Muscle Damage in Femoroacetabular Impingement (Fai): A Self-Joint Mobilization Technique

Shahzad Gul, Javed Ahmad, Madni Shaukat


Background: Femoroacetabular impingement (FAI) is recognized as a common cause of hip pain in young, active adults. There are many different approaches used in the treatment of FAI. A literature review and case report were conducted to examine the evidence that nonsurgical intervention has demonstrated effectiveness in the management of FAI.

Methods: The literature search included the electronic databases of PubMed, CINAHL, PEDro, and the Cochrane Library. The database search process yielded 463 articles, 21 of which were reviewed in full text and 9 included in this review for meeting the criteria for inclusion. The articles reviewed included two randomized clinical trials, five systematic reviews, and two case reports. Case Description: The patient was a 27- year-old female who presented to physical therapy with anterior hip pain. At the initial evaluation, she reported pain with prolonged sitting and squatting activities. The intervention included a program of six self-joint mobilization techniques for a period of eight weeks. Outcomes: The self-joint mobilization program was used to improve hip range of motion (ROM), pain-free squat depth, and pain-free sitting duration. Outcome tools included the Lower Extremity Functional Scale (LEFS), Hip Outcome Score (HOS), and Nonarthritic Hip Score (NAHS).

Conclusion: The literature review provided consistent evidence that conservative care, including manual therapy, exercise, activity modification, and a home exercise program, can successfully decrease symptoms of FAI. The case report demonstrated that young adults with FAI may benefit from a self-joint mobilization program to improve mobility and to return to functional activities pain free. The literature review and case report both support the hypothesis that nonsurgical intervention is an effective method to manage FAI. Further research is required to investigate the use of a self-joint mobilization program in a larger population of patients with FAI.


femoroacetabular impingement (FAI); hip pain; labral tear; conservative care; manual therapy; self-joint mobilization

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