出版社:Pontifícia Universidade Católica do Rio Grande do Sul
摘要:Introduction: Different methods for the gain in hip range of motion, loading of the operated limb and return to sports practice are based on the experience of a few research groups on femoroacetabular impingement. However, the ideal rehabilitation protocol for the femoroacetabular impingement arthroscopy has not been established in the literature. Objective: To present a rehabilitation protocol based on the authors’ experience of several years in the rehabilitation of the femoroacetabular impingement arthroscopy and also based on biomechanical knowledge. Description of experience: The proposed rehabilitation protocol is divided in four phases: (1) immediate rehabilitation, comprising the hospital period and the first two weeks of rehabilitation; (2) phase of returning to the daily life activities, which encompasses the first month after surgery; (3) phase of muscle strengthening and proprioceptive training; and (4) final phase for the preparation of the patient for the return to sports practice. The authors try to present the scientific bases for the proposed rehabilitation program in each of the four proposed phases. Conclusion: Knowledge of the pathology, of the hip joint biomechanics and of the physiological bases of the physical therapy techniques are fundamental in order to propose an adequate protocol in the absence of sufficient scientific evidences supporting the best or the most adequate protocol.
关键词:physical therapy;femoroacetabular impingement;hip arthroscopy;rehabilitation.;fisioterapia;impacto femoroacetabular;artroscopia de quadril;reabilitação.