the most sedentary patients preoperatively revealed significant changes towards a more active pattern. Compared to reference persons, patients performed less bicycling and running.CONCLUSION: Despite clinically relevant changes in self-reported outcomes, patients did not increase their overall physical activity level 1 year after surgery. Physical activity levels were lower in patients than in the reference group and patients continued bicycling and running less compared with the reference group.LEVEL OF EVIDENCE: II.

AB - PURPOSE: Patients with femoroacetabular impingement syndrome (FAIS) are young and middle-aged persons living physically active lives including sports activities. However, measurements of the physical activity level before and after hip arthroscopic surgery in patients with FAIS using both self-reported and objective accelerometer-based measures are lacking. Furthermore, comparing patients with a reference group of persons reporting no hip problems and conducting subgroup analyses investigating changes in physical activity level and self-reported outcomes according to pre-surgery activity level may further highlight the activity pattern for patients.METHODS: Sixty patients with FAIS eligible for hip arthroscopic surgery were consecutively included in a prospective cohort study (HAFAI cohort) together with 30 reference persons reporting no hip problems. Participants completed the Copenhagen Hip and Groin Outcome Score (HAGOS) together with questions regarding their sports activities. Furthermore, participants wore a three-axial accelerometer for five consecutive days during waking hours. The accelerometer-based data were analysed and presented as total activity and type, frequency and duration of activities.RESULTS: Patients experienced significant and clinically relevant changes in all HAGOS scores. 88% of patients participated in some kind of sports activity 1 year after surgery. Overall, objectively measured physical activity did not change from before to 1 year after surgery. However, subgroup analyses of the most sedentary patients preoperatively revealed significant changes towards a more active pattern. Compared to reference persons, patients performed less bicycling and running.CONCLUSION: Despite clinically relevant changes in self-reported outcomes, patients did not increase their overall physical activity level 1 year after surgery. Physical activity levels were lower in patients than in the reference group and patients continued bicycling and running less compared with the reference group.LEVEL OF EVIDENCE: II.

KW - Femoroacetabular impingement

KW - Hip arthroscopy

KW - Participation

KW - Physical activity

KW - Sport

U2 - 10.1007/s00167-019-05503-5

DO - 10.1007/s00167-019-05503-5

M3 - Journal article

C2 - 31062043

JO - Knee Surgery, Sports Traumatology, Arthroscopy

JF - Knee Surgery, Sports Traumatology, Arthroscopy

SN - 0942-2056

ER -