|The focus of rehabilitation for hip dysplasia is to reduce direct weight-bearing forces on the hip, stretch tight musculature, strengthen surrounding hip and trunk musculature to enable a normal gait pattern, and educate individuals to modify functional activities in order to reduce pressure on the hip joint.|
Stretching exercises may focus on tight inner thigh (adductor) muscles and hip flexors, while strengthening exercises typically target the gluteals, abductors, and hamstrings to increase muscular support around the painful joint. Low impact activities such as swimming and bicycling are encouraged for overall conditioning. Gait training with an assistive device (e.g., cane, crutch) may be necessary to temporarily reduce the amount of loading on the affected hip. The physical therapist instructs the individual in a comprehensive home exercise program that includes joint protection strategies and strengthening exercises to be performed within pain free range of motion.
Following osteotomy surgery for hip dysplasia, the individual may be hospitalized for 2 to 3 days, after which time inpatient rehabilitation may be necessary; the first goal of rehabilitation is independent ambulation. During recovery, the individual will need modifications and assistive devices to allow for partial weight bearing while the surgical site heals. Gait training with an assistive device will be necessary, with partial weight bearing as indicated by the physician. If, at the beginning, pain is an issue, modalities such as heat and cold may be used. The next goal is to restore motion and strength to the involved hip, following treatment protocols as determined by the surgeon. As strength returns and weight-bearing status allows, the individual transitions to performing independent functional activities without an assistive device and initiates balance and proprioception exercises. A home exercise program should be taught to complement supervised rehabilitation and to be continued after the completion of physical therapy.
Source: Medical Disability Advisor