T Kevin Robinson and Karen M Griffin

The evolution of hip arthroscopy has necessitated a progression in hip rehabilitation to ensure optimal postsurgical results. Rehabilitative methodology and techniques commonly employed after minimally invasive surgical techniques for other joints, such as the knee, shoulder, elbow, and ankle, have found application in the management of hip disorders. Understanding and respecting basic principles is always key to maintaining successful outcomes with any technique.

Traditional issues in hip management focused on three areas: (1) maintaining protective weight-bearing status through gait training with hip fractures; (2) instruction in routine postoperative hip precautions following hip arthroplasty; and (3) instruction in modification of their environment and activities of daily living for arthritic patients attempting to live with their symptoms.

Hip pain is a common orthopedic complaint. Injuries of the hip and pelvis represent 5% to 6% of all injuries incurred by adult athletes and 10% to 24% of those in child athletes.1 Certain activities have been found to have a higher incidence of hip pain. The occurrence of hip and pelvic injuries is especially common in ballet dancers (44%), soccer players (13%), and runners (11%).1

Arthroscopic assessment defines the presence of symptomatic hip pathology. Operative arthroscopy provides a less-invasive alternative to arthrotomy for some disorders and may offer definitive treatment for certain lesions of the labrum or articular surface.2 Although the mechanical disorder can often be corrected through surgery; the functional deficit must be corrected through rehabilitation.3

The goal of the rehabilitation plan is to reduce symptoms (modulate pain and inflammation) and improve function (restore mobility, strength, proprio-ception, and endurance). This goal is approached through a systematic progression dependent on the patient's status (pathology present) and functional needs. During the assessment process, it is important to determine the patient's level of understanding regarding the pathology and expectations of goals and the time frame for achieving them. Patient education is the foundation of the rehabilitation plan. The patient must comprehend the related precautions and recom mended progression per his or her individual situation. Through collaborative consultation with the physician concerning the specific patient cases, reasonable goals and expectations can be formulated for favorable outcomes.

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Soccer Fitness 101

Soccer Fitness 101

Be a star on the field in no time! Get Fit For The Soccer Field In 10 Easy Steps! With soccer season looming just around the corner it’s never too early to start getting ready. Soccer is an intense game, and it’s going to take a lot of work on your part to make sure that you’re ready to stay ahead of your competition out on that field.

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