Labral Repairs
Protective Phase: 0-8 weeks post operative range of motion restrictions
- Foot flat weight bearing limited to approximately 20 pounds for two weeks, then can progress to WBAT with crutches
- Passive range of motion in all planes, no adduction past midline or end range rotation
- Active range of motion in sagittal plane to 90 degrees of flexion and frontal plane to 25 degrees of abduction
- Core muscle stabilization exercise; should be initiated on the mat table
- Isometric strength work within pain free limits, should be initiated around the hip without weight bearing
- Week 0-3 Exercises
- Week 3-6 Exercises
- Week 6-8 Exercise
Restorative Phase: 8-12 weeks post operative
- WBAT by this time
- Progressive range of motion to normal limits, mobilization and passive stretching should not encourage hypermobility of the hip joint, aggressive rotation or adduction should be limited
- Piriformis, illiopsoas and gluteal flexibility normalized
- Progressive close chain strength work starting in the sagittal plane and moving to multiplanar activities
- Proprioceptive deficits are progressively addressed
- Highly compressive or high load activities (i.e. running) are avoided
- Week 8-12 Exercises
Functional Phase: greater than 3 months post operative
- Begin running
- Begin sport specific or work specialized conditioning