What Do We Want And Expect From Physical Therapy Led Treatment? A Qualitative Study Of People Living With Femoroacetabular Impingement Syndrome

Abstract

PURPOSE: Physiotherapist-led treatment programs are recommended for patients with femoroacetabular impingement syndrome (FAI syndrome). Patient views regarding such interventions are currently unknown, including perceptions of potential barriers and facilitators to participation and adherence. We aimed to explore patient perceptions of physiotherapist-led programs for FAI syndrome, including barriers and facilitators for accessing physiotherapy; and adhering to a rehabilitation program. METHODS: Our qualitative study used semi-structured interviews to explore the perceptions of patients with FAI syndrome undertaking physiotherapy-led interventions. The interview topic guide was informed by the Theoretical Domain Framework. Interviews were transcribed verbatim and data categories were developed using inductive thematic analysis. Themes were discussed between researchers until consensus was reached. RESULTS: Fourteen participants (mean (standard deviation) age: 30 (10) years) with a range of physical activity backgrounds undertook interviews. Five key themes were identified, 1) Patients believed their hip pain was caused by structural damage worsened through exercise; 2) Feasibility and expectations of physiotherapist-led programs varied between participants; 3) Perceptions regarding adjunct treatments validity varied between participants; 4) Variable physical activity beliefs; and 5) Barriers and facilitators for physiotherapist-led treatment. CONCLUSIONS: People with FAI syndrome believe they have structural damage which leads to their hip pain and are often afraid to exercise due to fear of causing more damage to their hip. Our findings provide in-depth patient perspectives of people with lived experience of FAI syndrome, who are key stake holders in the development and successful implementation of best-practice interventions for people with FAI syndrome