HIP Arthroscopic Labral Repair Rehabilitation Protocol

WEEK 1-2:

Weight Bearing

  • 50% Partial Weight Bearing with crutches

Brace

  • Wear brace at all times for first 2 weeks except for exercises and hygiene
  • Wear brace at night

ROM

  • Avoid pinching feeling with ROM
  • Flexion: 0-90⁰
  • Extension: 0⁰ (avoid hyperextension)
  • Abduction: 30⁰
  • IR in 90⁰ of flexion: Neutral
  • ER in 90⁰ of flexion: 30⁰

Therapeutic Exercise

  • Exercise bike without resistance immediately (POD#1 if possible)
  • Isometrics: Quad setting, gluteal setting, hamstring digs with knee support, plantarflexion/ dorsiflexion, eversion/inversion strengthening
  • Prone lying
  • STM mobilization, scar massage
  • No joint/capsular mobilizations

WEEK 3-6:

Weight Bearing

  • Transition to full weight bearing

Brace

  • Transition away from brace

ROM

  • As tolerated within pain free ROM

Therapeutic Exercise

  • Avoid straight leg raises (flexion) to prevent post-operative hip flexor tendonitis
  • Continue to protect repaired tissue, avoid joint/capsular mobilizations
  • Restore hip ROM
  • Restore normal gait pattern
  • Weight shifting
  • Step over small obstacle on non-operative leg emphasizing hip extension on operative leg
  • Emphasize gluteus medius strengthening (clamshells, side lying abduction)
  • Stationary bike without resistance – add resistance at Weeks 5-6

WEEKS 6-12:

Weight Bearing

  • Full

Brace

  • None

ROM

  • Full

Therapeutic Exercise

  • Begin straight leg raises (flexion)
  • Continue to protect repaired tissue, avoid joint/capsular mobilizations
  • Progress gluteus medius strengthening (single leg balance on foam pad, then bosu ball, side steps with therband)
  • Stationary bike with resistance
  • Slide board if without pain
  • Crab / Monster walk

WEEKS 12+:

Weight Bearing

  • Full

Brace

  • None

ROM

  • Full

Therapeutic Exercise

  • Treadmill walking, progressing to jogging if tolerated
  • Single leg squats
  • Lunges
  • Side planks
  • Plyometrics
  • Sport Specific Training if hip strength 80% of contralateral side
  • Return to sport 4-6 months if cleared by MD

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