髋部慢性疾病康复

Pain at rest < 3/10 on VAS scale,Hip flexion range of motion > 90 degrees,Ability to ambulate with assistive device (if prescribed) without increased pain,No exacerbation of symptoms with isometric contractions of hip abductors and adductors,Tolerance to prone lying position without increased groin or anterior hip pain

进入下一阶段： Early Mobility

Hip flexion range of motion > 100 degrees with minimal discomfort,Hip abduction strength > 3/5 on manual muscle testing,Single leg stance on unaffected limb > 30 seconds,Tolerance to side-lying hip external rotation exercises,Pain with activities of daily living reduced by 30% from baseline

进入下一阶段： Movement Restoration

Hip internal rotation > 20 degrees in prone position,Hip external rotation > 30 degrees in prone position,Full weight-bearing tolerance without antalgic gait pattern,Hip abductor strength > 4-/5 on MMT,Thomas test showing less than 10 degrees hip flexor tightness

进入下一阶段： Strength Foundation

Hip flexion strength > 4/5 on MMT,Hip extension strength > 4/5 on MMT,Hip adduction strength > 4/5 on MMT,Active straight leg raise without compensatory hip hiking,Prone hip extension without posterior pelvic tilt

进入下一阶段： Dynamic Stability

Hip abduction strength > 4+/5 on MMT,Single leg squat on affected limb to 45 degrees knee flexion without valgus collapse,Side-lying hip abduction without Trendelenburg sign,Hip internal and external rotation strength > 4/5 at 30 degrees hip flexion

进入下一阶段： Load Introduction

Tolerance to progressive loading exercises without symptom flare-up,Hip flexion strength > 5-/5 on MMT,Closed-chain hip abduction without compensatory trunk lateral flexion,Functional movement patterns without hip substitution patterns

进入下一阶段： Progressive Loading

Hip abduction strength > 80% of contralateral side,Single leg hop tolerance without groin pain,Running progression at 50% speed without pain,Hip external rotator strength > 4+/5 in side-lying position

进入下一阶段： Power Development

Hip flexion power > 70% of contralateral side on timed repeated movements,Single leg vertical hop > 80% limb symmetry index,Plyometric introduction without increased hip joint symptoms,Greater trochanter tenderness resolved

进入下一阶段： Sport-Specific Training

Running at 75% intensity without antalgic pattern,Cutting and pivoting maneuvers without hip pain,Hip abduction power > 85% limb symmetry,Hip internal rotation strength at 90 degrees flexion > 85% contralateral

进入下一阶段： High-Intensity Conditioning

Full-speed running without compensation,Repetitive sprint intervals without symptom exacerbation,Single leg squat depth > 90 degrees without valgus,Hip adductor strength > 90% contralateral side

进入下一阶段： Return to Training

Sport-specific drills at 80% intensity without pain,Change of direction activities without hip discomfort,Hip flexion and extension power > 90% limb symmetry,Full training session tolerance without post-exercise soreness

进入下一阶段： Competition Preparation

Full participation in practice activities,Hip outcome score > 85% on HOS activities of daily living subscale,iHOT-12 score > 75 points,No recurrence of symptoms with high-intensity training

进入下一阶段： Return to Competition

Full game-play tolerance without restrictions,Hip labrum stability confirmed through functional testing,No pain with sudden directional changes,Psychological readiness for full return to sport

进入下一阶段： Maintenance

Sustained performance at competitive level,Hip ROM within functional limits (within 5 degrees of contralateral),Continued strength maintenance without supervised sessions,Injury prevention protocol compliance

进入下一阶段： Independence

Independent home exercise program compliance,Self-monitoring of symptoms without regression,Return to prior level of function and competition,Maintenance of hip abductor and external rotator strength > 95% contralateral

进入下一阶段： Discharge