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PROTOCOL Hip - Arthros

This document outlines a post-surgical rehabilitation protocol following hip arthroscopy. It is divided into phases from post-op days 1-7 through months 3-4. Each phase focuses on exercises and goals to improve range of motion, strength, and function. Exercises progress from passive range of motion and isometrics in early phases to advanced strengthening, agility, and return to full activities by 6 months post-op. The overall goal is to regain full hip function and return to all physical activities without limitations or pain.

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Hugo David Coronel
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45 views4 pages

PROTOCOL Hip - Arthros

This document outlines a post-surgical rehabilitation protocol following hip arthroscopy. It is divided into phases from post-op days 1-7 through months 3-4. Each phase focuses on exercises and goals to improve range of motion, strength, and function. Exercises progress from passive range of motion and isometrics in early phases to advanced strengthening, agility, and return to full activities by 6 months post-op. The overall goal is to regain full hip function and return to all physical activities without limitations or pain.

Uploaded by

Hugo David Coronel
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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GALLAND/KIRBY HIP ARTHROSCOPY

POST-SURGICAL REHABILITATION PROTOCOL


POST-OP DAYS 1 – 7
• Crutches – weight bearing as tolerate (WBAT), D/C when gait is normal
• All exercises must be performed in pain-free range
• Heel slides, AAROM, PROM – Limit flexion to 90 degrees
• Calf pumping
• Electrical stimulation in full extension with quad sets
• Quad sets, Co-contractions quads/hamstring
• Short arc quads
• Glut sets
• Adductor isometric sets (squeeze pillow between legs)
• Abductor isometric sets (belt around thighs, push out)
• Stationary bike for range of motion (ROM) – No Resistance

GOALS
• Pain control
• Hip ROM 0-90 degrees flexion

DAYS 7 – 14
• Crutches – D/C if gait is normal
• Continue appropriate previous exercises
• All exercises must be performed in pain-free range
• AAROM, AROM through full range as tolerated
– Rocking to heel in quadruped position
– Prone lying and gentle prone press ups
• Standing Straight leg raise (SLR) x 4 directions
• Weight shifts and Mini-squats in parallel bars
• Heel raises – Double leg to single leg
• Core stabilization exercise
– Double leg bridging exercises – neutral pelvis
– Transverse abd contractions
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• Stationary bike for ROM – Minimal resistance
• Pool therapy – Chest deep running, aqua-jogger

GOALS
• Full hip ROM
• Normal gait

WEEKS 2 – 4
• Continue appropriate previous exercises
• SLR x 4 on mat
• Wall squats, Total gym
• Forward, retro and lateral step downs (2-4” step)
• Leg press (up to ¼ body weight)
• HS curls – Closed chain (carpet drags or rolling stool)
• Proprioception ex – Double to single leg BAPS
• Core stabilization exercises
– Single-leg bridging (on affected side)
– Crunches
• Stationary bicycle for progressive resistance and time
• Elliptical trainer
• Pool therapy – Waist deep running
• Stretches – Hamstring, Hip Flexors, ITB

GOALS
• No pain with stair climbing
• Walk 1 mile at easy pace

WEEKS 4 – 6
• Continue appropriate previous exercises
• Standing SLR x 4 with Theraband bilaterally
• Hamstring curls weight machine
• Knee extension weight machine
• Leg press (up to ½ body weight)
• Proprioception exercise – Single leg ball toss and body blade
• Core stabilization exercise
– Side bridging
– Plank (hold push-up position on elbows)
2
• Treadmill – Walking progression program
• Stairmaster
• Pool therapy – Unrestricted

GOAL
• Walk 2 miles at easy pace

WEEKS 6 – 8
• Continue appropriate previous exercises with progressive resistance
• Forward, retro and lateral step downs (med to large step)
• Hip weight machine x 4 directions
• Hip rotation in weight bearing (closed chain) with hip machine, cables/cord
• Functional training – Fitter, slide board
• Treadmill – Walking progression approaching 15 min/mile pace
• Quad stretches

GOAL
• Walk 2 miles at 15 min/mile pace

MONTHS 2 - 3
• Continue appropriate previous exercises
• Advanced core stabilization exercise
– Sit backs
– Quadruped swimmer
– Double leg lower
– Physioball
• Push-up progression
• Treadmill – Running progression program
• Pool – Begin swimming laps

GOAL
• Run 2 miles at easy pace

3
MONTHS 3 – 4
• Continue appropriate previous exercises
• Sit-up progression
• Agility drills / Plyometrics
• Transition to home / gym program

GOAL
• Return to all activities

*NO CONTACT SPORTS UNTIL 6 MONTHS POST-OP*

DEVELOPED BY: ADAPTED FROM:


Mark Galland, MD Physical Therapy Section
Kenneth Kirby, PT, DPT William Beaumont Army Medical Center
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