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Rehabilitation of Post-Operative Hip

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Hip Arthroscopy and Hip Joint Preservation Surgery

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Abstract

Postoperative rehabilitation after hip arthroscopy can present several challenges to the physical therapist. The rehabilitation process calls for a delicate progression of exercise prescription to restore mobility, gait, strength, and neuromuscular control and return to normal activity while preventing excessive anterior hip joint forces that can lead to chronic anterior hip pain. Postoperative complications include, pain, joint effusion, tissue edema, and muscle atrophy, which lead to impairments, such as pain, range of motion limitations, and muscle weakness and neuromuscular deficits during active hip movements. These impairments contribute to functional impairments, such as gait deficits, difficulties in performing activities of daily living, and the inability to perform recreational or sports activities. A criteria-driven, phased rehabilitation program is recommended to address these impairments, restore normal function, and return patients to unrestricted daily activity, recreation, and sports. Furthermore, using criteria rather than time-specific benchmarks offers patients a more individualized rehabilitation.

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References

  1. Lewis CL, Sahrmann SA, Moran DW. Anterior hip joint force increases with hip extension, decreased gluteal force, or decreased iliopsoas force. J Biomech. 2007;40(16):3725–31. PubMed PMID: 17707385. Pubmed Central PMCID: 2580726.

    Article  PubMed Central  PubMed  Google Scholar 

  2. Philippon MJ, Schroder e Souza BG, Briggs KK. Labrum: resection, repair and reconstruction sports medicine and arthroscopy review. Sports Med Arthrosc Rev. 2010;18(2):76–82. PubMed PMID: 20473125.

    Article  Google Scholar 

  3. Givens-Heiss DL, Krebs DE, Riley PO, Strickland EM, Fares M, Hodge WA, et al. In vivo acetabular contact pressures during rehabilitation. Part II: postacute phase. Phys Ther. 1992;72(10):700–5; discussion 6-10. PubMed PMID: 1528963.

    CAS  PubMed  Google Scholar 

  4. Freeman S, Mascia A, McGill S. Arthrogenic neuromusculature inhibition: a foundational investigation of existence in the hip joint. Clin Biomech. 2013;28(2):171–177.

    Google Scholar 

  5. Lewis CL, Sahrmann SA, Moran DW. Effect of hip angle on anterior hip joint force during gait. Gait Posture. 2010;32(4):603–7. PubMed PMID: 20934338. Pubmed Central PMCID: 3063362.

    Article  PubMed Central  PubMed  Google Scholar 

  6. Singh H, Osbahr DC, Holovacs TF, Cawley PW, Speer KP. The efficacy of continuous cryotherapy on the postoperative shoulder: a prospective, randomized investigation. J Should Elb Surg Am Should Elb Surg. 2001;10(6):522–5. PubMed PMID: 11743529.

    Article  CAS  Google Scholar 

  7. Speer KP, Warren RF, Horowitz L. The efficacy of cryotherapy in the postoperative shoulder. J Should Elb Surg Am Should Elb Surg. 1996;5(1):62–8. PubMed PMID: 8919444.

    Article  CAS  Google Scholar 

  8. Wahoff M, Ryan M. Rehabilitation after hip femoroacetabular impingement arthroscopy. Clin Sports Med. 2011;30(2):463–82. PubMed PMID: 21419967.

    Article  PubMed  Google Scholar 

  9. Enseki KR, Draovitch P. Rehabilitation for hip arthroscopy. Op Tech Orthop. 2010;20(4):278–81. PubMed PMID: 2010886012. Language: English. Entry Date: 20110204. Revision Date: 20111111. Publication Type: journal article. Journal Subset: Biomedical.

    Article  Google Scholar 

  10. Stalzer S, Wahoff M, Scanlan M. Rehabilitation following hip arthroscopy. Clin Sports Med. 2006;25(2):337–57, x. PubMed PMID: 16638496. Epub 2006/04/28. eng.

