Left Labral Tear (22 y/o OT student NWB for 4 weeks)

Max Protection 0-4 Weeks

Labrum

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Range of Motion

PROM

CPM

Manual

May begin AROM later in the phase

Strengthening

Week 1-3

.Supine abd. crunches (avoid activating hip flexors), Standing HS curls, Supine Illiopsoas/Rectus stretch (pain free).

Superman in prone on pillow, bike (no resistance), Active Hip ROM

Bilat. Ankle pumps, Bilat. Quad sets, Bilat. Glut sets,Heel slides, pelvic tilt in hook-lying,Hip IR, add. isometrics in HL

Pain Management

Precautions: Hip Flexion past 90*, ER

Indications: TTWB-PWB <70lbs 4wks; begin PT 2-3 days post-op

Ice, pain meds, edema message, e-stim

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Mod Protection 4-8 weeks

Min Protection 8+ wks

Strengthening & Balance

Single leg balance, Leg Press, Mini-Squats

Lunges – progress from single plane -->tri planar -->add medicine balls for resistance and rotation

Theraband walking patterns (~25 yds) – forward, sidestepping, backward, carioca, monster steps, half circles. Start with the band at knee height and progress to ankle height.

Progressive Strengthening

Calf raises, Mini squats, stationary bike with slight resistance

Family Education on PROM

Gait Training

WBAT

AROM

No forced stretching

Slant Stretch, 3 Way hamstring stretch, Stair Stretch, Hip flexor stretch

Progress to Full ROM

Weight shifts – standing, supported, anterior/posterior, laterals, SLB

Stride length

Correct any compensations

Core Stabilization: single leg bridge, side planks

Return to Function

Continue AROM