Hip Labral Repair Physical Therapy | Case Study | Week 6-12 | CAM Reduction – FPF Show Episode 47

By dpope2020

August 26, 2022

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Hip Labral Repair Physical Therapy | Case Study | Week 6-12 | CAM Reduction – FPF Show Episode 47

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In today's episode we go over Hip Labral Repair Physical Therapy | Case Study | Week 0-6 | CAM Reduction:

  • 0:00 Introduction
  • 1:31 What does treatment look like at week 6 after hip labral repair?
  • 1:34 Weight bearing progression and gait training after hip labral repair
  • 4:34 How to measure objective changes in walking over time after hip labral repair
  • 5:00 Range of motion work at week 6 after hip labral repair
  • 5:50 What does strength training look like at week 6 after hip labral repair?
  • 6:49 How to spot compensation during squats and deadlifts after hip labral repair
  • 7:46 When do we introduce single leg strength exercises (lunges, step-ups, single leg squats / deadlifts) after hip labral repair
  • 9:48 How do we incorporate direct hip isolation work after hip labral repair?
  • 1145 What to do on "Off" days
  • 12:25 Week 6-10 physical therapy program
  • 14:02 How to progress range of motion over time
  • 14:52 How strength progresses from week 6 to week 10
  • 16:47 How to prepare for plyometrics after hip labral repair
  • 17:33 When should you assess strength in your patients after hip labral repair?
  • 18:56 How and why to incorporate balance exercises into your hip labral repair rehabilitation program
  • 19:12 What should your conditioning program look like as part of your hip labral repair rehabilitation program?
  • 21:14 Return to run programs in hip labral repair rehabilitation
  • 25:27 Long term planning for return to sport after hip labral repair surgery.

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Thank you!

Dan Pope DPT, OCS, CSCS

References:

  1. Domb BG, Sgroi TA, VanDevender JC. Physical Therapy Protocol After Hip Arthroscopy: Clinical Guidelines Supported by 2-Year Outcomes. Sports Health. 2016 Jul;8(4):347-54. doi: 10.1177/1941738116647920. Epub 2016 May 12. PMID: 27173983; PMCID: PMC4922519.

  2. Wahoff M, Dischiavi S, Hodge J, Pharez JD. Rehabilitation after labral repair and femoroacetabular decompression: criteria-based progression through the return to sport phase. Int J Sports Phys Ther. 2014 Nov;9(6):813-26. PMID: 25383249; PMCID: PMC4223290.

  3. Kraeutler MJ, Anderson J, Chahla J, Mitchell JJ, Thompson-Etzel R, Mei-Dan O, Pascual-Garrido C. Return to running after arthroscopic hip surgery: literature review and proposal of a physical therapy protocol. J Hip Preserv Surg. 2017 Apr 11;4(2):121-130. doi: 10.1093/jhps/hnx012. PMID: 28630733; PMCID: PMC5467407.

  4. Dr. Thomas Wuerz - https://www.bostonhipcenter.com/pdf/hip-arthroscopy-post-op-rehabilitation-protocol.pdf