RF6.4 Prehabilitation for patients undergoing arthroscopic hip surgery for Femoroacetabular impingement syndrome- A randomised controlled feasibility study
Notice bibliographique
Résumé
Abstract Aim of the study To evaluate the feasibility, suitability, acceptability and safety of a prehabilitation programme for FAIS to inform a future definitive randomised control trial to assess effectiveness. Methods Patients on the waiting list for hip arthroscopy were recruited and randomly assigned to two groups: the Prehabilitation (intervention) group or the usual care (control) group. The intervention group attended an educational session to enhance knowledge, health behaviours, and manage patient expectations. They undertook an eight-week pre-operative exercise regimen targeting muscle strength, proprioception, range of motion, cardiovascular fitness, and addressing musculoskeletal issues. Both groups received standard post-operative care. The primary outcome measure was the International Hip Outcome Tool (iHOT-12). Data was collected at baseline (before prehabilitation), Pre-op (after prehabilitation pre-surgery), at 6 weeks +/- 4 weeks, and at 6 months +/- 4 weeks postoperatively (the planned primary endpoint for a future RCT). For the qualitative aspect, in-depth, face-to-face, semi-structured interviews with physiotherapists and focus groups with participants was used to assess the feasibility, acceptability, suitability, and safety of the prehabilitation intervention, guided by predetermined success criteria. Results Thirty-five patients were recruited and randomised, with 16 participants in the intervention group and 19 in the usual care group. The recruitment rate was 51.4% with 24 out of 35 patients completing the 6 months follow-up end point. Two participants (5.7%) withdrew from the study and 83.3% participant completed all outcome measures at the 6-month follow-up. 82% adherence to the prehabilitation programme were recorded. High rate of fidelity was observed in the delivery of the intervention with minimal deviation from trial protocol. Positive trends were noted on iHOT-12 favouring the intervention group at various follow-up time points. Both the participants and physiotherapists found the intervention and outcome measures suitable and acceptable with minimal episodes of flare-ups reported. The combination of face to face and virtual sessions and the use of application software was well received. Conclusions The results from this study denote that a full randomised control trial is feasible. This study is conducted within a tertiary NHS setting and therefore can be reproduced and applied in similar healthcare settings.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
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 | 0,004 | 0,012 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,002 | 0,001 |
| Bibliométrie | 0,001 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| 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 ».