HIP ARTHROSCOPY REHABILITATION PROTOCOL

Weeks 1 to 2: Early Motion Phase
Weight Bearing: Crutches 30 days, progress from partial to full weight bearing
over 4 weeks as comfort allows
ROM Goals:
Extension: 10 degrees
Flexion: 90 degrees
Abduction: 30 degrees
Adduction: 30 degrees
Internal rotation in flexion: 20 degrees
External rotation in flexion: 60 degrees
Therapeutic Exercises:
Strengthening: Quad sets
Conditioning: Stationary bike 5 to 10 minutes (avoid excessive hip flexion)

Weeks 3 to 4: Advanced Motion Phase
Weight Bearing: Full
ROM Goals:
Extension: 20 degrees
Flexion: 100 degrees
Abduction: 45 degrees
Adduction: 45 degrees
Internal rotation in flexion: 30 degrees
External rotation in flexion: 80 degrees
Therapeutic Exercises:
Strengthening: Quad sets, four-way straight leg raising
Proprioception: Weight shifting
Conditioning: Stationary bike, less than 15 minutes

Weeks 5 to 6: Strengthening Phase
Weight Bearing: Full
ROM Goals: Full
Therapeutic Exercises:
Strengthening: Closed chain: half squats, step downs, etc.
Proprioception: Weight shifting
Balance activities
Conditioning: Stationary bike
Treadmill

Weeks 7 to 8: Advanced Strengthening Phase
Therapeutic Exercises:
Strengthening: Closed chain
Multi plane single leg
Hamstrings
Hip hikes
Proprioception: Weight shifting
Single leg balance activities
Conditioning: Stationary bike
Treadmill

Week 9, Month 4: Conditioning Phase
Therapeutic Exercises:
Strengthening: Closed chain
Multi-plane single leg
Hamstrings
Hip hikes
Multi-hip
Trunk bends
Plyometrics
Proprioception: Weight shifting
Balance activities
Conditioning: Stationary bike
Treadmill
Stair climber
Elliptical machine
Ski machine

Month 5: Return to Sport and Function Phase
Therapeutic Exercises:
Conditioning: Running straight
All times and exercises are to serve as guidelines. Actual progress may be faster or slower, depending on
each individual patient, as agreed upon by the patient and his/her team of providers.