Table 1.

Rehabilitation regimen for returning to cycling after hip arthroscopy

Phase	Goal	Restrictions	Techniques
1	Protect the hip joint	20-lb foot-flat weightbearing at 3 weeks No external rotation at 3 weeks Limit flexion, abduction, extension at 3 weeks No active sitting >30 minutes at 3 weeks	Soft tissue mobilization Isometrics Nonresistant stationary bicycle Active range of motion
2	Noncompensatory gait progression	Work to avoid compensatory or Trendelenburg gait Avoid aggressive stretching Avoid treadmill use	Gait training Aquatic pool program Core stability Joint mobilization Elliptical at week 6
3	Return to preinjury function	Avoid agility drills until week 10 Avoid hip rotational activities until week 10 No contact or high-impact activities Avoid treadmill	Single-leg squat and strengthening Soft tissue and joint mobilization for prolonged stiffness Cardiovascular fitness
4	Return to sport	Ensure adequate functional strength and proximal control prior to advancing	Plyometrics and performance training Sport training and conditioning Gradual increase in continuous biking on elliptical machine After 30 minutes is achieved, resistance is gradually introduced Timed sit to stands on the pedals Aero bars or drops, introduced after 12 weeks Single-leg pedal drills Standing upper body freeze drill