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FIGURE 17.34. (A, B) Closed-chain activity on the leg press or StairMaster can generate high compressive forces across the joint and should be judiciously introduced.

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

FIGURE 17.35. A multi-hip weight machine may be used in the final phases of rehabilitation.
The Donts of Treadmill Buying

The Donts of Treadmill Buying

Though competitive runners are advised to run on the road, there are several reasons why you should buy treadmills anyway. You might have a family which means that your schedule does not have the flexibility it once had.

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