Beginner Hip Acute Injury Rehabilitation

Pain at rest less than 3/10 on VAS scale,Hip flexion within 70-90 degrees without exacerbation,Weight bearing tolerance to tolerance with assistive device,No aggravation of greater trochanteric bursa pain with side-lying positioning,Hip capsule stability maintained with gentle isometric contractions,Tolerance of prone positioning without increased hip or groin pain

→ Advance to: Phase II

Pain with activities of daily living less than 4/10,Hip flexion improved to 90-100 degrees,Able to perform submaximal ischiofemoral and iliofemoral ligament protection exercises,No increase in groin pain with acetabular labrum stress,Tolerance of stationary biking with minimal resistance,Hip abduction strength 3/5 against gravity

→ Advance to: Phase II

Hip flexion to 110 degrees without pain,Hip external rotation within 25-30 degrees functional range,Gluteus medius activation at 4/5 manual muscle testing,Pain-free ambulation without assistive device indoors,No reproduction of iliopsoas bursa irritation with resisted hip flexion,Tolerance of aquatic therapy for hip unloading

→ Advance to: Phase III

Hip extension within 10 degrees of symmetrical range,Hip abduction strength 4/5 against resistance,Single limb stance time greater than 15 seconds without Trendelenburg sign,Pain-free transition from sitting to standing,No groin pain with active hip flexion against gravity,Hip internal rotation within 30-35 degrees

→ Advance to: Phase III

Hip flexion strength 4+/5 on Oxford scale,Gluteus maximus activation during hip extension exercises,Hip adductor strength 4/5 without adductor longus aggravation,Pain-free performance of clam shell exercises to 45 degrees hip abduction,Hamstring and hip extensor co-contraction achieving 80% of quadriceps activation,Tolerance of progressive resistance 2-3 sets of 12-15 repetitions

→ Advance to: Phase IV

Hip abduction strength 5/5 in side-lying position,Hip external rotators (piriformis, obturator internus) strength 4/5,No pain with ischiofemoral ligament stretching,Single leg squat to 45 degrees knee flexion without compensation,Hip range of motion full for activities of daily living,Functional movement pattern assessment scoring greater than 18/30

→ Advance to: Phase IV

Hip flexor (iliopsoas, rectus femoris) length adequate for functional activities,Pelvic stability during single limb loading phases,Hip internal rotation strength 4/5 in prone position,Progression to standing resistance bands for hip abduction,Core stability assessment with hip control scoring adequate,Tolerance of 20-minute continuous aerobic activity

→ Advance to: Phase IV

Hip extensor strength 5/5 in prone testing,Ischiofemoral ligament flexibility restored,No greater trochanteric bursa tenderness to palpation,Functional movement screening score improved from baseline,Hip proprioception within 80% of contralateral side,Pain-free full weight bearing on affected limb

→ Advance to: Phase IV

Hip flexion power adequate for stair navigation,Lateral hip stability during running gait initiation,Single leg hop for distance greater than 50% of limb length,Hip abduction endurance matching contralateral side,Proprioceptive training on unstable surfaces completed,No reproduction of acetabular cartilage symptoms

→ Advance to: Phase V

Hip rotational power in sports-specific positions,Plyometric progression without joint impact symptoms,Hip adductor strength within 90% of contralateral side,Running progression to 10 minutes at moderate pace,Functional movement assessment near normal patterns,Balance assessment scores within normative values

→ Advance to: Phase V

Hip flexor power sufficient for sprinting initiation,Return to higher-level hip rotation activities,Single leg vertical hop test within 85% of contralateral side,Cutting and pivoting movements without groin pain,Isokinetic hip strength testing within 10% bilateral symmetry,No hip joint swelling or synovial irritation

→ Advance to: Phase V

Hip abduction/adduction ratio restored to normal,Functional hip abduction in single limb stance during walking,Running progression to 20 minutes at submaximal intensity,Sport-specific movement patterns without compensation,Patient subjective outcome rating improved by 30%,No return of greater trochanteric or ischial bursa symptoms

→ Advance to: Phase V

Full sport-specific training volume tolerance,Hip strength 100% of contralateral side on isokinetic testing,Functional movement screen score greater than 14/21,Running at competition speed without symptoms,No hip joint mechanical symptoms (catching, clicking without pain),Psychological readiness for return to sport assessment adequate

→ Advance to: Phase VI - Maintenance

Progressive return to sport-specific drills,Full practice participation without restrictions,Hip range of motion symmetry in all planes,Continued absence of labral symptoms with loading,Performance of high-intensity interval training without flare,Subjective functional improvement greater than 40%

→ Advance to: Phase VI - Maintenance

Return to competition at reduced duration,Tolerance of full training load,No recurrence of cartilage stress symptoms,Hip flexor and extensor power at pre-injury levels,Functional assessment scores within normal limits,Maintenance of pain-free movement patterns

→ Advance to: Phase VI - Maintenance

Full return to pre-injury activity level,Hip outcome scores at acceptable functional level,Independent home exercise program compliance,No ongoing hip joint or periarticular symptoms,Patient satisfaction with functional outcome,Discharge criteria met with follow-up plan established

→ Advance to: Discharge