Do currently prescribed exercises reflect contributing pathomechanics associated with femoroacetabular impingement syndrome? A scoping review

Wright, Alexis A.; Tarara, Daniel T; Gisselman, Angela Spontelli; Dischiavi, Steven L.

doi:10.1016/j.ptsp.2020.11.034

Cited by 6 publications

(14 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Dischiavi and colleagues noted a reductionist approach to exercise prescription across other musculoskeletal conditions. Their scoping reviews of the patellofemoral pain (PFPS) 14 and femoroacetabular impingement (FAI) literature, 13 each concluded that the prescribed rehabilitation exercises were too simplistic, lacked progression, and often failed to reflect the etiology of the respective conditions. It seems there are consistent limitations in rehabilitation content across the current musculoskeletal literature; this could be addressed increasing the specificity, complexity and progression of the exercise content.…”

Section: Discussionmentioning

confidence: 99%

“…Exercises incorporating components of multiplanar movement, single limb weight-bearing, and a flight phase, were most reflective of injury etiology, and therefore presented the highest level of challenge to the patient. A priori definitions, developed from recent scoping reviews by Dischiavi et al [13][14][15] were used to categorize each exercise element.…”

Section: Methodsmentioning

confidence: 99%

“…This classification could have been subjective; but to minimise this, we aligned our methods and definitions to three previous reviews. [13][14][15] We must also acknowledge that our classification criteria is informed primarily by mechanical constructs relevant to the injury inciting event. This reductionist approach of discussing only biomechanical effects of rehabilitation exercises deviates from the original biopsychosocial model.…”

Section: Limitationsmentioning

confidence: 99%

“…However, if exercises are too basic, they lack context and specificity, particularly for athletic populations. Recent scoping reviews conclude that most rehabilitation exercises prescribed for common musculoskeletal injuries at the hip (Femero acetabulair Impingement) 13 and knee (Anterior cruciale ligmant, Patellofemoral Pain Syndrome) 14, 15 , are too simplistic and lack complexity, specificity and progression.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Rehabilitation strategies for lateral ankle sprain do not reflect established mechanisms of re-injury: A systematic review

Wagemans

Bleakley

Taeymans

et al. 2022

Preprint

View full text Add to dashboard Cite

Research questions 1) What is the primary impairment addressed by each exercise included in exercise-based rehabilitation programs for patients who suffered an acute ankle sprain? 2) Do prescribed exercises incorporate complex tasks associated with common ankle sprain injury mechanisms? Methods We searched six electronic databases (CINAHL, Web of Science, SPORTDiscus, Cochrane Register of Controlled Trials, PEDro, Google Scholar) for randomized controlled trials including patients with acute ankle sprains, managed through exercise-based rehabilitation. Exercises were analysed based on: the primary impairment(s) addressed (muscle strength, mobility, neuromuscular training, performance); direction of movement (uni- vs multiplanar); base of support (single vs double limb); weightbearing status (open vs closed chain); and use of a flight phase.(PROSPERO: CRD42020210858) Results We included fourteen randomized controlled trials comprising 177 exercises. Neuromuscular function was addressed in 44% of exercises, followed by performance tasks (23%), and muscle strengthening (20%). Exercises were limited to movements across the sagittal plane (48%), with 31% incorporating multiplanar movements. Weight bearing exercises were almost divided equally between single-limb (59/122) and double leg stance exercises (61/122). Eighteen percent of all exercises (34/177) incorporated a flight phase. Conclusions Rehabilitation after LAS largely comprises simple exercises in the sagittal plane that do not reflect established mechanisms of re-injury. Future interventions can be enhanced by incorporating more open chain joint position sense training, multiplanar single limb challenges, and jumping and landing exercises.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Limitationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Rehabilitation strategies for lateral ankle sprain do not reflect established mechanisms of re-injury: A systematic review

