1 | Initiation of functional rehabilitation programme
-
Isometric abdominals—emphasis on transversus and oblique's with pelvic control -
Isometric hip flexors, extensors, abductors, adductors and rotators -
Spinal mobilisation programme
|
2 | Increase walking using time as limiting factor, increasing by 5 min each day if no ill effectsContinue isometrics and active spinal work, 10 reps/4 times/dayEnd of week initiate active assisted cliniband/isokinetic work in functional standing position |
3 | Functional rehabilitation
-
Neurological gymnastic ball work -
Mobility work, active and passive -
Stability work -
Hydrotherapy Cardiovascular -
Swimming (if wound healed) -
Cycling -
Initiate running programme, progressing from aerobic to anaerobic over the next 3 weeks Isokinetics
-
Submaximal to maximal isometric hip work/isokinetics if available. Bias towards presurgical isokinetic test results.Once 25% or lower deficit between limbs, begin active concentric work, starting on fast speeds (240) progressing to slower (60) depending on daily reassessment.
|
4 | Return to active assisted work to re-educate concentric/eccentric functional pattern.Progression of functional rehabilitation workEarly sport/occupation-specific rehabilitationRunning forwards→backwards→cutting→sprinting |
5 | Concentric/eccentric lower limb muscle patterns—manual/cliniband/isokineticsGeneral weights work with abdominal belt/lumbar supportFull soccer-specific rehabilitationReturn to play/work according to functional reassessment |