This document, authored by Jared T. Lee, MD, outlines a rehabilitation plan for patients following hip arthroscopy.
The document is divided into three phases:
- **Phase 1 (Weeks 0-6):** This phase focuses on maintaining range of motion, minimizing joint inflammation, and activating specific muscles like the gluteus maximus, medius, and minimus, and quadriceps. It includes restrictions on hip flexion, external rotation, extension, and abduction. Therapeutic exercises include CPM, scar massage, passive range of motion, and strengthening exercises.
- **Phase 2 (Weeks 6-12):** This phase aims to continue manual therapy to address range of motion limitations and joint tightness. It includes soft tissue mobilization and increased strengthening exercises. There is no brace necessary, and the phase addresses lumbar or pelvic dysfunction.
- **Phase 3 (Months 3-8):** The goals for this phase are full range of motion, minimal pain, muscle activation and strengthening, and progression of functional activities. Heavy weightlifting is restricted until week 16. The criteria for discharge include specific strength deficits, limb similarity index, functional test scores, and absence of pain or instability. Therapeutic exercises progress to ballistic exercises, box jumps, running progressions, and dynamic hops.
The document provides specifics on restrictions, goals, and therapeutic exercises for each phase.
