Femoroacetabular Impingement Syndrome Part 2: Complex Systems Approach
Presented by Alexis Wright
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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.
Meet your instructor
Alexis Wright
Alexis A. Wright serves as professor and program director for the Tufts DPT Boston program. Wright has been invested in DPT education since 2011. She 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. Wright…
Chapters & learning objectives
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
