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Exploring Nonoperative Exercise Interventions for Individuals with Femoroacetabular Impingement

Terrell, Sara Lynn, Ph.D.; Lynch, James, M.D.

doi: 10.1249/FIT.0000000000000451
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  • Understand femoroacetabular impingement (FAI) pathology
  • Examine common compensatory movement patterns in individuals with FAI
  • Explore exercise interventions that can serve as a nonoperative strategy for individuals with FAI

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Femoroacetabular impingement (FAI) is characterized by pathologic contact during hip range of motion, with aggravating movements most noted in hip flexion, adduction, and internal rotation. Hip impingement diagnoses and surgeries are becoming an increasingly prevalent concern with today's athletes and general population. Exploration of nonoperative exercise interventions is warranted. Exercise professionals can safely improve postural alignment, core stabilization, gluteal activation, and range of motion in individuals with FAI.

Morphological correction and prevention of hip osteoarthritis are often primary reasons to support arthroscopy for individuals with femoroacetabular impingement (FAI). However, exploration of nonsurgical approaches such as exercise intervention focused on postural alignment, core stabilization, and gluteal activation may improve motor control and hip stabilization strength and provide a nonoperative alternative to surgery.

Sara Lynn Terrell, Ph.D., CSCS*D, USAW-L1,is an assistant professor of exercise science and the exercise science program director at Florida Southern College. Her research focuses on improving sports performance in female athletes, reducing barriers to physical activity, and pursuing best practices in work site wellness initiatives. Her interests stem from her many fitness and athletic performance training experiences in both clinical, industry, and higher education settings. She is a professional member of ACSM.

James Lynch, M.D.,is a professor and clinical coordinator of athletic training at Florida Southern College. Dr. Lynch completed a family practice residency at University of Kentucky and then joined the primary care sports medicine fellowship at the American Sports Medicine Institute in Birmingham, AL. He did extensive volunteer work for the United States Olympic Committee. He was awarded an honorary membership in NATA in June of 2008 and has multiple research interests in the sports medicine field.

© 2019 American College of Sports Medicine.