title: Physical Therapy Protocol After Hip Arthroscopy: Clinical Guidelines Supported by 2-Year Outcomes.
abstract: BACKGROUND
  Femoroacetabular impingement (FAI) was first described by Ganz in 2003 and is a significant cause of decreased function and mobility. Femoroacetabular impingement must be treated in an individualized, goal-oriented, stepwise fashion. This protocol was developed with biomechanical considerations of soft tissue and bony structures surrounding the hip joint.
  
  
  METHODS
  The PubMed database was searched for scientific and review articles from the years 2000 to 2015 utilizing the search terms: hip rehabilitation, femoroacetabular impingement, and arthroscopy.
  
  
  METHODS
  Clinical review.
  
  
  METHODS
  Level 5.
  
  
  RESULTS
  Five hundred ninety-five of 738 patients were available for follow-up showing improvement from preoperative to 2-year follow-up of 61.29 to 82.02 for modified Harris Hip Score (mHHS), 62.79 to 83.04 for Hip Outcome Score-Activities of Daily Living (HOS-ADL), 40.96 to 70.07 for Hip Outcome Score-Sport-Specific Subscale (HOS-SSS), and 57.97 to 80.41 for Non-Arthritic Hip Score (NAHS); visual analog scale (VAS) scores decreased from 5.86 preoperatively to 2.94 postoperatively.
  
  
  CONCLUSIONS
  Following a structured, criteria-based program, appropriate patients undergoing hip arthroscopy may achieve excellent outcomes and return to full independent activities of daily living as well as sport.
authors.affiliation: American Hip Institute, Hinsdale Orthopaedics, Westmont, Illinois drdomb@americanhipinstitute.org.
authors.forename: Benjamin G
authors.initials: BG
authors.lastname: Domb
authors.affiliation: Hospital for Special Surgery, New York, New York.
authors.forename: Terrance A
authors.initials: TA
authors.lastname: Sgroi
authors.affiliation: Accelerated Physical Therapy, Chicago, Illinois.
authors.forename: Jeremy C
authors.initials: JC
authors.lastname: VanDevender
mesh_terms: D000203:Activities of Daily Living; D001182:Arthroscopy; D002985:Clinical Protocols; D005081:Exercise Therapy / Q000379:methods*; D057925:Femoracetabular Impingement / Q000601:surgery*; D006621:Hip Joint / Q000601:surgery*; D006801:Humans; D016896:Treatment Outcome
keywords: femoroacetabular impingement (FAI); hip rehabilitation; impingement