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

Spencer-Gardner, Luke; Eischen, Joseph J.; Levy, Bruce A.; Sierra, Rafael J.; Engasser, William M.; Krych, Aaron J.

doi:10.1007/s00167-013-2664-z

Cited by 59 publications

(69 citation statements)

References 43 publications

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“…Five of the publications were single case reports and 1 publication was a case series, for a total of 57 subjects (23 male, 34 female) averaging 27.5 years of age. 10,[18][19][20][21][22] All of the publications reported 1 or more of the following arthroscopic procedures: FAI, labral repair, labral debridement, osteoplasty, and chondroplasty. 10,[18][19][20][21][22] Four of the publications described a successful outcome using a 4-or 5-phase rehabilitation program ranging from 12 weeks to 6 months with a follow-up range of 4 months to 2.5 years.…”

Section: Evidence Acquisitionmentioning

confidence: 99%

“…10,[18][19][20][21][22] All of the publications reported 1 or more of the following arthroscopic procedures: FAI, labral repair, labral debridement, osteoplasty, and chondroplasty. 10,[18][19][20][21][22] Four of the publications described a successful outcome using a 4-or 5-phase rehabilitation program ranging from 12 weeks to 6 months with a follow-up range of 4 months to 2.5 years. 10,[19][20][21] Two case reports presented positive outcomes from the intervention program at an average of 5 months; however, details regarding the rehabilitation program and follow-up were limited.…”

Section: Evidence Acquisitionmentioning

confidence: 99%

“…10,[18][19][20][21][22] Four of the publications described a successful outcome using a 4-or 5-phase rehabilitation program ranging from 12 weeks to 6 months with a follow-up range of 4 months to 2.5 years. 10,[19][20][21] Two case reports presented positive outcomes from the intervention program at an average of 5 months; however, details regarding the rehabilitation program and follow-up were limited. 18,22 All studies used 1 or a combination of the following as outcome measures: muscle performance, range of motion, muscle length, provocation tests (eg, FABER), numeric pain-rating scales, and sport-specific or functional testing.…”

Section: Evidence Acquisitionmentioning

confidence: 99%

“…Specifically, evidence-based guidelines are limited to descriptive studies such as case reports and caseseries designs. 10 There is an apparent need to critically appraise the available research to help guide clinical practice. …”

mentioning

confidence: 99%

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Postoperative Rehabilitation After Hip Arthroscopy: A Search for the Evidence

Cheatham¹,

Enseki²,

Kolber³

2015

Journal of Sport Rehabilitation

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Context: Hip arthroscopy has become an increasingly popular option for active individuals with recalcitrant hip pain. Conditions that may be addressed through hip arthroscopy include labral pathology, femoral acetabular impingement, capsular hyperlaxity, ligamentum teres tears, and the presence of intra-articular bodies. Although the body of literature examining operative procedures has grown, there is a paucity of evidence specifically on the efficacy of postoperative rehabilitation programs. To date, there are no systematic reviews that have evaluated the available evidence on postoperative rehabilitation. Objective: To evaluate the available evidence on postoperative rehabilitation programs after arthroscopy of the hip joint. Evidence Acquisition: A search of the PubMed, CINAHL, SPORTDiscus, ProQuest, and Google Scholar databases was conducted in January 2014 according the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for reporting systematic reviews. Evidence Synthesis: Six studies met the inclusion criteria and were either case series or case reports (level 4 evidence) that described a 4-or 5-phase postoperative rehabilitation program. The available evidence supports a postoperative period of restricted weight bearing and mobility; however, the specific interventions in the postoperative phases are variable with no comparison trials. Conclusion: This review identified a paucity of evidence on postoperative rehabilitation after hip arthroscopy. Existing reports are descriptive in nature, so the superiority of a particular approach cannot be determined. 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. Clinicians may consider such a program as a general guideline but should individualize treatment according to the surgical procedure and surgeon guidelines. Future research should focus on comparative trials to determine the effect of specific postoperative rehabilitation designs.

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Section: Evidence Acquisitionmentioning

confidence: 99%

Section: Evidence Acquisitionmentioning

confidence: 99%

Section: Evidence Acquisitionmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Postoperative Rehabilitation After Hip Arthroscopy: A Search for the Evidence

Cheatham¹,

Enseki²,

Kolber³

2015

Journal of Sport Rehabilitation

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“…However, we recommend restricting hip extension and external rotation for the first 4 weeks for patients undergoing capsulotomy closure. 8 …”

Section: Postoperative Rehabilitationmentioning

confidence: 99%

A Simple Technique for Capsular Repair After Hip Arthroscopy

Camp

Reardon

Levy

et al. 2015

Arthroscopy Techniques

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Capsulotomy is typically performed during arthroscopic treatment for femoroacetabular impingement. As the frequency of hip arthroscopy continues to expand rapidly, increased attention is being paid to the implications of interportal capsulotomy and the need for repair. To minimize the risk of postoperative instability, capsular closure has been recommended to restore the anatomy and biomechanical function of the capsule. We present a reliable, efficient, and effective method for arthroscopic closure of the interportal capsulotomy after hip arthroscopy.

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