It is widely recognised that physiotherapy is the cornerstone of postoperative rehabilitation after hip arthroscopy. The choice of a physiotherapy rehabilitation protocol is of the utmost importance for the patient and needs to be tailored to the joint problem of each individual patient. Although several rehabilitation programmes after hip arthroscopy have been described, there are no clinical trials in the literature that assess the outcomes.
The aim of a recent study was to assess the efficacy of a progressive physiotherapy rehabilitation programme in patients who underwent hip arthroscopy for femoroacetabular impingement syndrome. The main hypothesis of the study was that patients following a physiotherapy rehabilitation programme proposed by the physiotherapist themselves would have better outcomes than those not undergoing physiotherapy rehabilitation.
This study included patients aged ≥ 16 years with femoroacetabular impingement syndrome who were randomly selected, underwent hip arthroscopy and followed a physiotherapy rehabilitation programme. This group attended seven physiotherapy sessions, one preoperative and six postoperative, which comprised education, manual therapy, a progressive home rehabilitation programme, hydrotherapy and gym exercises, while the control group followed no rehabilitation programme. The measurements were taken two weeks preoperatively and 14 to 24 weeks postoperatively.
The authors concluded that an individualised physiotherapy rehabilitation programme can enhance the improvement in the patient-reported outcomes of hip arthroscopy for femoroacetabular impingement syndrome.
Source: Bennell KL, Spiers L, Takla A, O''Donnell J, Kasza J, Hunter DJ, Hinman RS. Efficacy of adding a physiotherapy rehabilitation programme to arthroscopic management of femoroacetabular impingement syndrome: a randomised controlled trial (FAIR). BMJ Open. 2017 Jun 23;7(6):e014658.
Hip Arthroscopy
Physiotherapy and hip arthroscopy. The efficacy of adding a physiotherapy rehabilitation programme to the arthroscopic management of femoroacetabular impingement syndrome: a randomised controlled trial
Dr Alexandros P. Tzaveas
Orthopaedic Surgeon
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This article is for information only and does not constitute medical advice. For an individual assessment, please consult your doctor.
Summary
- It is widely recognised that physiotherapy is the cornerstone of postoperative rehabilitation after hip arthroscopy .
- The choice of a physiotherapy rehabilitation protocol is of the utmost importance for the patient and needs to be tailored to the joint problem of each individual patient.
- Although several rehabilitation programmes after hip arthroscopy have been described, there are no clinical trials in the literature that assess the outcomes.
- This study included patients aged ≥ 16 years with femoroacetabular impingement syndrome who were randomly selected, underwent hip arthroscopy and followed a physiotherapy rehabilitation programme.
- The measurements were taken two weeks preoperatively and 14 to 24 weeks postoperatively.
hiparthroscopyphysiotherapy
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