During hip replacement, a surgeon removes the damaged sections of your hip joint and replaces them with parts usually. With the burgeoning baby boomer generation and older athletes who wish to return to competitive levels of sports, understanding how sporting activity affects tha outcomes is becoming exceptionally important. Aug 27, 2018 a number of rehabilitation exercise protocols are used by various institutions for total knee or hip replacement. This document includes instructions, and a detailed rehabilitation protocol. Reduced patient restrictions following total hip arthroplasty. Total hip arthroplasty direct anterior approach rehab. Softtissue changes in hip adbuctor muscles and tendons after total hip replacement. Recommended longterm activities after total hip replacement deandrade, kj activities after replacement of the hip or knee, orthopedic special edition 26. No specific general hip replacement protocol is currently in use, as small elements of the rehabilitation process are surgeon specific. Hip prostheses are designed to mimic the ballandsocket action of your hip joint. Progress hip abduction exercises until the patient exhibits a normal gait with good abductor strength. This procedure replaces your damaged hip joint with an artificial hip implant.
Therapeutic exercise for lower extremity strength double and single limb. This illustrated guide includes exercises and activities designed to restore strength and mobility to your hip following total hip replacement. Hip replacement postop exercise book this booklet belongs to. After hip replacement surgery, contact a gp if you notice redness, fluid or an increase in pain in the new joint. Direct anterior total hip replacement rehabilitation program the rehabilitation protocol following direct anterior total hip replacement is an integral part of the recovery process. Stand from chair without upper extremity assistance dc instructions from the hospital. A patients guide to total joint replacement surgery hip and knee, is a comprehensive, essential overview of everything having to do with total hip replacement surgery at hss, from an overview of the procedure and hospital maps to nutrition tips and illustrated physical therapy exercises.
The cup side of the joint is known as the acetabulum and the ball side as the head of femur. Sometimes even just a few hours after your operation. Hip implants consist of 1 a smooth ball on a stem that fits into your thigh bone the femoral stem, and 2 a. They will also help strengthen your muscles and improve hip movement. At 56 week, begin standing hip abduction exercises with pulleys, sports cords or weights. Total hip replacement exercise booklet sunnybrook hospital. They may be attached to the bones in one of two ways. Direct anterior total hip replacement rehabilitation program. Total hip precautions after surgery should be followed for 3 months and include. A home exercise regimen can accomplish most of the goals with periodic physiotherapist supervision and input. The following protocol should be used as a guideline for rehabilitation. Independent with ambulation with assistive devices as needed a. Doctors use metal, ceramic, or plastic replacement parts. Upright bikeelliptical progression see return to biking protocol.
Beginning one week after surgery, you may apply heat to your thigh or the front of your hip, for 1015 minutes before you exercise. Rehabilitation post hip replacement starts immediately after your surgery. Do both ankles at the same time or alternating feet. Hold for five seconds and repeat 10 times every hour. You can begin them in the recovery room shortly after surgery. Your hospital physiotherapist will ensure that you are doing some early bed exercises to promote. General time frames are given for reference to the average, but patients will progress at different. Total hip replacement protocol posterior approach penrose.
Total hip arthroplasty post operative day one exercises. Rom range of motion this defines the amount of mobility in your knee prom passive range of motion mobility exercises remain completely passive without the. During hip replacement surgery, your surgeon removes the diseased or damaged parts of your hip joint and inserts the artificial joint. Goals of rehabilitation following thr observe hip precautions for 12 weeks for posterior approach thr. If you need to change this appointment, please call 3067660401. Youll be given an outpatient appointment to check on your progress, usually 6 to 8 weeks after your hip replacement.
And these people often want to know which exercises are safe and which are exercises to avoid after hip replacement. It is provided to you with the aim of maximizing the. These exercises may be suitable for patients with a different surgical approach, bilateral total. Total hip arthroplasty tha is an elective operative procedure to treat an arthritic hip. A total hip replacement total hip arthroplasty consists of replacing both the acetabulum and the femoral head while hemiarthroplasty generally only replaces the femoral head. You must bring this book with you to all your therapy appointments in the hospital and to all your outpatient appointments you have an appointment to see your surgeonphysiotherapist at the surgical assessment center on. This means you are allowed to put as much weight as you feel comfortable with on your operated leg. Repeat this exercise several times, as often as every 5 or 10 minutes. Approximately 24,253 thr surgical procedures were performed in canada in 200809 with almost one million hip and knee replacements undertaken in the u. Total hip replacement postop protocol posterior approach precautions for first 6 weeks. Total hip arthroplasty tha, also known as a total hip replacement is an elective surgical procedure to treat patients who experience pain and dysfunction from an arthritic hip joint.
