Hip Abductor (Gluteus Medius) Repair Rehab Protocol
Keys to a Successful Outcome
In order to allow the tendon to heal back to the bone after the procedure, weight bearing and strengthening exercises will be more protected and limited in the first rehabilitation phase.
Each patient will progress at a different rate depending on multiple factors including, but not limited to: the specific procedure performed, age, preexisting health status and rehab compliance.
Pushing to extremes of motion beyond pain tolerance does not enhance function but rather increases discomfort and may affect the healing tendon.
No active Hip Abd/IR; No Passive Hip ER/Add
Hip PROM; Begin Hip Ext, Add, ER isometrics at 2 weeks; Hamstring isotonics; Pelvic tilts; Upper body circuit training
Weeks 4-6: PWB; Weeks 7-8: Progress w/ WBAT w/ crutches
Progress core and hip strengthening; Start isometric hip flexion; Stool rotations IR/ER (20°); Begin isotonic Hip Add
Wean from crutches
Progressive WBAT with no crutches and normal gait
Progress with ROM; Hip joint mobilization; Progress core strengthening (focus on posterior pelvic tilt)
Closed chain and open chain strengthening exercises; Non-impact hip, core and balance training; Non-impact endurance training