Kraeutler Matthew J, Anderson Joy, Chahla Jorge, Mitchell Justin J, Thompson-Etzel Robyn, Mei-Dan Omer, Pascual-Garrido Cecilia
Department of Orthopedics, University of Colorado School of Medicine, Aurora, CO 80045, USA.
University of Colorado Sports Physical Therapy, Denver, CO 80222, USA.
J Hip Preserv Surg. 2017 Apr 11;4(2):121-130. doi: 10.1093/jhps/hnx012. eCollection 2017 Jul.
The number of hip arthroscopy procedures has significantly increased in the last several years, thereby necessitating individualized rehabilitation protocols for patients following hip arthroscopy. The purpose of this article is to review the literature on rehabilitation protocols for patients following hip arthroscopy and to describe a new protocol specifically designed for patients to return to running following hip arthroscopy. A search of PubMed was performed through October 2016 to locate studies of rehabilitation protocols for patients wishing to return to sport/general activity following hip arthroscopy. Patients at our institution who desired to return to running following hip arthroscopy underwent a set of return to running guidelines which are based on goal achievement within a three-phase system that begins with a walking program and finishes with return to distance running. Rehabilitation protocols for patients following hip arthroscopy frequently use a four-phase system in which Phase I focuses on regaining hip range of motion and protection of surgically repaired tissues, and Phase IV involves a pain-free return to sports. Rehabilitation protocols vary in timing in that some include a timeline with each phase taking a certain number of weeks while others are based on goal achievement. There is an overall lack of published outcomes based on patients adhering to various post-hip arthroscopy rehabilitation protocols.
在过去几年中，髋关节镜手术的数量显著增加，因此需要为髋关节镜手术后的患者制定个性化的康复方案。本文的目的是回顾有关髋关节镜手术后患者康复方案的文献，并描述一种专门为髋关节镜手术后患者恢复跑步而设计的新方案。通过检索截至2016年10月的PubMed，以查找有关希望在髋关节镜手术后恢复运动/日常活动的患者康复方案的研究。我们机构中希望在髋关节镜手术后恢复跑步的患者接受了一套恢复跑步指南，该指南基于一个三阶段系统中的目标达成情况，该系统从步行计划开始，以恢复长跑结束。髋关节镜手术后患者的康复方案通常采用四阶段系统，其中第一阶段侧重于恢复髋关节活动范围和保护手术修复的组织，第四阶段涉及无痛恢复运动。康复方案在时间安排上有所不同，有些包括每个阶段需要一定周数的时间表，而另一些则基于目标达成情况。总体而言，缺乏基于患者遵守各种髋关节镜手术后康复方案的已发表结果。