Total hip arthroplasty direct anterior approach rehab protocol. In the long term, its safe to go back to most, if not all, kinds of exercise after a total hip replacement. General time frames are given for reference to the average, but patients will progress at different rates depending on their age, comorbidities. This section discusses total hip replacement thr protocol.
Remember that each and every person heals differently after total hip replacement surgery. Hip implants consist of 1 a smooth ball on a stem that fits into your thigh bone the femoral stem, and 2 a metal socket with a smooth liner that is attached to. This guide provides exercises and information for patients who have had a hip replacement and who have been told they are weight bearing as tolerated. Total hip replacement exercise guide orthoinfo aaos. Rehabilitation posthip replacement starts immediately after your surgery. Stairs with a reciprocal pattern and no railing to assist to ascend. Total hip replacement protocol northwestern medical center. It is recommended that the following exercises be taught by a registered physiotherapist. Total hip replacement postop protocol posterior approach 03. Apr 11, 2019 hip replacements are becoming more common at younger ages, as people are staying active longer. If you experience a sharp pain, stop activity immediately. Repeat 10 times every hour to help prevent blood clot formation and pump 2.
Promote hip extension, by lying in prone if possible. Total hip replacement thr is a very common surgical procedure carried out worldwide. These exercises may be suitable for patients with a different surgical approach, bilateral total hip replacements, revisions or for inflammatory conditions. Postoperative exercises weeks 14 for total hip replacement video of postoperative exercises weeks 14 for total hip replacement in this video, heartland orthopedic specialists physical therapist brandon strouth, d. Physiotherapy exercises following total hip replacement. Anterior total hip arthroplasty rehabilitation guideline this rehabilitation program is designed to return the individual to their activities as quickly and safely as possible. Independent with ambulation with assistive devices as needed. Anterior total hip arthroplasty rehabilitation guideline. In order to get the best function possible from your new hip, it is important to follow the exercise program described below. Total hip replacement exercise guide orthoinfo aaos from the american academy of orthopaedic surgeons. Total hip arthroplasty tha, also known as a total hip replacement is an elective surgical. To get the best results from your surgery, it is important that you do your exercises consistently and correctly. Total hip replacement exercise 3 seated ankle pumps to increase the strength and flexibility of your ankle muscles.
These rehabilitation guidelines are presented in a criterion. Total hip replacement exercise guide sunnybrook hospital. Hip replacement rehabilitation physiotherapy treatment. Postoperative exercises weeks 14 for total hip replacement. The cup side of the joint is known as the acetabulum and the ball. The exercises prescribed, and the pace of progressions recommended in the hip exercise booklet, are intended for patients with unilateral, primary hip replacement for osteoarthritis, with a posterolateral incision approach. In this video, heartland orthopedic specialists physical therapist brandon strouth, d. Exercise progression in hip replacement rehabilitation. Progression of rom as tolerated within total hip replacement precautions bicycle andor recumbent stepper progression of acute care home program available at end of this document progressive resisted exercises, openclosed chain activities as. Perform throughout the day, 10 per hour while awake. Hip replacement is currently the most successful and reliable orthopaedic operation with 97% of patients reporting improved outcome. Your hospital physiotherapist will ensure that you are doing some early bed exercises to promote your recovery and get you back on your feet asap.
Weight bearing as tolerated this means you are allowed to put as much weight as you feel comfortable with on your operated leg. Outpatient rehabilitation guidelines for traditional metal on polyethylene. Advice and exercises after a total hip replacement, june 2019 2. Ankle pumps gently point toes up towards your nose and down towards the surface. Total hip replacements are performed for people who have severe osteoarthritis that is making daily activities difficult and is no longer responding to other treatments. Exercise program for total hip replacement vch patient health. Osteoporosis and osteomalacia are significant factors responsible for the high incidence of hip fractures. These parts have a porous coating that the bone grows into. The hip joint is a type of joint known as a ball and socket joint. Outpatient rehabilitation guidelines for traditional metal. Post operative total hip replacement protocol brian j. Posteriordirect total hip arthroplasty rehabilitation. Jump to a section below or click the previousnext buttons at the.
