Rehabilitation After Labral Repair and Femoroacetabular Decompression: Criteria-based Progression Through the Return to Sport Phase

Overview

Journal Int J Sports Phys Ther

Specialty Rehabilitation Medicine

Date 2014 Nov 11

PMID 25383249

Citations 19

Authors

Michael Wahoff

Steve Dischiavi

Jenna Hodge

Joseph D Pharez

Affiliations

Soon will be listed here.

Abstract

Unlabelled: Rehabilitation following hip arthroscopy for femoroacetabular impingement (FAI) and labral-chondral dysfunction has evolved rapidly over the past 15 years. There have been multiple commentaries published on rehabilitation following hip arthroscopy without any published standardized objective criteria to address the advancement of the athlete through the phases of rehabilitation. The purpose of this clinical commentary is to describe a criteria driven algorithm for safe integration and return to sport rehabilitation following hip arthroscopy. The criteria based program allows for individuality of the athlete while providing guidance from early post-operative phases through late return to sport phases of rehabilitation. Emphasis is placed on the minimum criteria to advance including healing restraints, patient reported outcomes, range of motion, core and hip stability, postural control, symmetry with functional tasks and gait, strength, power, endurance, agility, and sport-specific tasks. Evidence to support the criteria will be offered as available. Despite limitations, this clinical commentary will offer a guideline for safe return to sport for the athlete while identifying areas for further investigation.

Level Of Evidence: 5.

Citing Articles

Hip Arthroscopy Followed by 6-Month Rehabilitation Leads to Improved Periarticular Muscle Strength, Except for Abductors and External Rotators.

Servant G, Bothorel H, Pernoud A, Fourchet F, Christofilopoulos P Arthrosc Sports Med Rehabil. 2024; 6(2):100900.

PMID: 38379599 PMC: 10878845. DOI: 10.1016/j.asmr.2024.100900.

Criteria-Based Rehabilitation Following Revision Hip Arthroscopy: A Clinical Commentary.

Leo H, Shelton T, Bradley H Int J Sports Phys Ther. 2023; 18(2):477-492.

PMID: 37020439 PMC: 10069339. DOI: 10.26603/001c.71355.

Evolution of Hip Muscles Strength in Femoroacetabular Impingement Patients Treated by Arthroscopy or Surgical Hip Dislocation: A Retrospective Exploratory Study.

Servant G, Fourchet F, Pernoud A, Bothorel H, Christofilopoulos P Biology (Basel). 2022; 11(12).

PMID: 36552275 PMC: 9775450. DOI: 10.3390/biology11121765.

Outcomes in arthroscopic surgery and proposal rehabilitative treatment in femoral acetabular impingement syndrome.

Di Benedetto P, Vidi D, Buttironi M, Mancuso F, Ricciarelli M, Causero A Acta Biomed. 2022; 92(S3):e2021575.

PMID: 35604246 PMC: 9437672. DOI: 10.23750/abm.v92iS3.12710.

Use of continuous passive motion device after arthroscopic hip surgery decreases post-operative pain: A randomized controlled trial.

Munsch M, Vajapey S, Vasileff W, Ellis T, DeWitt J, Ryan J J Clin Orthop Trauma. 2021; 23:101646.

PMID: 34733606 PMC: 8545677. DOI: 10.1016/j.jcot.2021.101646.

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