People who prepare for surgery and take an active role in their care can recover in less time and with less pain. The purpose of your hip precautions is to allow for the best healing and the most successful. Table of contents introduction 2 the complete care program 3. The hip replacement rehabilitation protocols mentioned here for are general and should be tailored to specific patients. Hip protocol for nonoperative femoroacetabular impingement fai. Repeat 10 times every hour to help prevent blood clot formation and pump 2. Hip replacement surgery is a procedure performed to allow patients to return to their normal active lifestyle without pain resulting from a hip replacement. In order to get the best function possible from your new hip, it is important to follow the exercise program described below.
Should you have any queries or concerns, please consult with your surgeon or family doctor. General time frames are given for reference to the average, but patients will progress at different. Your hip or knee replacement surgery will be performed by one of the most experienced orthopaedic surgical teams in the united states. Hip rehabilitation exercises to ensure that this program is safe and effective for you, it should be performed under your doctors supervision. If you need to change this appointment, please call 3067660401. Gait c orrect any abnormal gait patterns noted hip rom s tay within the precaution limits hip strength. Regular exercise to restore strength and mobility to your hip and a gradual return to everyday activities are important for your full recovery after hip replacement. This document includes instructions, and a detailed rehabilitation protocol. Hip replacement rehabilitation physiotherapy treatment. Total hip arthroplasty direct anterior approach rehab protocol last revision. Total ankle arthroplasty rehab protocol 2020 riverside drive 3 p a g e green bay, wi 54301 9202885555 phase 3 ankle active range of motion phase 1016 weeks goals for phase 3 ankle arom minimize effusion pain control maintain hip and quad strength.
Thank you for choosing cleveland clinic for your total joint replacement surgery. General time frames are given for reference to the average, but patients will progress at different rates depending on their age, comorbidities. Your orthopaedic surgeon and physical therapist may recommend that you exercise for 20 to 30 minutes, 2 or 3 times a day during your early recovery. Exercise program for total hip replacement vch patient health. Hip replacement postop exercise book this booklet belongs to. Progress gait training with lrad least restrictive assistive device to patients tolerance. Hip fracture rehabilitation protocol heywood ortho. Expansion osteotomies allow the insertion of a larger prosthesis, and reduction osteotomies allow narrowing of the proximal femur normally. Outpatient rehabilitation guidelines for total hip arthroplasty. 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. Perform throughout the day, 10 per hour while awake. The goals and exercises in this guide will help you along the path to recovery.
Ankle exercises point your feet up and down in a pumping motion. Stairs with a reciprocal pattern and no railing to assist to ascend. 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. Patients learn an initial postoperative set of exercises, including isometric and active range of motion exercises. Hip fracture rehabilitation protocol outpatient or subacute physical therapyphase i weeks 16 postop patient is evaluated weekly in outpatient pt unless deemed otherwise, or in inpatient setting goals. Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals. Each case can be very different depending on the goals of. Bed exercises lying on back ankle pumps move feet up and down. Total hip arthroplastyhemiarthroplasty rehab protocol. Glute sets, quad set, transverse abdominis, hamstrings, performed in supine or hook lying to maintain hip precautions. For example, weight bearing should be limited to toe touch in osteotomy of the femur. Department of rehabilitation services total knee arthroplasty protocol.
Rehabilitation guidelines for total hip anterior arthroplasty. Background description o hip muscles provide stability to the upper and lower extremity during activity o are the main source of power for quick propulsive movements. Recommended longterm activities after total hip replacement. Outpatient rehabilitation guidelines for traditional. Anterior total hip arthroplasty rehabilitation guideline this rehabilitation program is designed to return the individual to their activities as quickly and safely as possible. Total hip arthroplasty tha is an elective operative procedure to treat an arthritic hip. Hip replacement basic rehabilitation exercises youtube. Total hip replacement protocol northwestern medical center. Initiate gentle active assistivepassive rom in all planes. Prospective joint replacement candidates will participate in preop education individually or class.
Total hip replacement exercise program tissue preserving technique no precautions for hip movement or weight bearing do 10 repetitions of each exercise 3 times a day all exercises are to be do ne within limits of comfort. Your orthopaedic surgeon and physical therapist may recommend that you exercise for 20 to 30 minutes, 2 or 3 times a. Surgeons, therapists, and patients are all interested in getting people back to activity as quickly and as safely as possible. Safe ambulation with or without assistive device, with min to no assist. Hip conditioning program stretching exercises repetitions 2 sets of 4 days per week daily tip do not lean forward or twist at the waist. Total ankle arthroplasty rehab protocol phase 1 maximum. Lean your hip toward the wall until you feel a stretch at the outside of your hip. Total hip replacement exercise guide sunnybrook hospital. This evidencebased anterior total hip arthroplasty guideline is criterionbased.
Patients also learn how to walk with crutches, or a. Total hip replacement is a frequently done procedure. Posteriordirect total hip arthroplasty rehabilitation guideline. Hip replacement basic rehabilitation exercises in this video i cover 4 exercises you should be doing as soon as possible after hip surgery to speed up recovery and make sure there are no. The hip joint is a type of joint known as a ball and socket joint. Total hip replacement exercise guide orthoinfo aaos. Home exercise program following hip surgery posterior approach during your hospitalization, you have had hip surgery. Its aim is to maximize functionality and independence and to minimize complications such as wound infection, deep vein thrombosis, pulmonary embolism, and hip dislocation for hip replacements. Appointments start physical therapy 3 5 days post surgery 23x per week rehabilitation goals follow rom precautions set by md restore rom as allowed by precautions normalize gait pattern. Osteoporosis and osteomalacia are significant factors responsible for the high incidence of hip fractures. A patients guide to total joint replacement and complete care. Hold for five seconds and repeat 10 times every hour.
