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2022, Vol. 26 ›› Issue (5): 786-791Femoroacetabular impingement: strength trainings for nerve-muscle, peripheral muscle and core muscleLu Qinxue, Xu Ning, Yang Yinglan, Han Qianqian, Duanmu Xianyu, Guo Yuwei, Han Qing
Abstract: BACKGROUND: Femoroacetabular impingement is a common cause of hip pain in adolescents. With the development of rehabilitation medicine, rehabilitation therapy has become one of the important methods to treat femoroacetabular impingement. OBJECTIVE: To provide new ideas and clues for further research and treatment of the disease by summarizing the latest achievements in the rehabilitation treatment of femoroacetabular impingement. METHODS: We searched the articles from December 2010 to October 2020 in PubMed, Cochrane, Web of Science, EMbase, CNKI, WanFang, VIP, SinoMed databases with the key words of “femoroacetabular impingement, femoroacetabular impingement syndrome, femoro-acetabular impingement” AND “rehabilitation, physiotherapy” AND “preoperative and postoperative rehabilitation of femoroacetabular impingement syndrome” in Chinese and English, respectively. Repetitive literatures and those that were not closely related to the purpose of this study were eliminated, and finally 61 articles were included for review. RESULTS AND CONCLUSION: Femoroacetabular impingement has pathological changes such as decreased muscle strength around the hip joint, decreased proprioception, changed activation pattern and coordination of deep muscles around the hip joint, and decreased mobility of the lower back and pelvis. The rehabilitation treatment of femoroacetabular impingement mainly focuses on muscle strength training around the hip joint, nerve-muscle training, core muscle strength training, preoperative and postoperative rehabilitation of hip arthroscopy, traditional Chinese medicine rehabilitation therapy, physical factor therapy and injection therapy. For patients with femoroacetabular impingement, muscle strength training around the hip joint can effectively reduce hip pain, increase range of motion and improve joint stability. Neuromuscular training can increase local muscle strength of the hip joint, improve proprioceptive sensation of the hip joint, and improve deep muscle synergy. Core muscle strength training can stabilize the lumbar vertebra and pelvis, reduce compensatory movement of the lumbar vertebra and pelvis, and enhance the effect of muscle strength training around the hip joint. Preoperative and postoperative rehabilitation training of hip arthroscopy can alleviate postoperative pain, improve patient’s function, and improve the therapeutic effect of hip arthroscopy. Traditional rehabilitation therapy and physical factor therapy can effectively eliminate joint inflammation and swelling and alleviate joint pain. Intraarticular injection of corticosteroids and sodium hyaluronate can effectively reduce hip pain and improve hip function in patients with femoroacetabular impingement. Key words:femoroacetabular impingement, hip pain, rehabilitation treatment, hip arthroscopy, review |