Table 3 Gym/aquatic program

Stationary cycling

To improve hip range of motion

Upright bike with high seat to avoid hip flexion past 90 degrees. Initially 15 mins at moderate intensity

Session 2 onwards (Session 3 if have microfracture)

2 × weekly

Walking in pool

To maintain cardiovascular fitness and improve hip range of motion

Walking at chest depth, forwards, straight lines only. 10 mins for FOC or labral repair, 5 mins for microfracture or ligamentum teres repair

Session 2 onwards (session 3 if have microfracture)

2 × weekly

Swimming

To maintain/regain cardiovascular fitness

No kicking until 6–8 weeks post-surgery, 500 m – 1 km

Session 2 onwards (session 3 if have microfracture)

2 × weekly

Cross trainer

To maintain/regain cardiovascular fitness

Initially 15mins at moderate intensity

Session 2 onwards (Session 3 if have microfracture)

2 × weekly

Squats

To improve lower limb strength and function

3 sets of 10 repetitions, working at “moderately hard” on modified Rating of Perceived Exertion (RPE)

Session 6 onwards

2 × weekly

Lunges

Leg press

Leg extensions

Hamstring curls