Table 2.
Active rehabilitation program
1–2 weeks | 2–6 weeks | 6–8 weeks | |||
---|---|---|---|---|---|
1. | Static adduction against soccer ball placed between feet while lying supine. Each adduction 30 seconds, 10 repetitions. | 1. | Cardiovascular warm up: bike or elliptical. | 1. | Cardiovascular warm up on bike or elliptical with higher speed and resistance. |
2. | Static adduction against soccer ball placed between knees while lying supine. Each adduction 30 seconds, 10 repetitions. | 2. | Leg abduction and adduction exercises lying on side. Five series of 10 repetitions of each exercise. | 2. | Clam exercise: the patient in side lying position with the target hip on top in 30° flexion, externally rotated and abducted. A resistance band is used to perform isometric contraction. Five series of 10 repetitions. |
3. | Posterior pelvic tilting. | 3. | One-leg weight-pulling abduction/adduction standing. Five series of 10 repetitions for each leg. | 3. | Standing adduction with leg pulley. Attach cable to ankle, perform adduction movement standing next to machine. Five series for 10 repetitions. |
4. | Bridging on the floor. Five series of 10 repetitions. | 4. | Abdominal sit-ups, both in straightforward direction and in oblique direction. Five series of 10 repetitions. | 4. | Bridging coupled with lower extremity lift: the patient is on ball, lifts one leg into the air while keeping knee extended and trunk stabilized. |
5. | Sitting on ball, positioning knee and hips at 90° with hands on thighs while trying to maintain pelvic and trunk stability. | 5. | Bridging on ball: place a physioball under legs and apply downward pressure to the ball as the legs straighten allowing the pelvis to rise from the surface. | 5. | Front plank : align shoulders with elbows and lift into forearm plank keeping pelvis in alignment, then progress to placing hands aligned with shoulders and fingers pressing into surface keeping pelvis aligned with plank position. |
6. | Abdominal sit-ups, both in straightforward direction and in oblique direction. Five series of 10 repetitions. | 6. | Hip conditioning and core stabilization exercises: sitting on the ball with the opposite upper extremity placing opposing pressure on raised knee while the other upper extremity is raised in the air for additional stabilizing challenge. | 6. | Side plank: lying on side, align shoulder, elbow, hips and ankles and raise up into plank position, maintaining alignment. |
7. | Combined abdominal sit-up and hip flexion, starting from supine position and with soccer ball placed between knees (folding knife exercise). Five series of 10 repetitions. | 7. | Quadriped hip extension with neutral spine. Two series of 15 repetitions. | 7. | Pelvic stability on unstable surface: the patient sits on an air filled balance disc, maintains balance while lifting one knee toward chest, then lifts both knees. Same exercise repeated with a ball toss. |
8. | Balance training on wobble board for 5 minutes. | 8. | Quadriped alternating opposite arm and leg extension with neutral spine. Two series of 15 repetitions. | 8. | Forward/backward walking lunges with medicine ball lift. Two to three sets of 10–15 lunges forward and 10–15 backward. |
9. | Half-kneeling with perturbations. Three sets of 30–60 seconds for each limb. | 9. | Single leg balance on 360° balance board with knees and hips | ||
10. | Forward/backward walking lunges with medicine ball lift. Two to three sets of 10–15 lunges forward and 10–15 backward. | ||||
11. | Single leg balance on 360° balance board with knees and hips flexed. |