Gait Considerations in patients with Femoroacetabular Impingement.

Authors:  Kokmeyer D, Strzelinski M, Lehecka B

The literature describing the characteristic features of femoroacetabular impingement (FAI) has been on the rise, increasing awareness of this pathology in the young, active population.  FAI should be considered as a contributing factor by the physical therapist during evaluation of a patient with anterior hip pain, impairments, and functional deficits. The dynamic interplay of anatomical variations, pain, and muscle function and their effects on gait in patients with FAI, however, is poorly understood. Small sample populations and variability in radiological, demographic, and clinical presentations in those with FAI have precluded meaningful insight into gait analysis and FAI, reiterating the need for further research in this domain.  This clinical commentary seeks to examine the existing literature regarding gait abnormalities associated with anterior hip pain following hip arthroscopy, describe the dynamic interplay of the lower extremity kinetics and kinematics likely contributing to observed deficits, and offer applicable, evidence based solutions to the physical therapist involved in the rehabilitation of post-operative hip patients. 

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