Rehabilitation Following Arthroscopic Surgery of the Hip
摘要
Individuals with femoroacetabular impingement (FAI) demonstrate alterations in pelvic motion and impaired lumbopelvic control during dynamic unilateral tasks compared with healthy controls. These deficits should be targeted in the nonoperative treatment of the hip pain. Limitations to immediate weight-bearing are strongly related to the type of surgical procedure. These limitations are important especially after chondral repair to ensure the best possible healing of the repaired area. Weight-bearing restrictions after hip arthroscopy without choral repair may not improve outcomes and instead may have the negative effect of preventing patients from re-establishing a normal gait pattern. The authors propose a four-phase rehabilitation protocol following hip arthroscopy or FAI. Phase I: Reduce swelling and joint inflammation, protect the soft tissue repair, and normalize the patient’s gait patterning. Phase II: Improve the control and function of the lumbopelvic complex in the upright position. Phase III: Improve strength and endurance, which prepares the patient for sport-specific training. Phase IV is to prepare the individual for safe and effective return to sport or physical work activities at the preinjury level. The rehabilitation process should be patient-centered and the process should be tailored and built in an individualized manner progressively toward the patient’s personal goals, with the surgeon, physiotherapist, and patient.