Non-Operative Rehabilitation Principles for Use in Individuals with Acetabular Dysplasia: A North American Based Delphi Study.
Ashley E Disantis, RobRoy L Martin, Keelan Enseki and 2 others
PMID 38050551WHAT IT FOUND
Expert physiotherapists agreed on a non-operative protocol for hip dysplasia: prioritize stability over mobility, delay hip flexor strengthening until posterolateral strength improves, and avoid stretching tight muscles early.
These are expert recommendations, not tested interventions.
Key findings
01The panel recommended against focusing on stretching, stating that tight muscles like the iliopsoas and adductors provide necessary anterior stability in the setting of bony insufficiency.
02Hip flexor strengthening should only begin after the patient has demonstrated improved posterolateral hip strength and reduced joint irritability.
03Referral to a hip specialist is indicated if symptoms do not decrease after 4-8 weeks of physiotherapy, even if strength and control have improved.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
This is a consensus of expert opinion, not a clinical trial. The recommendations have not been tested for efficacy or compared against other treatments. The panel consisted solely of physiotherapists, so the views may not reflect those of other disciplines like occupational therapy or medicine. The study does not provide data on patient outcomes, such as pain reduction or return-to-sport rates, resulting from this protocol.
Declared interests
The authors report no conflicts of interest.
The easy way to misread this
Do not interpret these consensus points as evidence-based treatment guidelines that have been proven to work. These are expert recommendations developed because research is lacking, not because the protocol was tested in patients.