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 S 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.Expand
The Evidence for Rehabilitation After Femoroacetabular Impingement (FAI) Surgery: A Guide to Postsurgical Rehabilitation and Supporting Evidence
TLDR
The purpose of this chapter is to identify a rehabilitation framework following arthroscopic intervention for FAI, and the utilization of validated, patient-reported outcome (PRO) measures should be a key component to guide postoperative management. Expand
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. Expand
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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. Expand
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. Expand
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. Expand
Postoperative Rehabilitation After Hip Arthroscopy: A Search for the Evidence.
TLDR
A paucity of evidence on postoperative rehabilitation after hip arthroscopy was identified and one can surmise from existing studies that a 4- to 5-stage program with an initial period of weight-bearing and mobility precautions is efficacious in regard to function, patient satisfaction, and return to competitive-level athletics. Expand
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. Expand
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. Expand
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. Expand
Return to Sport and Clinical Outcomes After Hip Arthroscopic Labral Repair in Young Amateur Athletes: Minimum 2-Year Follow-Up.
TLDR
In this group of athletes, arthroscopic labral repair with chondrolabral preservation, which reflected less severe chondrology pathology, performed better than labral Repair with takedown and reattachment and was associated with lower HOS ADL and HOS Sport scores. Expand
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Arthroscopic treatment of femoroacetabular impingement in a mixed group of high-level athletes may result in a significant improvement in hip functional outcome, and 78% of athletes were able to return to play at 1 year and 73% ofletes were ableto play at 2-year follow-up. Expand
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