gression uses the patient's body weight as resistance with the specialized equipment or mat exercises with a series emphasizing core stabilization and strengthening (Figure 17.30).
Functional progression during the rehabilitation program depends on the type of hip pathology present and the specific demands of the patient's anticipated activities. During the recovery phase, equipment may be used in a low-impact mode, such as a stationary bicycle, elliptical crosstrainer, cross-country ski machine, or water treadmill (Figures 17.31, 17.32). These devices may enhance mobility and encourage dynamic eccentric and concentric strengthening and endurance. Closed-chain activity on the stair machine or leg press and open-chain activities can generate high compressive and shear forces across the joint; these should be judiciously introduced (Figures 17.33, 17.34, 17.35).
Functional exercises simulating the patient's daily activities or sport-specific program must be individualized to meet the patient's goals. These exercises must be kept within the constraints as dictated by the type of hip pathology that has been addressed. Improving quality of life is certainly a goal of arthro-scopic procedures, but this must be kept within the framework of a realistic outlook.
One unique feature of the hip compared with many other joints is that limitation of motion often does not represent a significant functional problem. Certainly
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