Article

A new surgical option (hip resurfacing arthroplasty) is now available for younger
patients with hip osteoarthritis.
A more aggressive rehabilitation program than
the typical total hip arthroplasty protocol is needed for active individuals.
This case report describes interventions used to maximize function in a
46-year-old professional dancer after hip resurfacing with a progressive
therapeutic exercise program. Exercise choices were selected to address
dance-specific requirements while respecting healing of the posterior capsular
incision. Strengthening focused on hip abduction, extension, and external
rotation. Precautions included avoiding gluteal stretching until 6 months. Pelvic
alignment and weight-bearing distribution were emphasized. The patient was able
to return to rehearsal by 7 months, at which time strength was equivalent to the
unaffected leg. Range of motion reached unaffected side values at week 8 for
internal rotation, week 11 for extension, week 13 for adduction, and week 28 for
flexion. External rotation and abduction were still limited at 1 year, which
influenced pelvic alignment with resultant pain on the unaffected side.
Functional and impairment outcomes are presented with timelines to provide a
basis for postoperative benchmarks for active clients after hip resurfacing.
Although this case report presents a dance-specific program, exercise
progressions for other active individuals may benefit from similar exercise
intensity and sports-specific focus. Future rehabilitation programs should take
into account possible flexion and external rotation range limitations and the
need for gluteal muscle strengthening along with symmetry and pelvic alignment
correction. Long-term studies investigating intensity of rehabilitation are
warranted for patients intending to participate in higher level athletic
activity.

Langue : ANGLAIS