A comprehensive five-phase rehabilitation programme after hip arthroscopy for femoroacetabular impingement

@article{SpencerGardner2013ACF,
  title={A comprehensive five-phase rehabilitation programme after hip arthroscopy for femoroacetabular impingement},
  author={Luke Spencer-Gardner and Joseph J. Eischen and Bruce A. Levy and Rafael J. Sierra and William M. Engasser and Aaron J. Krych},
  journal={Knee Surgery, Sports Traumatology, Arthroscopy},
  year={2013},
  volume={22},
  pages={848-859}
}
AbstractPurpose Recent advancements in the understanding of hip biomechanics have led to the development of techniques to remove bony impingement and repair and/or preserve the labrum during hip arthroscopy. [] Key MethodMethodsAll consecutive patients undergoing hip arthroscopy and subsequent five-phase rehabilitation protocol at a single institution from 1 April 2011 to 1 April 2012 were analysed.
Benefits of a Specific and Supervised Rehabilitation Program in Femoroacetabular Impingement Patients Undergoing Hip Arthroscopy: A Randomized Control Trial
TLDR
The specific and supervised rehabilitation program in patients with FAIS undergoing HA showed better benefits at 14 weeks of treatment than the benefits achieved by a care protocol in terms of pain reduction and recovery of hip motion.
Arthroscopic treatment of global pincer-type femoroacetabular impingement
TLDR
Patients with coxa profunda can achieve similar functional scores to more traditional FAI cohorts after arthroscopic treatment, demonstrating that patients with global over-coverage can benefit from hipArthroscopy and may influence surgeons to treat these patients with less invasive arthroscope techniques which avoid the morbidity of open surgical procedures.
Physical Therapy Protocol After Hip Arthroscopy
TLDR
Following a structured, criteria-based program, appropriate patients undergoing hip arthroscopy may achieve excellent outcomes and return to full independent activities of daily living as well as sport.
Efficacy of adding a physiotherapy rehabilitation programme to arthroscopic management of femoroacetabular impingement syndrome: a randomised controlled trial (FAIR)
TLDR
An individual PT treatment and rehabilitation programme may augment improvements in patient-reported outcomes following arthroscopy for FAI syndrome, however, given the small sample size, larger trials are needed to validate the findings.
Criteria for Return to Play After Hip Arthroscopy in the Treatment of Femoroacetabular Impingement: A Systematic Review.
TLDR
Development of validated rehabilitation criteria for safe return to sports after hip arthroscopy for FAI could potentially improve clinical outcomes while also increasing rates of RTP at preinjury levels.
Return to Play After Hip Arthroscopy: A Systematic Review and Meta-analysis
TLDR
If there exists sufficient evidence in the literature to support an RTP protocol and functional assessment after hip arthroscopy, as well as to assess the mean rate and duration, significant variability exists in RTP protocols among institutions owing to a lack of standardization.
Osteoarthritic changes rather than age predict outcome following arthroscopic treatment of femoroacetabular impingement in middle-aged patients
TLDR
One fifth of the middle-aged patients required early conversion to total hip arthroplasty (THA) and advanced JS narrowing and K-L grade rather than age alone can be considered as risk factor for conversion to THA.
A Scoping Review of Postoperative Return to Sport Criteria and Protocols for Patients with Femoroacetabular Impingement Syndrome.
TLDR
There is no consensus on the optimal methods of evaluating a patient's readiness to return to sport after undergoing hip arthroscopy, with most criteria focused on expert opinion.
Functional Condition of Patients after Unilateral Hip Arthroscopy in the Process of FAI—Femoroacetabular Impingement: A Case–Control Study and Preliminary Report
TLDR
After surgery and physiotherapy of FAI, ROM remained lower in the operated limb, and the strength of flexors and internal rotators improved, and there was a high rate of return to sport.
Return to Sport and Clinical Outcomes After Hip Arthroscopic Labral Repair in Young Amateur Athletes: Minimum 2-Year Follow-Up.
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