Home exercise program following hip surgery posterior approach during your hospitalization, you have had hip surgery. Outpatient rehabilitation guidelines for traditional metal on polyethylene total hip arthroplasty these rehabilitation guidelines are presented in a criterion based progression. Rom range of motion this defines the amount of mobility in your knee prom passive range of motion mobility exercises remain completely passive without the use of muscles to move your knee. Continue with advancement of aquatic exercises as needed with resistance and or buoyancy. Revision total hip replacement is a more complex procedure and takes longer to perform than primary total hip replacement. Total hip arthroplasty lateral approach rehab protocol. Total hip athroplasty tha is a common procedure in orthopedic surgery to address severe osteoarthritis oa in the hip joint. You may feel uncomfortable at first, but these exercises. Hip exercises you will begin these exercises while in hospital and will continue to do them at home once discharged. Recommended longterm activities after total hip replacement. Total hip replacement is a frequently done procedure.
Typically, your surgeon recommends that you adhere to these. The purpose of your hip precautions is to allow for the best healing and the most successful. Remember that each and every person heals differently after total hip replacement surgery, working with your physical therapist is the best way to ensure a safe and rapid recovery after your total hip replacement. Total hip replacement is a stepbystep surgery to replace the ball at the top of the thigh bone femur and the hip socket.
Physical therapy exercises after your hip replacement. A number of rehabilitation exercise protocols are used by various institutions for total knee or hip replacement. Total hip replacement protocol posterior approach precautions 6 weeks no hip flexion 70 no hip abduction neutral no hip internal rotation weight bearing as tolerated with assistive device no sitting for long periods of time use toilet with raised seat for 3 months use abduction wedge while sleeping or resting, up to 12 hrs. Total hip replacement rehabilitation protocol outpatient physical therapyphase i weeks 1 6 postop patient is evaluated weekly in outpatient pt unless deemed otherwise, or in inpatient setting evaluate and document. Advice and exercises after a total hip replacement, june 2019 1. Tha is an effective option if the patients pain does not respond to conservative treatment and has caused a decline in their health, quality of life, or ability. Total hip arthroplasty direct anterior approach rehab protocol last revision. Posteriordirect total hip arthroplasty rehabilitation guideline this rehabilitation program is designed to return the individual to their activities as quickly and safely as possible. Nov 28, 2012 total hip replacement thr is a very common surgical procedure carried out worldwide. Static quads tighten the muscles on the front of your thigh and push the back of your knee down into the bed. Ankle exercises point your feet up and down in a pumping motion. Rehabilitation following total hip replacement tends to be less intense compared to total knee replacement. Advice and exercises after a total hip replacement a moderate ache which settles quickly is acceptable, severe pain which takes hours to settle is not.
Although mostly done electively, it is also used to in the management of hip fractures mostly displaced neck of femur fractures caused by trauma e. Aviod highimpact exercises be cautious long term for combined motions of hip flexion, internal rotation, and adduction references. Total hip arthroplasty protocol the following protocol should be used as a guideline for rehabilitation progression, but may need to be altered pending the nature and extent of the surgical procedure, healing restraints or patient tolerance. A total hip replacement involves the surgical removal and replacement of the damaged femoral head and acetabulum of the hip joint with a prosthetic implant.
Level i do exercises one 1, two 2, and three 3 fifteen 15 repetitions every hour. These exercises are designed to improve your hip range of motion, strength, balance and endurance. It is designed for rehabilitation following an anterior approach total hip arthroplasty. Stationary bicycle seat high to maintain hip precautions 11. To begin, your doctor will follow the line of the incision made during your primary total hip replacement. Anterior total hip arthroplasty protocol postop weeks 26 weeks 612. Total hip arthroplasty tha department of orthopaedic surgery. Total hip arthroplasty lateral approach rehab protocol last revision. Also may perform side stepping with a sports cord around the hips, as well as lateral step ups with a low step, if clinically safe. Functional exercise after total hip replacement feather. Gait c orrect any abnormal gait patterns noted hip rom s tay within the precaution limits hip strength. Progression through each phase of rehabilitation is based on clinical criteria and time frames as appropriate. Outpatient rehabilitation guidelines for traditional.