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  1. Brady Desmond Green1,
  2. Christina Le2,
  3. Tawnie Crowe3,
  4. Zain Sharif4,
  5. Ronan Kearney5
  1. 1Department of Physiotherapy, La Trobe University, Bundoora, Victoria, Australia
  2. 2Physiotherapy Department, Glen Sather Sports Medicine Clinic, Edmonton, Alberta, Canada
  3. 3Independent researcher, Edmonton, Alberta, Canada
  4. 4Department of Cardiology, Tallaght Hospital, Dublin, Ireland
  5. 5Royal College of Surgeons in Ireland, Dublin, Ireland
  1. Correspondence to Dr. Ronan Kearney, Royal College of Surgeons in Ireland, Dublin 2, Ireland; ronankearney{at}rcsi.ie

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The Physiotherapy for Femoroacetabular Impingement Rehabilitation Study (physioFIRST): a pilot randomised controlled trial

JOSPT 2018;48(4):307-315

Are your active patients struggling with hip or groin pain? Femoroacetabular impingement (FAI) may be the culprit! Despite FAI being a common condition, the best evidence-based treatment has yet to be established.

This pilot randomised controlled trial (RCT) on physiotherapy for FAI included 24 participants who were selected into two groups: an FAI-specific intervention and a control intervention. The FAI intervention consisted of hip joint manual therapy, hip and trunk strengthening exercises, functional activity-specific retraining and education, whereas the control group received hip joint manual therapy, stretching exercises and education. Both groups attended eight physical therapy treatment sessions and 12 supervised gym visits over 12 weeks.

Individuals in the FAI intervention had improvements in self-reported pain, function and quality of life as well as objective measures of strength. However, these changes were not statistically different from the control intervention. We await the full-scale RCT to determine the effectiveness of an FAI-specific rehabilitation programme!

Take home message: Combine mobility, strengthening, functional retraining and education to help your FAI patients!

The influence of patient choice of first provider on costs and outcomes: analysis from a physical therapy patient registry

JOSPT 2017;48(2):63–71

In the USA, almost $85 billion is spent annually treating spine-related conditions. People experiencing neck or …

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