presented by Alexis Wright
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 highlights some of the more recent evidence regarding the diagnosis, epidemiology, and structural adaptations with regards to FAI syndrome. Latest evidence regarding conservative treatment of FAI syndrome is presented as well as demonstrations of suggested manual therapy techniques and exercise prescription.
Dr. Alexis Wright is an Assistant Professor and 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 include refining and improving the patient examination and treatment process used in everyday physical therapist practice. Dr. Wright received her BS in Kinesiology from the University of Illinois at Urbana-Champaign in 2003, a Doctorate of Physical Therapy from Duke University in 2006, and a PhD in physical therapy clinical research from the University of Otago, New Zealand in 2010. Dr Wright was recognized as a Fellow of the American Academy of Orthopaedic Manual Physical Therapists in 2011 and achieved APTA board certified orthopedic specialization in 2015. Dr. Wright is a frequent research presenter at state, national, and international meetings and a productive author with over 40 peer-reviewed manuscripts in the areas of orthopedics and manual therapy. Dr. Wright currently serves as the Deputy Editor of Physical Therapy Reviews as well as two journal editorial boards and acts as a reviewer for a number of other international and national peer-reviewed journals. Dr. Wright is a 2007 recipient of the Emerging Leader Award for the American Physical Therapy Association and a 2012 recipient of the Dorothy Briggs Memorial Scientific Inquiry Award for the American Physical Therapy Association. In addition to her research, she continues to practice clinically for Targeted Enhanced Athletic Movement (TEAM) out of High Point University. Dr. Wright has received several small research grants including the AAOMPT Cardon Research Grant and the University of Otago Postgraduate Publishing Bursary. Awards include the American Physical Therapy Association (APTA) Dorothy Briggs Memorial Scientific Inquiry Award, the APTA Emerging Leader Award, and the Duke University Health System Service Champion Award. Dr. Wright continues to maintain an active research agenda in the areas of spinal and extremity mobilization and manipulation, hip disorders, femoroacetabular impingement, and prognostic research. Dr. Wright received her PhD in clinical research from the University of Otago, a Doctor of Physical Therapy degree from Duke University, and a Bachelor of Science degree in kinesiology from the University of Illinois at Urbana-Champaign. Dr. Wright currently serves as an Assistant Professor and Director of Continuing Education in the Department of Physical Therapy at High Point University. In addition to her position as Assistant Professor in the Department of Physical Therapy at High Point University, she practices clinically for Targeted Enhanced Athletic Movement (TEAM). TEAM is a community-based health and wellness program designed to improve athletic performance and prevent injury.
This chapter will introduce new terminology with regards to FAI syndrome from the 2016 Warwick Agreement on FAI syndrome. Research regarding abnormal imaging findings and the correlation with clinical signs and symptoms will be presented along with a discussion regarding epidemiology. Hip kinematics and structural adaptations related to the hip joint will be discussed as well as a comparison of hip musculature to shoulder musculature regarding trends we previously saw with shoulder impingement and how hip impingement may be following the same trajectory.
This chapter will introduce the latest evidence with regards to physical therapy led rehabilitation for FAI syndrome. We will review current rehabilitation programs and highlight some specific manual therapy techniques through demonstrations.
This chapter will highlight the most common exercises utilized to date in successful management of FAI syndrome. This chapter is focused on demonstrations as a useful resource for immediate transfer into the clinic.