Efficacy of Physiotherapy Rehabilitation Program In Post Operative Management of Femoroacetabular Impingement Syndrome: A systemic Review of Clinical Evidence

Abstract

Background: Femoroacetabular impingement syndrome (FAIS) is a well-known cause of hip pain in adolescentsand young adults. It is defined as the triad of symptoms, clinical signs and imaging findings in which structuralmorphology results in conflict between the femoral head and the acetabulum.Aim: To summarize the effects of physiotherapy rehabilitation in post operative management of FAI syndromeMethod: A literature search was carried out on the PubMed, EMBASE, Scopus, Google Scholar ,Chocrane,Research Gate and PEDrodatabases, using the following keywords: “femoroacetabular impingement”, “FAI”, inassociationwith “surgery”, “arthroscopy”, “surgical” and “physiotherapy”, “physical therapy”, “rehabilitation”,“exercise”. Studies meeting all inclusion and exclusion were reviewed and data were extracted.Results: The above review includesa total of 10 studies. In the present review, data from 1281 patients wereretrieved. Out of 1281 patients 820 were Male and 461were females. Furthermore, 117 cases were classified as acam impingement , 40 as pincer impingement and 1124 as mixed FAI. The weighted mean age was 35.10 years,outcomes included iHOT-33, HOS ADL , HOS SPORTS, VAS, MHHS.Conclusion: Rehabilitation protocols following hip arthroscopy for the management of FAI syndrome typicallyconsist of four to five phase programs with set goals and progression criteria. The study found Clinically significantimprovement in reported outcomes from baseline noted in majority of the studies reviewed that involved astructured rehabilitation program following arthroscopic management of FAI.