What to expect after your superpath hip replacement. Level i do exercises one 1, two 2, and three 3 fifteen 15 repetitions every hour. Exercise guide for patients who have undergone total hip replacement. Brigham and womens hospital department of rehabilitation. Posteriordirect total hip arthroplasty rehabilitation. Hip implants consist of 1 a smooth ball on a stem that fits into your thigh bone the femoral stem, and 2 a.
Please refer to the before during and after hip and knee replacement. The most common form of partial hip replacement is called a unipolar prosthesis3. 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. It is designed for rehabilitation following an anterior approach total hip arthroplasty. Modifications to this guideline may be necessary dependent on physician specific. Static quads tighten the muscles on the front of your thigh and push the back of your knee down into the bed. The second postoperative rehab appointment should be 6 weeks after discharge at. Each case can be very different depending on the goals of the patient, the age of the. Softtissue changes in hip adbuctor muscles and tendons after total hip replacement. Total hip arthroplasty direct anterior approach rehab. Physiotherapy exercises following total hip replacement. Quad, hamstring, and glute sets, gait training on level.
Anterior total hip arthroplasty protocol postop weeks 26 weeks 612. Total hip arthroplasty lateral approach rehab protocol last revision. 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. The intent of this physical therapy protocol is to provide the clinician with a guideline of the. Post operative total hip replacement protocol brian j. 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. Whether caused by a fall, a car accident, or any other trauma, a hip dislocation is extremely painful. This illustrated guide includes exercises and activities designed to restore strength and mobility to your hip following total hip replacement. A trochanter roll should be used as needed to maintain neutral hip rotation and promote knee extension. Do both ankles at the same time or alternating feet. Oct 19, 2018 whether caused by a fall, a car accident, or any other trauma, a hip dislocation is extremely painful. Jun 08, 2016 hip replacement basic rehabilitation exercises in this video i cover 4 exercises you should be doing as soon as possible after hip surgery to speed up recovery and make sure there are no. Postoperative exercises weeks 14 for total hip replacement.
Hip protocol for arthroscopy of femoroacetabular impingement fai. As a result, the adjacent ligaments, labrum, muscles, and other soft tissues holding the bones in place often are also damaged, and. Repeat on the opposite side, then repeat the entire sequence 4 times. Independent with ambulation with assistive devices as needed. Thats because the ball of the hip joint has been forced out of its socket. Direct anterior total hip replacement rehabilitation program the rehabilitation protocol following direct anterior total hip replacement is an integral part of the recovery process.
Total hip arthroplasty rehabilitation protocol total hip arthroplasty tha is an elective operative procedure to treat an arthritic hip. Physiotherapy rehabilitation after total knee or hip. Perform bed mobility and transfers with minimal assistance while maintaining wb precautions, ambulate 25100 feet w assistive device, stair training as appropriate for home ambulation, independently perform slr, regain 80 prom and arom flexion, verbalize precautions. This procedure replaces your damaged hip joint with an artificial hip implant. Anterior total hip arthroplasty rehabilitation guideline. In most instances, the acetabulum is left intact and the head of the femur is replaced, using components similar to those used in a total hip replacement. Rehabilitation guidelines for surgical hip dislocation the hip joint is composed of the femur the thigh bone and the acetabulum the socket which is from the three pelvic bones.
This guide has general information along with tips and goals for exercising before and after surgery. Rehabilitation guidelines for surgical hip dislocation. 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. It is provided to you with the aim of maximizing the. 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. Total hip precautions after surgery should be followed for 3 months and include. 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. Prospective joint replacement candidates will participate in preop education individually or class setting which includes instruction in. Total hip replacement rehab protocol care first orthopaedic. 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. Total hip replacement exercise booklet sunnybrook hospital. Advice and exercises after a total hip replacement, june 2019 1.
The following exercises will help you in your recovery to improve your hip range of motion and increase strength. Total hip replacement rehabilitation protocol outpatient physical therapy phase i weeks 1 6 postop patient is evaluated weekly in outpatient pt unless deemed otherwise, or in inpatient setting evaluate and document. Physiotherapy rehabilitation after total hip or knee replacement is accepted as a standard and essential treatment. Rehabilitation following total disc replacement surgery. 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. 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. Supine hip abductionadduction avoid going past neutral 7. 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. Karen staniels director of ortho and rehab not part of policy. First outpatient rehabilitation appointment should be 714 days after discharge. As a result, the adjacent ligaments, labrum, muscles, and other soft tissues holding. Typically, your surgeon recommends that you adhere to these. Total hip arthroplasty lateral approach rehab protocol.
Outpatient rehabilitation guidelines for traditional metal on polyethylene total hip arthroplasty these rehabilitation guidelines are presented in a criterion based progression. Sands rehabilitation protocol direct anterior total hip replacement kenneth c. Direct anterior total hip replacement rehabilitation program. What to expect after your superpath hip replacement while the experiences of patients vary somewhat, there are a number of things that patients share in common after having a hip replacement via the superpath approach.
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. The cup side of the joint is known as the acetabulum and the ball. The cup side of the joint is known as the acetabulum and the ball side as the head of femur. Ankle pumps gently point toes up towards your nose and down towards the surface.