Clinical Commentary: A Criteria-Based Testing Protocol for Return to Sport Post Hip Arthroscopy for Impingement

Overall, 84%-87% of athletes will return to sport following hip arthroscopy; however, some literature suggests that only 57% of athletes return to their preinjury level, and only 16.9% report optimal performance. This discrepancy may be due to a lack of consistency within the definition of return to...

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Main Authors: Gabriella Hugenberg, Jason Stallons, Chad Smith, Kathryn Brockhoff, Matthew Gingras, Darryl Yardley, Olufemi Ayeni, Mahmoud Almasri
Format: Article
Language:English
Published: North American Sports Medicine Institute 2023-10-01
Series:International Journal of Sports Physical Therapy
Online Access:https://doi.org/10.26603/001c.87629
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author Gabriella Hugenberg
Jason Stallons
Chad Smith
Kathryn Brockhoff
Matthew Gingras
Darryl Yardley
Olufemi Ayeni
Mahmoud Almasri
author_facet Gabriella Hugenberg
Jason Stallons
Chad Smith
Kathryn Brockhoff
Matthew Gingras
Darryl Yardley
Olufemi Ayeni
Mahmoud Almasri
author_sort Gabriella Hugenberg
collection DOAJ
description Overall, 84%-87% of athletes will return to sport following hip arthroscopy; however, some literature suggests that only 57% of athletes return to their preinjury level, and only 16.9% report optimal performance. This discrepancy may be due to a lack of consistency within the definition of return to sport as well as a lack of consistency within rehabilitation programs when determining return to sport readiness. Athletes who are returning to sport must demonstrate adequate range of motion, strength, and the ability to perform multi-directional movements without the risk of reinjury. There has yet to be a comprehensive, criteria-based, return to sport testing protocol that utilizes objective measures to ensure athletes are ready for return to sport. The goal of the authors was to create a criteria-based testing protocol for return to sport following hip arthroscopy utilizing components best supported in the literature. The following parameters were identified as key areas to assess for within a return to sport testing protocol: range of motion, strength, functional testing, self-reported outcomes including psychological readiness and time. The purpose of this clinical commentary is to propose a criteria-based testing protocol to be used following hip arthroscopy for impingement from early rehabilitation through return to previous level of sport. Criteria are presented clearly to promote objective progression through rehabilitation while still being mindful of the biological healing time required for safe and efficient progression. It is the authors' hope that in identifying and establishing a criteria-based testing protocol a higher percentage of athletes will be able to return to sport. # Level of Evidence 5
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spelling doaj-art-65241fa25d3c4fba9b0b650ed3d9626e2025-02-11T20:27:26ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962023-10-01185Clinical Commentary: A Criteria-Based Testing Protocol for Return to Sport Post Hip Arthroscopy for ImpingementGabriella HugenbergJason StallonsChad SmithKathryn BrockhoffMatthew GingrasDarryl YardleyOlufemi AyeniMahmoud AlmasriOverall, 84%-87% of athletes will return to sport following hip arthroscopy; however, some literature suggests that only 57% of athletes return to their preinjury level, and only 16.9% report optimal performance. This discrepancy may be due to a lack of consistency within the definition of return to sport as well as a lack of consistency within rehabilitation programs when determining return to sport readiness. Athletes who are returning to sport must demonstrate adequate range of motion, strength, and the ability to perform multi-directional movements without the risk of reinjury. There has yet to be a comprehensive, criteria-based, return to sport testing protocol that utilizes objective measures to ensure athletes are ready for return to sport. The goal of the authors was to create a criteria-based testing protocol for return to sport following hip arthroscopy utilizing components best supported in the literature. The following parameters were identified as key areas to assess for within a return to sport testing protocol: range of motion, strength, functional testing, self-reported outcomes including psychological readiness and time. The purpose of this clinical commentary is to propose a criteria-based testing protocol to be used following hip arthroscopy for impingement from early rehabilitation through return to previous level of sport. Criteria are presented clearly to promote objective progression through rehabilitation while still being mindful of the biological healing time required for safe and efficient progression. It is the authors' hope that in identifying and establishing a criteria-based testing protocol a higher percentage of athletes will be able to return to sport. # Level of Evidence 5https://doi.org/10.26603/001c.87629
spellingShingle Gabriella Hugenberg
Jason Stallons
Chad Smith
Kathryn Brockhoff
Matthew Gingras
Darryl Yardley
Olufemi Ayeni
Mahmoud Almasri
Clinical Commentary: A Criteria-Based Testing Protocol for Return to Sport Post Hip Arthroscopy for Impingement
International Journal of Sports Physical Therapy
title Clinical Commentary: A Criteria-Based Testing Protocol for Return to Sport Post Hip Arthroscopy for Impingement
title_full Clinical Commentary: A Criteria-Based Testing Protocol for Return to Sport Post Hip Arthroscopy for Impingement
title_fullStr Clinical Commentary: A Criteria-Based Testing Protocol for Return to Sport Post Hip Arthroscopy for Impingement
title_full_unstemmed Clinical Commentary: A Criteria-Based Testing Protocol for Return to Sport Post Hip Arthroscopy for Impingement
title_short Clinical Commentary: A Criteria-Based Testing Protocol for Return to Sport Post Hip Arthroscopy for Impingement
title_sort clinical commentary a criteria based testing protocol for return to sport post hip arthroscopy for impingement
url https://doi.org/10.26603/001c.87629
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