Table 1.
Phase | Goal | Restrictions | Techniques |
---|---|---|---|
1 | Protect the joint | 20-lb foot-flat weightbearing at 3 weeks Limit flexion, abduction, extension at 3 weeks No active sitting greater than 30 minutes at 3 weeks |
Soft tissue mobilization Isometrics and pelvic stabilization Child’s pose |
2 | Noncompensatory gait progression | Work to avoid compensatory or Trendelenburg
gait Avoid sitting poses with twists Avoid deep flexion such as low lunges and/or hip rotation in forward folds Avoid long holds with surgical hip held actively in flexion such as tree poses |
Aquatic therapy Soft tissue and joint mobilization Elliptical at week 6 Can begin standing poses such as warrior, modified triangle Child’s pose with hip internal/external rotation |
3 | Return to preinjury function | Avoid agility drills until week 10 Avoid hip rotational activities until week 10 Avoid sitting poses with twists Avoid long holds with surgical hip held actively in flexion such as hip opening poses |
Soft tissue and joint mobilization for prolonged
stiffness Modified sitting poses without twists and modified tree pose Slowly work into forward and back bends with rotation |
4 | Return to yoga | Avoid any pose in deep flexion and rotation that cause groin
or anterior hip pain Muscle strength and full range of motion goals at week 12 |
Soft tissue and joint mobilizations Slow progression to return to presurgery-level classes and poses Can begin hip flexor holds and sitting poses with bends and twists |