Hip Arthroscopy Rehabilitation

Hip Arthroscopy Rehabilitation

 

Basic Principals

-Consideration of soft tissue healing constraints
-Control of swelling and pain to limit muscular inhibition and atrophy
-Early ROM
-Limitations on weight bearing
-Early initiation of muscle activity and neuromuscular control
-Cardiovascular training
-Sports specific training

 

 

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Phase I  Immediate Rehabilitation

Goals

-Protect integrity of repaired tissue
-Restore ROM within restriction
-Diminish Pain and inflammation
 -Prevent muscular inhibition

Precautions

 -Do not push through hip flexor pain
 -Specific ROM retractions
 -Weight-bearing restrictions

Progression to Phase II

 -Minimal pain with all exercises and proper muscle firing
 -ROM greater than or equal to 75% in the uninvolved side
 -Must be full weight-bearing

 

Phase II Intermediate rehabilitation

Goals

-Protect integrity of repaired tissue
-Restore Full ROM
-Restore normal gait pattern
-Progressively increase muscle strength

Precautions

 -No ballistic or forced stretching
-No treadmill use
-Avoid hip flexor/joint inflammation

Progression to Phase III

 -Full ROM
-Pain free/normal gait pattern
 -Hip flexion strength > 60%
-Hip abduction, adduction, ext, IR, ER strength > 70%

Phase III  Advanced

Goals

 -Restoration of muscular endurance/strength
-Restoration of cardiovascular endurance
-Optimize neuromuscular control/balance/proprioception

Precautions

-Avoid hip flexion/joint inflammation
-No ballistic or forced stretching/strengthening
 -No treadmill use
 -No contact activities

Phase IV  Sport-Specific Training

Criteria to return to competition

-Full pain-free ROM
-Hip strength > 85% of the uninvolved side
 -Ability perform sport-specific drills at full speed without pain
 -Completion of functional sports test

 

Clinics in Sports Medicine: Rehabilitation Following Hip Arthroscopy; Steve Stalzer, Michael Wahoff, Molly Scanlan