EP8.50 Investigating the effects of hip arthroscopic surgery for femoroacetabular impingement syndrome utilising tele-assessment technology

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ID: 331394
2026
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Abstract
Abstract Biography Charlotte Marshall is a PhD candidate investigating the effects of arthroscopic surgery on femoroacetabular impingement syndrome, using tele-assessment. She holds a Masters in Sports Physiotherapy, a Post-Graduate Diploma and a Degree in Physiotherapy. Having worked as a clinical, academic and research physiotherapist, she has teaching experience at the University of Melbourne and Swinburne University of Technology, Australia and holds a Graduate Certificate in Learning and Teaching (HE). In addition, she has a Graduate Certificate in Research and Innovation Management. Her research interest include hip, lower limb biomechanics and education. Currently, she works as a Professional Practice Fellow and Research Fellow at the University of Otago, New Zealand. Femoroacetabular Impingement Syndrome (FAIS) is a prevalent source of hip pain in active young adults. Whilst utilisation of telehealth has grown exponentially, there is a paucity of literature on hip tele-assessment measuring the effects of hip arthroscopic surgery. This abstract is a summary of the methodology and results from my PhD enquiry. The thesis investigates the effect of hip arthroscopic surgery for femoroacetabular impingement syndrome utilising tele-assessment technology. The primary outcome targeted differences in patient reported outcome measures (PROMs), hip range of motion, and functional measures at baseline and at 6-months in participants post-surgery and in a cohort of asymptomatic controls. FAIS participants required the following criteria: radiographic confirmation of either cam/pincer or combined impingement, symptoms of hip pain, a positive pain provocation test (flexion-adduction-internal rotation (FADIR)); they were also scheduled for surgery. Outcome measures were conducted over Zoom and assessed pre-surgery (baseline), 6-weeks, 12-weeks and 6-months post-surgery. Asymptomatic controls were included if they had: no history of hip pain/injury or surgery, no history of lower limb injuries in the last three months, and a negative FADIR test; their assessment was recorded over Zoom. PROMS included iHOT-33, HAGOS, HOS, TSK-11, UTAUT and TUQ. Physical measures included hip ROM calculated using video analysis software Tracker. Functional measures included the 30-second chair stand test (CST), the modified Copenhagen adductor squeeze test, double-leg and single-leg squat data. An external sensor via a TelePhysio application collected remote data via participants phones. Fifteen FAIS participants (n female=4) and fifteen healthy participants (n female=4) were included in the pilot study. Statistically significant changes were found in PROMS, hip range of motion in internal rotation in sitting and flexion in supine; additionally, double-leg and single-leg squat data via qualitative analysis and remote sensors indicated significant post-surgical changes. However, statistically significant differences in the 30s CST, internal rotation in sitting, and single-leg squat deficits remained in FAIS participants 6-months post-surgery compared to asymptomatic controls. This research enquiry suggests that tele-assessment technology is a suitable method to measure outcomes following hip surgery.
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openalex_W7220457162 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors
Journal Journal of hip preservation surgery
Year 2026
DOI
10.1093/jhps/hnag043.430
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