    Article  PubMed  Google Scholar 

  11. Nugent-Derfus GE, Takara T, O’Neill JK, Cahill SB, Gortz S, Pong T, et al. Continuous passive motion applied to whole joints stimulates chondrocyte biosynthesis of PRG4. Osteoarthritis Cartilage. 2007;15(5):566–74. PubMed PMID: 17157538. Pubmed Central PMCID: 2680602.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  12. Lewis CL, Sahrmann SA, Moran DW. Anterior Hip Joint Force Increases with Hip Extension, Decreased Gluteal Force, or Decreased Iliopsoas Force. J. Biomech. 2007;40(16):3725–3731.

    Article  PubMed Central  PubMed  Google Scholar 

  13. Selkowitz DM, Beneck GJ, Powers CM. Which exercises target the gluteal muscles while minimizing activation of the tensor fascia lata? Electromyographic assessment using fine-wire electrodes. J Orthop Sports Phys Ther. 2013;43(2):54–64.

    Article  PubMed  Google Scholar 

  14. Philippon MJ, Decker MJ, Erik G, Torry M, Wahoff M, LaPrade RF. Rehabilitation Exercise Progresion for Gluteus Medius Muscle with Consideration for Iliopsoas Tendinitis: An in Vivo Electromyography Study. Am. J. Sports Med. 2011;39(8):1777–1785.

    Article  PubMed  Google Scholar 

  15. Giphart JE, Stull JD, Laprade RF, Wahoff MS, Philippon MJ. Recruitment and activity of the pectineus and piriformis muscles during hip rehabilitation exercises: an electromyography study. Am J Sports Med. 2012;40(7):1654–63. PubMed PMID: 22523373.

    Article  PubMed  Google Scholar 

  16. Enseki KR, Martin R, Kelly BT. Rehabilitation after arthroscopic decompression for femoroacetabular impingement. Clin Sports Med. 2010;29(2):247–55, viii. PubMed PMID: 20226317.

    Article  PubMed  Google Scholar 

  17. Lewis CL, Ferris DP. Walking with increased ankle pushoff decreases hip muscle moments. J Biomech. 2008;41(10):2082–9. PubMed PMID: 18606419. Pubmed Central PMCID: 2562040.

    Article  PubMed Central  PubMed  Google Scholar 

  18. Lewis CL, Sahrmann SA. Muscle activation and movement patterns during prone hip extension exercise in women. J Athl Train. 2009;44(3):238–48. PubMed PMID: 19478835. Pubmed Central PMCID: 2681207.

    Article  PubMed Central  PubMed  Google Scholar 

  19. National Strength & Conditioning Association (U.S.), Hoffman J. NSCA’s guide to program design. Champaign: Human Kinetics; 2012.

    Google Scholar 

  20. American College of Sports M. American College of Sports Medicine Position Stand. Progression models in resistance training for healthy adults. Med Sci Sports Exerc. 2009;41(3):687–708. PubMed PMID: 19204579.

    Article  Google Scholar 

  21. Lewis CL, Sahrmann SA, Moran DW. Effect of position and alteration in synergist muscle force contribution on hip forces when performing hip strengthening exercises. Clin Biomech. 2009;24(1):35–42. PubMed PMID: 19028000. Pubmed Central PMCID: 2677193.

    Article  Google Scholar 

  22. Boren K, Conrey C, Le Coguic J, Paprocki L, Voight M, Robinson TK. Electromyographic analysis of gluteus medius and gluteus maximus during rehabilitation exercises. Int J Sports Phys Ther. 2011;6(3):206–23. PubMed PMID: 22034614. Pubmed Central PMCID: PMC3201064. Epub 2011/10/29. eng.

    PubMed Central  PubMed  Google Scholar 

  23. Ekstrom RA, Donatelli RA, Carp KC. Electromyographic analysis of core trunk, hip, and thigh muscles during 9 rehabilitation exercises. J Orthop Sports Phys Ther. 2007;37(12):754–62. PubMed PMID: 18560185. Epub 2008/06/19. eng.

