Postural correction reduces hip pain in adult with acetabular dysplasia: A case report.
Developmental dysplasia of the hip is often diagnosed in infancy, but less severe cases of acetabular dysplasia are being detected in young active adults. The purpose of this case report is to present a non-surgical intervention for a 31-year-old female with mild acetabular dysplasia and an anterior acetabular labral tear. The patient presented with right anterior hip and groin pain, and she stood with the trunk swayed posterior to the pelvis (swayback posture). The hip pain was reproduced with the anterior impingement test. During gait, the patient maintained the swayback posture and reported 6/10 hip pain. Following correction of the patient's posture, the patient's pain rating was reduced to a 2/10 while walking. The patient was instructed to maintain the improved posture. At the 1 year follow-up, she demonstrated significantly improved posture in standing and walking. She had returned to recreational running and was generally pain-free. The patient demonstrated improvement on self-reported questionnaires for pain, function, and activity. These findings suggest that alteration of posture can have an immediate and lasting effect on hip pain in persons with structural abnormality and labral pathology.
Department of Physical Therapy & Athletic Training, Boston University, Boston, MA, USA. Electronic address: lewisc@bu.edu.
Cara L
CL
Lewis
Department of Physical Therapy & Athletic Training, Boston University, Boston, MA, USA.
Anne
A
Khuu
Department of Physical Therapy & Athletic Training, Boston University, Boston, MA, USA.
Lee N
LN
Marinko
D000077:Acetabulum / Q000002:abnormalities / Q000000981:diagnostic imaging*; D000328:Adult; D018771:Arthralgia / Q000175:diagnosis / Q000534:rehabilitation*; D005260:Female; D005500:Follow-Up Studies; D006617:Hip Dislocation / Q000000981:diagnostic imaging / Q000534:rehabilitation*; D006621:Hip Joint; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D026201:Musculoskeletal Manipulations / Q000379:methods*; D010147:Pain Measurement; D056888:Patient Positioning; D011187:Posture / Q000502:physiology*; D011859:Radiography / Q000379:methods; D020127:Recovery of Function; D016896:Treatment Outcome
Dysplasia; Gait; Labral tear; Movement system; Posture