Structured Physical Therapy Protocols Following Hip Arthroscopy and Their Effect on Patient-Reported Outcomes – A Systematic Review of the Literature
Authors: Ankem HK, Yelton MJ, Lall AC, Bendersky AM, Rosinsky PJ, Maldonado DR, Shapira J, Meghpara MB, Domb BG
DOI: 10.1093/jhps/hnaa042
Background
Postoperative rehabilitation is critical for optimizing outcomes after hip arthroscopy for femoroacetabular impingement, yet there is no consensus on the ideal physical therapy protocol.
Methods
This systematic review examined studies evaluating structured physical therapy protocols post-hip arthroscopy and their impact on patient-reported outcomes (PROs).
Key Findings
- Structured, phased rehabilitation programs with defined milestones were linked to improved pain relief and functional outcomes.
- Variability exists in the specifics of protocols depending on patient characteristics and surgical procedures.
Conclusions
Implementing structured physical therapy protocols enhances recovery and PROs following hip arthroscopy, although further research is needed to identify the optimal rehabilitation strategies for various patient subsets.
What Does This Mean for Providers?
- Recommend structured, phase-based physical therapy programs tailored to individual patient profiles and surgical interventions.
- Collaborate closely with physical therapists to ensure adherence to rehabilitation milestones that promote safe progression.
- Monitor patient progress to adjust rehabilitation protocols as needed for optimal functional recovery.
- Educate patients on the importance of rehabilitation compliance to maximize surgical outcomes.