Physical impairments and activity limitations in people with femoroacetabular impingement: a systematic review

Diamond, Laura E.; Dobson, Fiona; Bennell, Kim L; Wrigley, Tim V.; Hodges, Paul W.; Hinman, Rana S

doi:10.1136/bjsports-2013-093340

Cited by 129 publications

(119 citation statements)

References 39 publications

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“…FAI results when the proximal femur abuts against the acetabular rim [2,5]; although this description is straightforward, underlying mechanisms remain poorly understood. Impingement typically occurs with combined movements of hip flexion, adduction and internal rotation [1,2], but a consistent definition of FAI is lacking [6]. Classifications of FAI include "cam" impingement, caused by abnormal morphology of the femoral head, "pincer" impingement characterized by excessive acetabular coverage of the femoral head, and "combined" impingement which is a combination of both cam and pincer abnormalities [2,3,5,7].…”

Section: Introductionmentioning

confidence: 99%

Hip joint biomechanics during gait in people with and without symptomatic femoroacetabular impingement

et al. 2016

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Highlights Symptomatic FAI is associated with minimal impairments in gait biomechanics. Individuals with symptomatic FAI demonstrate decreased sagittal plane hip ROM. The magnitude of the gait changes are small and of unknown clinical relevance. Gait assessment/training is unlikely to be beneficial in symptomatic FAI. and kinetics were compared between the two groups. There were limited significant betweengroup differences with respect to spatiotemporal variables. Participants with FAI walked with less range of motion in the sagittal plane during a gait cycle, but did not exhibit any significant kinematic differences in the frontal or transverse planes. There were no systematic differences in kinetics between the groups in any plane. Findings suggest that individuals with symptomatic FAI have minimal impairments in gait biomechanics. Although these individuals demonstrate reduced hip joint motion in the sagittal plane, the size of the difference is small and its significance for symptoms and function is unclear. More pronounced deficits in hip kinetics and kinematics may be evident during functional tasks that challenge the hip towards the position of impingement.

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Section: Introductionmentioning

confidence: 99%

Hip joint biomechanics during gait in people with and without symptomatic femoroacetabular impingement

et al. 2016

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“…32 Despite this growth in hip arthroscopy, there is limited evidence to underpin the development of rehabilitation programs following hip arthroscopy. 11 It is therefore difficult for clinicians to provide appropriate rehabilitation programs that are targeted to improve performance of functional tasks in this patient group.…”

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confidence: 99%

Patients With Chondrolabral Pathology Have Bilateral Functional Impairments 12 to 24 Months After Unilateral Hip Arthroscopy: A Cross-sectional Study

Kemp¹,

Risberg²,

Schache³

et al. 2016

J Orthop Sports Phys Ther

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T t STUDY DESIGN:Cross-sectional study. T t BACKGROUND:Functional task performance in patients with chondrolabral pathology following hip arthroscopy is unknown. T t OBJECTIVES:To investigate in people with chondrolabral pathology following hip arthroscopy (1) the bilateral differences in functional task performance compared to controls, (2) the association of hip muscle strength with functional task performance, and (3) the association of functional task performance scores with good outcome, as measured by International Hip Outcome Tool score. T t METHODS:Seventy-one patients who had unilateral hip arthroscopy for hip pain and 60 controls were recruited. Patient-reported outcomes included the 4 subscales of the International Hip Outcome Tool. Hip muscle strength measures included abduction, adduction, extension, flexion, external rotation, and internal rotation. Functional tasks assessed included the single hop test, the side bridge test, and the single-leg rise test. For aim 1, analyses of covariance tests were used. For aim 2, stepwise multiple linear regression analyses were used. For aim 3, receiver operating characteristic curve analyses were used. T t RESULTS:Compared to controls, the chondrolabral pathology group had significantly worse performance on both legs for each of the functional tasks (P<.001). Greater hip abduction strength was moderately associated with better performance on functional tasks in the chondrolabral pathology group (adjusted R 2 range, 0.197-0.407; P<.001). Cutoff values associated with good outcome were 0.37 (hop distance/height) for the single hop, 16 repetitions for the single-leg rise, and 34 seconds for the side bridge test. T t CONCLUSION:Patients with hip chondrolabral pathology had reduced functional task performance bilaterally 12 to 24 months after unilateral hip arthroscopy when compared to controls. T t LEVEL OF EVIDENCE: Therapy/symptom prevalence, level 3b.

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“…46,57 Hip muscle strength deficits have been demonstrated in athletes with adductor-and pubic-related groin pain, 53,93 and in individuals with hip-related groin pain, FAI syndrome, or after having hip arthroscopy, often for several hip movement planes. 20 In particular, reduced hip adduction strength is commonly reported in athletes with groin pain 46 and is important to target through rehabilitation. Athletes with adductorand pubic-related groin pain have also shown reduced hip abduction and abdominal muscle strength.…”

Section: Hip Muscle Strengthmentioning

confidence: 99%

“…20 However, functional and physical performance deficits have not been consistently reported in athletes unless clear hip pathology or a history of hip surgery is present. 109 In athletes without clear hip pathology or a history of hip surgery, decreased functional performance has only been documented in laboratory settings, using 3-D motion analysis, showing changes and differences in kinematics during movements requiring changes of direction.…”

Section: Function and Physical Performancementioning

confidence: 99%

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Clinical Examination, Diagnostic Imaging, and Testing of Athletes With Groin Pain: An Evidence-Based Approach to Effective Management

Thorborg¹,

Reiman²,

Weir³

et al. 2018

Journal of Orthopaedic & Sports Physical Therapy

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[ clinical commentary ] U U SYNOPSIS: Groin pain is common in athletes who participate in multidirectional sports and has traditionally been considered a difficult problem to understand, diagnose, and manage. This may be due to sparse historical focus on this complex region in sports medicine. Until recently, there has been little agreement regarding terminology, definitions, and classification of groin pain in athletes. This has made clear communication between clinicians difficult, and the results of research difficult to interpret and implement into practice. However, during the past decade, the field has evolved rapidly, and an evidence-based understanding is now emerging. This clinical commentary discusses the clinical examination (subjective history, screening, physical examination); imaging; testing of impairments, function, and performance; and management of athletes with groin pain in an evidence-based framework.

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Physical impairments and activity limitations in people with femoroacetabular impingement: a systematic review

Cited by 129 publications

References 39 publications

Hip joint biomechanics during gait in people with and without symptomatic femoroacetabular impingement

Hip joint biomechanics during gait in people with and without symptomatic femoroacetabular impingement

Patients With Chondrolabral Pathology Have Bilateral Functional Impairments 12 to 24 Months After Unilateral Hip Arthroscopy: A Cross-sectional Study

Clinical Examination, Diagnostic Imaging, and Testing of Athletes With Groin Pain: An Evidence-Based Approach to Effective Management

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