Beginner Hip Acute Injury Rehabilitation

Pain at rest < 3/10 on VAS scale,Hip active range of motion: flexion to 70 degrees, abduction to 20 degrees without increased pain,Weight bearing as tolerated with assistive device (can walker or crutches),No increase in swelling or warmth around hip joint,Ability to perform static gluteal contractions without exacerbating symptoms,Tolerance of prone lying position without increased hip or groin pain

→ Advance to: Week 3 - Early Mobility

Hip flexion range of motion 0-90 degrees achieved,Hip external rotation > 20 degrees without pain, Able to perform straight leg raise without hip flexor tendon irritation,No pain with passive hip rotation within available range,Trochanteric bursa tenderness decreased by 50%,Able to walk 10 minutes continuously without assistive device indoors

→ Advance to: Week 6 - Strengthening Phase 1

Hip abduction strength > 3/5 on manual muscle testing,Hip extension range of motion within 10 degrees of contralateral side,No pain with resisted hip flexion against gravity,Gluteus medius activation during side-lying hip abduction without compensatory Trendelenburg gait,Hip adductor tendon tolerance to resisted adduction,Able to perform 3x10 hip bridges without hip labrum symptoms

→ Advance to: Week 11 - Strengthening Phase 2

Hip abduction strength > 4/5 and > 70% of contralateral side,Single leg stance time > 30 seconds without hip weakness or compensation,Hip internal rotation range of motion within 5 degrees of contralateral side,Tolerance of progressive loading for acetabular cartilage,No pain with squatting to 45 degrees knee flexion,Iliopsoas tendon tolerance to functional loading without psoas/impingement pain

→ Advance to: Week 15 - Functional Training

Single leg squat to 60 degrees knee flexion without hip, labrum, or groin pain,Hip external rotation strength > 80% of contralateral side,Able to perform agility drills without hip symptom exacerbation,Functional Hop Test tolerance for affected lower limb,No recurrence of greater trochanteric or ischial bursa inflammation,Patient-reported outcome scores improved by minimal clinically important difference

→ Advance to: Discharge / Maintenance Program