EP6.72 Activity Level Assessments at Presentation in Femoroacetabular Impingement Patients Are Inaccurate Representation of Pre-injury Activity
Notice bibliographique
Résumé
Abstract Background: Activity level plays an important role in the pathophysiology of femoroacetabular impingement (FAI) and returning to pre-injury activity level is a critical component of patient satisfaction after treatment. The UCLA activity scale is the most utilized assessment of activity but asks patient’s current activity level at presentation. Given the symptom chronicity, many patients may have changes in their baseline activity before presentation, but this concept is not well understood. The purpose of this study was to determine if differences in activity level exist between pre-injury and at presentation using the UCLA activity scale. Methods: A prospective multicenter study of FAI patients undergoing primary hip arthroscopy was utilized to investigate the changes in activity level associated with symptomatic FAI. Patients aged 14-45 years with idiopathic FAI. Exclusion criteria were previous ipsilateral hip procedures. UCLA activity was assessed preinjury (UCLA-preinjury), during the six months before treatment (UCLA-6months) and at the time of presentation/surgery (UCLA-current). The McNemar and Wilcoxon Signed-Rank tests were used to determine whether differences existed at different time points. Multivariable analysis was performed to look for predictors of UCLA score differences. Results: The study cohort included 661 patients with a mean age of 24.9± 7.9 with 56% females. Sports participation was 60.7% with 61.2% of these being competitive. The mean UCLA-current was 6.4 ±2.9, while the mean UCLA-6months was 6.8 ±2.8 and the mean UCLA-preinjury was 9.1 ± 1.9 (p<0.001). Comparing UCLA-preinjury to UCLA-current scores, 52.8% had at least a 2-point discrepancy. Multivariable analysis (controlling for UCLA-preinjury scores) determined that females (OR: 1.64, p=0.005) and patients who were not involved in sports (OR: 4.65, p<0.001) were associated with UCLA scores that changed by at least 2 points from the pre-injury to surgery timepoints. Conclusion: In FAI, activity level declines as disease progresses. Assessment of baseline activity at presentation or time of surgery is an inaccurate representation of pre-injury activity in most patients. Assessing activity level should assess pre-injury activity in order to provide an accurate target for true return to function.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,002 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».