AOSSM 2023 Annual Meeting Recordings no CME-Q & A: Frontiers in Hip Arthroscopy I

Video Transcription

Well, Andrea is sort of looking that up. Taylor, I'm gonna make a comment and this isn't directed at you, but this is admirable that y'all are looking at such  an important subject to the success of our procedures. For me, 80% of my patients who come back for having difficulty after arthroscopic surgery is just an  adjustment in the rehab. The therapists usually see them first and they've got a plan by the time I see them. I agree with your observations, but not the  conclusions. I think what you're showing isn't that a home exercise program is as good as formal physical therapy, but what you're showing is that random physical  therapy with a sheet of instructions isn't any better than a home exercise program. And I think that's where these people really need therapists that are  dialed in. That's why your therapy team has to communicate with whoever their therapists are to sort of fill those gaps. And the importance of the home  exercise program and what you're showing is very important because in your data, the home exercise program out distanced formal therapy from 6 to 12 months.  I think probably the most important thing between the two groups, especially since we let them self-select, was that the people who chose a home  exercise program are probably just more self-motivated in general to have a better outcome. Whereas, you know, the people in the therapy group were probably  the people who if you let them be on their own, if it had been a randomized study, they probably would have had really poor outcomes as we see in our  clinics, you know, especially with post-operative stiffness. And so I do agree that doing especially the more of the soft tissue modalities and just  having eyes on them, even from, you know, we've had plenty of patients in our clinics who the physical therapist is the first one to pick up wound issues,  right? So I think there is still an important role for it and that's why we weren't trying to show that, you know, you don't need to do any physical therapy  at all, but for that select population of patients who are self-motivated and will actually do the exercises, there actually is a role for the home exercise program.  Again, a very important role, but and I warned Steven this morning I was going to disagree with his conclusion.

Video Summary

The video transcript is a conversation between a group of individuals discussing the effectiveness of home exercise programs versus formal physical therapy after arthroscopic surgery. They note that many patients who experience difficulties after surgery simply need adjustments to their rehabilitation program, and therapists usually identify these issues before doctors do. They agree that while a home exercise program may not be as good as formal physical therapy, random physical therapy with instructions isn't any better. However, the importance of the home exercise program is highlighted, as it outperforms formal therapy in the long term. They also mention that self-motivation plays a role in the success of these programs and that there is still a significant role for physical therapy in certain cases. The individual concludes by expressing their disagreement with someone named Steven's conclusion. No credits are provided.

Asset Caption

Niv Marom, MD; Sean Meredith, MD; Daniel Kaplan, MD; Taylor Hobson, MD

Keywords

home exercise programs

formal physical therapy

arthroscopic surgery

rehabilitation program

self-motivation