The Deceleration Index - Is it the Missing Link in Rehabilitation?

The ability to decelerate is a key component of any successful rehabilitation program, yet it is often overlooked in favor of more traditional forms of rehabilitation and training. Deceleration, which is defined as the ability to reduce speed or momentum and stop or change direction, can be a key component of successful rehabilitation. The deceleration index is a new metric being used by some physical therapists and rehabilitation specialists to improve patient outcomes.

Guidelines and pitfalls for the rehabilitation following hip arthroscopy.

Rehabilitation guidelines following hip arthroscopy have been presented in the literature with common themes consisting of initial protection, restoration of lumbo-pelvic stability, neuromuscular re-education, and return to sport training. The purpose of this review is to present hip arthroscopy guidelines in 4 phases and to address common pitfalls that may delay the rehabilitative process. The goal of phase 1 should be to protect healing tissues through activity modifications.

The layer concept: utilization in determining the pain generators, pathology and how structure determines treatment.

The level of understanding of pain in the non-arthritic hip has made significant strides in the last couple of decades beginning with the discoveries of Reinhold Ganz, MD. However, even with the detection of subtle bony abnormalities, including femoroacetabular impingement, a clinician's ability to differentiate pain generators in the hip has been ambiguous. Deciphering the etiology of the pathology versus the pain generator is essential in prescribing the proper treatment.

Post-operative guidelines following hip arthroscopy.

Rehabilitation following hip arthroscopy can vary significantly. Existing programs have been developed as a collaborative effort between physicians and rehabilitation specialists. The evolution of protocol advancement has relied upon feedback from patients, therapists and observable outcomes.

The hip joint: arthroscopic procedures and postoperative rehabilitation.

Recent technological improvements have resulted in a greater number of surgical options available for individuals with hip joint pathology. These options are particularly pertinent to the relatively younger and more active population. The diagnosis and treatment of acetabular labral tears have become topics of particular interest.

Acetabular labral tears of the hip: examination and diagnostic challenges.

The purpose of this clinical commentary is to provide an evidence-based review of the examination process and diagnostic challenges associated with acetabular labral tears of the hip. Once considered an uncommon entity, labral tears have recently received wider recognition as a source of symptoms and functional limitation. Information regarding acetabular labral tears and their association to capsular laxity, femoral acetabular impingement (FAI), dysplasia of the acetabulum, and chondral lesions is emerging.