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 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.
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 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.
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