    Article  PubMed  Google Scholar 

  24. Peterson MD, Rhea MR, Alvar BA. Applications of the dose-response for muscular strength development: a review of meta-analytic efficacy and reliability for designing training prescription. J Strength Cond Rese Natl Strength Cond Assoc. 2005;19(4):950–8. PubMed PMID: 16287373. Epub 2005/11/17. eng.

    Google Scholar 

  25. Peterson MD, Rhea MR, Alvar BA. Maximizing strength development in athletes: a meta-analysis to determine the dose-response relationship. J Strength Cond Rese Natl Strength Cond Assoc. 2004;18(2):377–82. PubMed PMID: 15142003. Epub 2004/05/15. eng.

    Google Scholar 

  26. Dye SF. The knee as a biologic transmission with an envelope of function: a theory. Clin Orthop Relat Res. 1996;325:10–8. PubMed PMID: 8998861.

    Article  PubMed  Google Scholar 

  27. Garrison JC, Shanley E, Thigpen C, Geary R, Osler M, Delgiorno J. The Reliability of the Vail Sport Test as a Measure of Physical Performance Following Anterior Cruciate Ligament Reconstruction. International journal of sports physical therapy. 2012;7(1):20–30.

    PubMed Central  PubMed  Google Scholar 

  28. Thorborg K, Petersen J, Magnusson SP, Holmich P. Clinical assessment of hip strength using a hand-held dynamometer is reliable. Scand J Med Sci Sports. 2010;20(3):493–501. PubMed PMID: 19558384.

    Article  CAS  PubMed  Google Scholar 

  29. Arnold CM, Warkentin KD, Chilibeck PD, Magnus CR. The reliability and validity of handheld dynamometry for the measurement of lower-extremity muscle strength in older adults. J Strength Cond Rese Natl Strength Cond Assoc. 2010;24(3):815–24. PubMed PMID: 19661831. Epub 2009/08/08. eng.

    Article  Google Scholar 

  30. Kraemer WJ, Comstock BA, Clark JE, Dunn-Lewis C. Athlete needs analysis. In: National Strength & Conditioning Association (U.S.), Hoffman J, editors. NSCA’s guide to program design. Champaign: Human Kinetics; 2012. p. 1–21.

    Google Scholar 

  31. Green HJ. Mechanisms of muscle fatigue in intense exercise. J Sports Sci. 1997;15(3):247–56. PubMed PMID: 9232550. Epub 1997/06/01. eng.

    Article  CAS  PubMed  Google Scholar 

  32. Haff GG, Haff E. Training integration and periodization. In: National Strength & Conditioning Association (U.S.), Hoffman J, editors. NSCA’s guide to program design. Champaign: Human Kinetics; 2012. p. 213–58.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Howard Head Sports Medicine, Vail Valley Medical Center, 999 18th St Suite 250, Vail, CO, 81657, USA

    Dirk Kokmeyer & Jenna Hodge

Authors
  1. Dirk Kokmeyer
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  2. Jenna Hodge
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Corresponding author

Correspondence to Dirk Kokmeyer .

Editor information

Editors and Affiliations

  1. Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, USA

    Shane J. Nho

  2. Department of Orthopaedic Surgery, Schulthess Klinik, Zurich, Switzerland

    Michael Leunig

  3. Minnesota Orthopedic Sports Medicine Institute, Twin Cities Orthopedics - Edina, Edina, Minnesota, USA

    Christopher M. Larson

  4. Department of Orthopaedics, University of Michigan, Ann Arbor, Michigan, USA

    Asheesh Bedi

  5. Sports Medicine and Shoulder Service and Center for Hip Preservation Surgery, Hospital for Special Surgery, New York, New York, USA

    Bryan T. Kelly

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Kokmeyer, D., Hodge, J. (2015). Rehabilitation of Post-Operative Hip. In: Nho, S., Leunig, M., Larson, C., Bedi, A., Kelly, B. (eds) Hip Arthroscopy and Hip Joint Preservation Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6965-0_13

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  • DOI: https://doi.org/10.1007/978-1-4614-6965-0_13

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-6964-3

  • Online ISBN: 978-1-4614-6965-0

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