Table 3.
Author | Physical Therapy Interventions |
---|---|
Smeatham et al.24 2016 |
Control group: routine care, analgesia, and self-management advise/exercise previously provided Intervention group: control group interventions, MT, patient education, exercise (core stability, hip strengthening, spinal, and functional activity), stretching, corrective shoe insoles, gym class, and video gait analysis |
Wright et al.25 2016 |
Control group: education on activity modification and HEP to complete 2-3x a week consisting of stretching with 30 sec. holds (HS, hip flexor, glutes, piriformis) and strengthening 3 sets x 15 with 3 second holds (clamshells, bridges, and standing hip abduction) Intervention group: HEP and treatment algorithm to classify patient after exam into the following groups: (1) pain – pain control interventions, low grade mobilizations, ROM activities, stretching; (2) stiffness – ROM activities, high grade mobilizations; (3) weakness – strength and stability exercises, strength training, balance activities, and functional WB exercises Strength training: 3 sets of 10 or until fatigue; areas addressed: hip abduction, hip extension, hip ER, knee flexion and extension, TA and multifidus training Neuromuscular control: balance activities of varied surfaces and progress to sports movements MT: manual stretching (quadricep, hip flexors, HS, adductors, gluteus, external rotators, internal rotators, FABER) 2 reps x 60 secs or 4 reps x30 secs; long axis distraction with thrust, caudal glide or distraction mobilization with hip flexion, hip glides (posterior, anterior, and lateral), IR in prone, quadrant (flexion, adduction, and rotation) |
Emara et al.27 2011 |
4 stages of Therapy: Stage 1: physical activity modification and NSAIDs (2-4 weeks) Stage 2: PT for hip ER and abduction in extension and flexion stretching (20-30 min. daily), activity modification (2-3 weeks) Stage 3: activity modification adjusted for new pain-free ranges between maximum hip IR and ER Stage 4: modifying activity that pre-disposed FAI |
Kemp et al.28 2018 |
Control: hip joint manual therapy, progressive cardiovascular fitness with dosage varying between 15 minutes to 1 hour, muscle stretching (hip, lower leg, and trunk) and health education FAIS -Specific physical therapy group: joint MT, specific trunk and hip (adductor, abductor, extensor, and ER) strengthening exercises with dosage varying from 1-2 sets for 15-50 reps, progressive cardiovascular fitness with the same as the control group, functional movement retraining, education; therapy tailored to clinical presentation and comorbidities |
NSAIDs = Nonsteroidal Anti-Inflammatory Drug, FAI = Femoroacetabular impingement, FAIS = Femoroacetabular impingement syndrome, PT = Physical therapy, ER = External rotation, IR = Internal rotation, MT = Manual therapy, HEP = Home exercise plan, HS = Hamstring, ROM = Range of motion, tx = Treatment, WB = Weight bearing, TA = Transverse abdominus, FABER = Flexion Abduction External Rotation, reps = Repetitions, secs = Seconds