presented by Alexis Wright, PT, PhD, DPT, OCS, FAAOMPT
There has been a 25-fold increase in the number of hip arthroscopies performed between 2006 and 2013 primarily in response to improved diagnosis and treatment of femoroacetabular impingement (FAI) syndrome. This course takes a closer look at the evidence regarding surgical outcomes, highlighting some of the limitations associated with surgery and presents an alternative theory as to why surgery may not be the best option. We go on further to present literature regarding the complex systems approach to sports injuries and offer a proposed model for improving conservative management of FAI syndrome through advanced exercise prescription.
Alexis Wright, PT, PhD, DPT, OCS, FAAOMPT
Dr. Alexis Wright is an Associate Professor and serves as the Director of Curriculum Assessment in the Doctor of Physical Therapy program at Tufts University. Previously, Dr. Wright served as the Assistant Chair in the Department of Physical Therapy, High Point University. Dr. Wright is a clinical researcher, educator, and practicing physical therapist whose passions…Read full bio
1. Surgery and FAI syndrome
This chapter will introduce the latest evidence with regards to surgical outcomes and the limitations associated with those studies. Again, comparisons will be made to the shoulder literature comparing shoulder rehabilitation outcomes with shoulder surgery outcomes and why the past may be repeating itself with regards to surgery for FAI syndrome. This chapter will highlight the evidence that in fact no intervention has been shown to alter the natural history of FAI. Additionally, no studies have directly compared surgical and non-surgical management. We will also highlight the high number of revision surgeries performed as well as the lack of satisfaction reported by athletes undergoing surgery for FAI syndrome.
2. The Complex Systems Approach: What does an advanced exercise program look like?
This course will wrap up by introducing the complex systems approach to sports injuries and introduce a proposed rehabilitation model that includes more complex exercise prescription and the global treatment approach
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