Osteopathic treatment for cam-type Femoroacetabular impingement syndrome: A case report

IF 1.1 4区医学 Q2 MEDICINE, GENERAL & INTERNAL International Journal of Osteopathic Medicine Pub Date : 2023-09-01 DOI:10.1016/j.ijosm.2023.100661

Rabia Tugba Kilic, Hayri Baran Yosmaoglu, Volga Bayrakci Tunay

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Abstract

Background

Femoroacetabular impingement (FAI) syndrome treatment is initially conservative, but the number of studies is limited.

Objectives

To examine the results of an osteopathic treatment approach in a patient with FAI.

Clinical features

The evaluation and osteopathic treatment of an 18-year-old male athlete diagnosis of left hip cam-type FAI are presented.

Intervention and outcomes

Exercises and protective measures were applied together with osteopathic techniques. Treatments were applied for 6 weeks, two days a week for a total of 12 sessions. The Numerical Evaluation Scale was used for pain evaluation. Functional scores were obtained by the Harris Hip Score, and deep squat test. Muscle strength was measured using the Handheld Dynamometer. Short Form-36 was used for the assessment of the quality of life. The final evaluations showed improvement in pain, function, muscle strength, and symptom-specific test results. Three weeks after the treatment, the patient made a complete return to sports, and there was no recurrence in the first year after treatment.

Conclusion

Osteopathic therapy may be effective in the conservative treatment of FAI. Well-designed clinical trials are needed to further evaluate this conclusion.

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整骨疗法治疗凸轮型股髋臼撞击综合征1例报告

背景股骨髋臼撞击（FAI）综合征的治疗最初是保守的，但研究数量有限。目的检查一名FAI患者的整骨治疗方法的结果。临床特征对一名18岁男运动员诊断为左髋凸轮型FAI的评估和整骨治疗进行了介绍。干预和结果锻炼和保护措施与整骨技术一起应用。治疗为期6周，每周两天，共12次。疼痛评估采用数值评估量表。通过Harris髋关节评分和深蹲测试获得功能评分。使用手持式测功机测量肌肉力量。采用简式-36对生活质量进行评估。最终评估显示疼痛、功能、肌肉力量和症状特异性测试结果有所改善。治疗三周后，患者完全恢复了运动，治疗后的第一年没有复发。结论骨病治疗是FAI保守治疗的有效方法。需要精心设计的临床试验来进一步评估这一结论。

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来源期刊

International Journal of Osteopathic Medicine 医学-医学：内科

CiteScore

2.20

自引率

36.80%

发文量

审稿时长

3 months

期刊介绍： The International Journal of Osteopathic Medicine is a peer-reviewed journal that provides for the publication of high quality research articles and review papers that are as broad as the many disciplines that influence and underpin the principles and practice of osteopathic medicine. Particular emphasis is given to basic science research, clinical epidemiology and health social science in relation to osteopathy and neuromusculoskeletal medicine. The Editorial Board encourages submission of articles based on both quantitative and qualitative research designs. The Editorial Board also aims to provide a forum for discourse and debate on any aspect of osteopathy and neuromusculoskeletal medicine with the aim of critically evaluating existing practices in regard to the diagnosis, treatment and management of patients with neuromusculoskeletal disorders and somatic dysfunction. All manuscripts submitted to the IJOM are subject to a blinded review process. The categories currently available for publication include reports of original research, review papers, commentaries and articles related to clinical practice, including case reports. Further details can be found in the IJOM Instructions for Authors. Manuscripts are accepted for publication with the understanding that no substantial part has been, or will be published elsewhere.