Wagemans

Bleakley

Taeymans

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…Some studies have examined the reporting completeness of exercise therapy interventions for pain around the hip and groin. [14][15][16] Systematic reviews have described incomplete reporting in studies using exercise therapy as treatment for extra-articular groin pain (i.e. adductor-related, inguinal-related or pubic-related groin pain) 15 and hip OA.…”

Section: Introductionmentioning

confidence: 99%

Are Exercise Therapy Protocols For The Treatment of Hip-Related Pain Adequately Described? A Systematic Review of Intervention Descriptions

Estberger

Kemp

Thorborg

et al. 2023

International Journal of Sports Physical Therapy

View full text Add to dashboard Cite

Background Hip-related pain is an umbrella term encompassing pain from non-arthritic hip joint pathologies, such as femoroacetabular impingement syndrome, hip dysplasia, and labral tears. Exercise therapy is commonly recommended for these conditions, but the reporting completeness of these interventions is currently unclear. Purpose The aim of this systematic review was to assess the reporting completeness of exercise therapy protocols for people with hip-related pain. Study design Systematic review according to PRISMA guidelines. Materials and Methods A systematic search was conducted, searching the MEDLINE, CINAHL, and Cochrane databases. The search results were independently screened by two researchers. Inclusion criteria were studies using exercise therapy in people with non-arthritic hip-related pain. Two independent researchers used the Cochrane risk of bias tool version 2 to analyze risk of bias, and the Consensus on Exercise Reporting Template (CERT) checklist and score (1-19) to synthesize reporting completeness. Results Fifty-two studies used exercise therapy for hip-related pain, but only 23 were included in the synthesis as 29 studies had no description of the intervention. CERT scores ranged from 1 to 17 (median 12, IQR 5-15). The most well-described items were tailoring (87%), and the least well-described items were motivation strategies (9%) and starting level (13%). Studies used exercise therapy alone (n=13), or in combination with hip arthroscopy (n=10). Conclusion Only 23 of 52 eligible studies reported sufficient details to be included in the CERT synthesis. The median CERT score was 12 (IQR 5-15), with no study reaching the maximum score of 19. Lack of reporting makes it difficult to replicate interventions in future research, and to draw conclusions on efficacy and dose-response to exercise therapy for hip-related pain. Level of evidence Level 1, systematic review

show abstract

A New Clinical Examination Algorithm to Prescribe Conservative Treatment in People with Hip-Related Pain

González-de-la-Flor

2024

Pain Ther

View full text Add to dashboard Cite

Hip-related pain is a common issue in active adults affecting their quality of life, mobility, and overall function, and it can lead to persistent disability. However, diagnosing hip-related pain is challenging due to the many potential sources and causes, including intra-articular and extra-articular pathology, and referred pain from other areas (lumbar or groin related pain). To address this, there is a need for a clinical algorithm based on the best available evidence and expert consensus. This algorithm could guide healthcare professionals in assessing and managing patients with hip-related pain, during the diagnosis, test selection, intervention, monitoring, and promoting collaboration among various healthcare providers. This clinical algorithm for hip-related pain is a comprehensive, flexible, adaptable to different settings, and regularly updated to incorporate new research findings. This literature review aims to establish a clinical algorithm specifically for prescribing exercise treatment to patients with hip-related pain, addressing their individual needs and enhancing their overall care.

show abstract

Do currently prescribed exercises reflect contributing pathomechanics associated with femoroacetabular impingement syndrome? A scoping review

Cited by 6 publications

References 47 publications

Rehabilitation strategies for lateral ankle sprain do not reflect established mechanisms of re-injury: A systematic review

Rehabilitation strategies for lateral ankle sprain do not reflect established mechanisms of re-injury: A systematic review

Are Exercise Therapy Protocols For The Treatment of Hip-Related Pain Adequately Described? A Systematic Review of Intervention Descriptions

A New Clinical Examination Algorithm to Prescribe Conservative Treatment in People with Hip-Related Pain

Contact Info

Product

Resources

About