Home exercises | Aim | Description | Timeframes | Dosage |
---|---|---|---|---|
Deep hip rotator muscle retraining (see Additional file 1) | Optimise hip neuromuscular control and improve dynamic stability of the hip | Seven stages progressing through prone, four-point-kneel and dynamic standing positions, with and without additional resistance. | Pre-op to session 7 | 1 minute, 3–6 times per day |
Anterior hip stretch | Assist in regaining full hip extension range of movement | Supine in modified Thomas Test position with the affected leg over the side of the bed. The hip is extended until a stretch is felt at the front of the hip | Session 2 - 4 | 5 minutes daily |
Hip flexion/extension in four-point kneel – “pendulum” exercise | Prevent adhesions, especially in those with labral repair | Four point kneel with gentle pendular swing of the affected leg into hip flexion and extension as far as comfortable | Session 2- 5 | 1 minute daily |
Posterior capsule stretch | Lying on unaffected side with the affected hip as close to 90 degrees flexion as comfortable and affected leg over the side of the bed. | Session 3 – 7 (or session 4 – 7 if microfracture present) | 3 × 30 seconds |