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=Acetabular Labrum Tear=

Rehabilitation
There are four phases of rehab for Acetabular labrum phase I: initial, phase II: Intermediate, Phase III: Advanced, Phase IV: Sports Specific. Phase I: Initial stage lasts for about four to six weeks. It mainly focuses on not getting the repaired tissue damaged again; as well as controlling inflammation and pain and restoring the range of motion. In order to move on to the next phase there are basic requirements that needed to be met, such as weight bearing. In the initial phase the PT are more cautious with exercises since it is an early stage and pain occurs as well as damages may re-occur. There are recommended precautions that PT needs to pay close attention to such as avoiding hip flexors. The exercises that are done during this stage in Physical therapy are: upright bike riding, ankle pumps, towel slides, and lying quadruped rocking and standing IR/ER with chair Physical therapy includes isometrics for the leg and hip examples are quad sets and hamstring sets, other kinds of exercises could be used as leg raises such as abduction, adduction and hip extension, side lying clamshells, double leg bridges, and leg press, that is done in the sixth week

Phase II: Intermediate that starts during the fourth or the sixth week after surgery is done. The purpose of this stage is to protect the tissue that was repaired; and restore range of motion and gait pattern, as well as increasing muscle strength. In this stage PT continue the same exercises from phase I, and adding some more exercises that would be helpful for rehab. The exercises are bilateral squats, side stepping, as well as ¼ lunges. There should be an awareness of putting a lot of load on the hip to limit that, the exercises are done within the frontal and the sagittal planes only. Manuel PT usually pays close attention on soft tissue management of anterior hip musculature. In this stage the patient might be able to exercise at home by summing Phase I and II exercises.

Phase III: advanced this stage focuses on muscle strengthening and cardiovascular endurance. This stage usually starts from week six to week eight and it is a continuing stage of the two previous stages. This stage includes hip flexion but it still depends on the patient degree of pain and healing. In this stage there are kinds of exercises that should be avoided such as:treadmill and contact sports. Exercises in this stage are: single leg exercises.

Phase IV: sports specific this is the final stage of rehab so the patient should be close to being able to go to normal activities with no complications. This is a continuing stage and final so high levels of exercises are present in this stage. This stage starts between the eighth and the sixteenth week. This stage includes hip flexion, it has less restrictions or actually no restriction depending on the status of the patients. This stage includes low level of plyometric such as multidirectional agility drills, circuit training, and jumping rope. After this stage the patient is discharged but he comes back to PT for follow up for about one month, the patient then reports that there is no pain. Patients by that time should be able to lift weight and no pain occurs. After that, there are four month follow up, if the patient is sure that they are free from any pain which doing their activities and there is nothing that restricts them from exercising. There is a test that is done in this last follow up to make sure that everything went to normal and hip flexion is not challenging.