Physical therapy-led rehabilitation of patients with Femoroacetabular Impingement (FAI) and/or labral tears: a systematic review and prospective case series

Abstract

Study design: Systematic review and prospective case series. Objective: To identify and discuss the structure, content and feasibility of the physical therapy-led rehabilitation for patients with Femoroacetabular impingement (FAI) and/or labral tears in the current literature and in the ongoing HIPARTI-study (clinicaltrail.gov #NCT02692807). Background: No high-quality studies have yet evaluated the effect of a physical therapyled rehabilitation program for the increasingly reported FAI population. As an initial step, the content and feasibility of the physical therapy-led rehabilitation programs currently available, should be evaluated. Method: A systematic search of literature was conducted to identify physical therapy-led rehabilitation programs for patients with FAI and/or labral tears. The quality of the included studies was assessed using a modified Coleman Methodological Score (CMS). The structure, content and feasibility of the rehabilitation programs were summarized in a systematic review. The rehabilitation of three cases following the HIPARTI rehabilitation program were collected in training diaries. Adverse events, compliance, progression of exercise and clinical change were evaluated for each case in a prospective case series. The findings from both studies were included in a thorough discussion.