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Rehabilitation After Labral Repair and Femoroacetabular Decompression: Criteria-based Progression Through the Return to Sport Phase.

Authors:  Wahoff M, Hodge J

Rehabilitation following hip arthroscopy for femoroacetabular impingement (FAI) and labral-chondral dysfunction has evolved rapidly over the past 15 years.  There have been multiple commentaries published on rehabilitation following hip arthroscopy without any published standardized objective criteria to address the advancement of the athlete through the phases of rehabilitation.  The purpose of this clinical commentary is to describe a criteria driven algorithm for safe integration and return to sport rehabilitation following hip arthroscopy.  The criteria based program allows for individuality of the athlete while providing guidance from early post-operative phases through late return to sport phases of rehabilitation.  Emphasis is placed on the minimum criteria to advance including healing restraints, patient reported outcomes, range of motion, core and hip stability, postural control, symmetry with functional tasks and gait, strength, power, endurance, agility, and sport-specific tasks.  Evidence to support the criteria will be offered as available.  Despite limitations, this clinical commentary will offer a guideline for safe return to sport for the athlete while identifying areas for further investigation.

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