The 2019 International Society of Hip Preservation (ISHA) physiotherapy agreement on assessment and treatment of femoroacetabular impingement syndrome (FAIS): an international consensus statement

Author:

Takla Amir123,O'Donnell John34,Voight Michael56,Byrd Thomas7,Dienst Michael8,Martin Rob Roy9,Philippon Marc J10,Enseki Keelan11,Andrade Tony1213,Safran Marc14,Christoforetti John Joseph15ORCID,Martin Hal16,Grant Louise17,Cambell Ashley6,Ryan Mark11,Tyler Tim18,McGovern Ryan P19,Bizzini Mario20,Kohlrieser David21

Affiliation:

1. Swinburne University of Technology – Hawthorn Campus, Health Science, Hawthorn, VIC, Australia

2. Australian Sports Physiotherapy – Ivanhoe, 3079, Australia

3. Hip Arthroscopy Australia, Melbourne, Richmond, VIC 3121, Australia

4. Orthopaedic, St Vincent’s Melbourne, East Melbourne, VIC 3054, Australia

5. Physical Therapy, Nashville Hip Institute, Nashville, TN 37203, USA

6. Physical Therapy, Belmont University, Nashville, TN 37212-3757, USA

7. Surgery, Nashville Sports Medicine Foundation, Nashville, TN, USA

8. OCM Orthopädische Chirurgie München, Steinerstr. 6, Munich, 81369, Germany

9. Physical Therapy, Duquesne University, Pittsburgh, PA 15282-0001, USA

10. Steadman Philippon Research Institute, COOR, Vail, CO 81657-5242, USA

11. University of Pittsburgh Medical Center, Rooney Sports Complex, Pittsburgh, PA, USA

12. Reading Orthopaedic Centre, Circle Reading Hospital, Reading RG2 0NE, UK

13. Trauma and Orthopaedic Department, Royal Berkshire NHS Foundation Trust, Reading RG1 5AN, UK

14. Orthopaedic Surgery, Stanford University, Redwood City, CA 94063, USA

15. Orthopaedic Surgery, Allegheny Clinic, Pittsburgh, PA 15224, USA

16. Hip Preservation Center, Baylor University Medical Center at Dallas, Dallas, TX 75246-2088, USA

17. Physiotherapy, PhysioCure, Leeds, UK

18. Physiotherapy, Pro Sports Physical Therapy, New York, USA

19. Texas Health Sports Medicine, Sports Medicine Research, Allen, TX 15013, USA

20. Physiotherapy, Schulthess Klinik, Zurich, Switzerland

21. Orthopedic One, Physical Therapy, Upper Arlington, OH, USA

Abstract

Abstract The 2019 International Society of Hip Preservation (ISHA) physiotherapy agreement on femoroacetabular impingement syndrome (FAIS) was intended to build an international physiotherapy consensus on the assessment, non-surgical physiotherapy treatment, pre-/post-operative management, and return to sport decisions for those patients with FAIS. The panel consisted of 11 physiotherapists and 8 orthopaedic surgeons. There is limited evidence regarding the use of physiotherapy in the overall management of those with FAIS. Therefore, a group of ISHA member physiotherapists, who treat large numbers of FAIS patients and have extensive experience in this area, constructed a consensus statement to guide physiotherapy-related decisions in the overall management of those with FAIS. The consensus was conducted using a modified Delphi technique. Six major topics were the focus of the consensus statement: (i) hip assessment, (ii) non-surgical physiotherapy management, (iii) pre-habilitation prior to hip arthroscopy, (iv) post-operative physiotherapy rehabilitation, (v) stages of post-operative rehabilitation and (vi) return to sports criteria/guidelines after surgery.

Publisher

Oxford University Press (OUP)

Subject

General Earth and Planetary Sciences,General Environmental Science

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