Dueñas L1,2, Esteban-Martínez B1, Lopez-Bueno L1, Balasch-Bernat M1,2, Lluch E1,2,3,4
1University of Valencia, Department of Physical Therapy, Valencia, Spain, 2PT in Motion Research Group, Valencia, Spain, 3Pain in Motion International Research Group, Brussels, Belgium, 4Faculty of Physical Education & Physiotherapy, Vrije University Brussels, Department of Human Physiology and Rehabilitation Sciences, Brussels, Belgium
Background: Femoroacetabular impingement (FAI) has been reported as one of the most common indications of hip arthroscopy. Surgery for the correction of FAI has increased significantly in the recent decade. The existence of a significant variability regarding the diagnosis of FAI has led to the suggestion of the term FAI syndrome (FAIS), which was adopted at a recent agreement meeting. However, to more precisely define the importance of the assessment components of the patient with FAIS, clarification of specific diagnostic parameters are needed.
Purpose: The current review aims to evaluate the uniformity between the randomized clinical trials (RCTs) selection criteria used in the assessment of patients diagnosed with FAIS.
Methods: A systematic review of RCTs was performed according to the Preferred Reporting Items for Systematic Reviews and MetaAnalyses (PRISMA) statement. Using specific keywords related to FAIS and physiotherapy, the electronic databases PubMed, Medline, EmBase and Web of Science were searched. The systematic search was supplemented by hand searching. Articles were included till December 2017. Full-text RCTs in patients diagnosed with FAIS were included and screened for methodological quality. Quality assessment was evaluated using the PEDro scale. The search strategy and data collection were performed by two independent researchers.
Results: A total of 10 studies were retrieved for quality evaluation and data extraction. The results were analysed according to the international consensus from The Warwick Agreement with regard to FAIS diagnosis. This statement recommends patient's symptoms, clinical signs and diagnostic images as essential criteria for the diagnosis of FAIS. Only 60% of the eligible studies used the combination of the three aspects proposed by the Warwick Agreement on FAIS. All the studies used patient's symptoms criteria for the diagnosis of FAIS, 8 studies relied on clinical signs and 9 studies used diagnostic images. The methodological quality of the studies was moderate.
Conclusion(s): Nowadays, there is no uniformity between the selection criteria of RCTs used in the assessment of patients diagnosed with FAIS. Although most of the studies took into account more than one recommended domain for the diagnosis, the specific diagnostic criteria used were not homogeneous, which hinder the reproducibility of the studies.
Implications: Based on the present finding there is a lack consistency for FAI syndrome diagnosis amongst physiotherapists.
Keywords: Femoroacetabular impingement, physical Therapy, systematic review
Funding acknowledgements: No funding has been received for the conduct of this study.
Purpose: The current review aims to evaluate the uniformity between the randomized clinical trials (RCTs) selection criteria used in the assessment of patients diagnosed with FAIS.
Methods: A systematic review of RCTs was performed according to the Preferred Reporting Items for Systematic Reviews and MetaAnalyses (PRISMA) statement. Using specific keywords related to FAIS and physiotherapy, the electronic databases PubMed, Medline, EmBase and Web of Science were searched. The systematic search was supplemented by hand searching. Articles were included till December 2017. Full-text RCTs in patients diagnosed with FAIS were included and screened for methodological quality. Quality assessment was evaluated using the PEDro scale. The search strategy and data collection were performed by two independent researchers.
Results: A total of 10 studies were retrieved for quality evaluation and data extraction. The results were analysed according to the international consensus from The Warwick Agreement with regard to FAIS diagnosis. This statement recommends patient's symptoms, clinical signs and diagnostic images as essential criteria for the diagnosis of FAIS. Only 60% of the eligible studies used the combination of the three aspects proposed by the Warwick Agreement on FAIS. All the studies used patient's symptoms criteria for the diagnosis of FAIS, 8 studies relied on clinical signs and 9 studies used diagnostic images. The methodological quality of the studies was moderate.
Conclusion(s): Nowadays, there is no uniformity between the selection criteria of RCTs used in the assessment of patients diagnosed with FAIS. Although most of the studies took into account more than one recommended domain for the diagnosis, the specific diagnostic criteria used were not homogeneous, which hinder the reproducibility of the studies.
Implications: Based on the present finding there is a lack consistency for FAI syndrome diagnosis amongst physiotherapists.
Keywords: Femoroacetabular impingement, physical Therapy, systematic review
Funding acknowledgements: No funding has been received for the conduct of this study.
Topic: Musculoskeletal: lower limb; Musculoskeletal: lower limb
Ethics approval required: No
Institution: University of Valencia
Ethics committee: Ethics Committee from the University of Valencia
Reason not required: Systematic review does not need for an ethics approval
All authors, affiliations and abstracts have been published as submitted.
