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The Archives of Bone and Joint Surgery، جلد ۱۲، شماره ۸، صفحات ۵۸۰-۵۸۶
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عنوان انگلیسی Preoperative Temporal Summation is Associated with Impaired Recovery Following Hip Arthroscopy for Femoroacetabular Impingement Syndrome
چکیده انگلیسی مقاله Objectives: Chronic pain is a risk factor for worse outcomes following hip arthroscopy for femoroacetabular impingement syndrome (FAIS). Pain sensitization involves the central nervous system perceiving previously innocuous stimuli as noxious. Temporal summation can provide a surrogate measure of sensitization. Temporal summation can provide a surrogate measure of sensitization, and may be a clinical tool to identify patients at a higher risk for poor post-hip arthroscopy outcomes. Therefore, we aimed to 1) identify the prevalence of temporal summation in patients undergoing hip arthroscopy for FAIS, 2) determine if there a difference in postoperative improvement between individuals with and without preoperative temporal summation, and 3) examine preoperative predictors of poor postoperative recovery.Methods: 51 participants undergoing hip arthroscopy for FAIS underwent preoperative temporal summation testing. Three months postoperatively, 38 participants completed the 12-item International Hip Outcome Tool (iHOT-12) and reported their overall symptomatic improvement (0% to 100%, with 100% being normal). Participants were categorized on the presence (D Numeric Pain Rating Scale; NPRS ³ 2) or absence (D NPRS < 2) of temporal summation. A Mann-Whitney U test was used to determine the difference in improvement between groups (temporal summation: TS, no temporal summation NTS), and a linear regression was used to explore predictors of improvement.Results: 23 (45.1%) of 51 participants displayed preoperative temporal summation. In participants with postoperative data, those with temporal summation reported less improvement than those without (TS: 62.8% ± 29.7%; NTS: 82.7% ± 13.9%; p = 0.01; Cohen’s d = -0.86). Temporal summation (Beta = -0.48; 95% CI -36.6, -8.7) and mental health disorder (Beta = -0.30; 95% CI -28.0, -0.48) predicted 28.1% of the variance in postoperative improvement (p = 0.002).Conclusion: The presence of preoperative temporal summation is common and related to worse postoperative recovery after hip arthroscopy for FAIS.        Level of evidence: IV
کلیدواژه‌های انگلیسی مقاله hip preservation, pre-arthritic hip, Quantitative sensory testing
نویسندگان مقاله | Kate Jochimsen
Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA


| Emilie Krame
West Virginia University School of Medicine, Morgantown, WV, USA


| Joshua Van Wyngaarden
Army-Baylor University DPT Program, San Antonio, TX, USA


| Brian Noehren
University of Kentucky, Lexington, KY, USA


| Michael Samaan
University of Kentucky, Lexington, KY, USA


| Stephen Duncan
University of Kentucky, Lexington, KY, USA


| Carl Mattacola
University of North Carolina Greensboro, Greensboro, NC, USA


| Cale Jacobs
Mass General Brigham Sports Medicine, Boston, MA, USA
نشانی اینترنتی https://abjs.mums.ac.ir/article_24322.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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