5 Return to sport and psychological readiness following hip arthroscopy. a cross-sectional study covering return-rates 3–39 months after femororacetabular impingement surgery


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Abstract

IntroductionHigh rates (87%) of return to sports (RTS) are reported following hip arthroscopy (HA) for femoroacetabular impingement syndrome (FAIS).1 However, RTS is most often reported without clear definitions. This study aimed to describe RTS on a continuum, according to a recent consensus statement.2 Furthermore, the relation between psychological readiness and RTS was examined.Material and methodsPatients operated for FAIS between 2014–2016 (n=208) were invited to respond to an online-survey. RTS was assed on a continuum from:no return to sport, return todifferent sportprevious sport at lower performance–level toprevious sport at the same performance–level.Psychological readiness was assessed with the HIP-Return to Sport after Injury (RSI) scale, a modified version of the ACL-RSI, and compared between RTS groups.ResultsThe final sample consisted of 127 patients [mean age: 34.3 years (SD=10.2); mean time post-HA=19.4 months (SD=10.4)]. In total, 89% of patients returned to some sort of physical activity. Yet, only 50% returned to their pre-injury sport [21.4% to same- and 28.3% to lower performance-levels] and 39% returned to participation in different sports. Eleven percent had not returned to any form of physical activity. Higher Hip-RSI scores were found with increasing level of RTS.ConclusionSimilar to previous reports, 89% of patients had returned to some sort of physical activity. However, assessed on a continuum it was revelaed that only 50% had returned to pre-injury sports; 21% returned to previous performance-levels. Participants on higher levels of RTS reported greater psychological readiness.References. Casartelli NC, Leunig M, Maffiuletti NA, et al. Return to sport after hip surgery for femoroacetabular impingement: a systematic review. Br J Sports Med2015;49(12):819–24.. Ardern CL, Glasgow P, Schneiders A, et al. 2016 Consensus statement on return to sport from the First World Congress in Sports Physical Therapy, Bern. Br J Sports Med2016;50(14):853–64.

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