Total hip arthroplasty these rehabilitation guidelines are presented in a criterion based progression.
Total hip replacement physical therapy protocol.
May begin week 1 post op.
Massage tissue work.
Short arc quads long arc quads hamstring curls.
Heat prn before exercises and ice after.
Gluteus medius repair pt protocol.
Straight leg raises hip flexion abduction extension in standing.
Birmingham hip resurfacing total hip replacement.
4 5 weeks moderate protection phase.
90 degrees with supervision of a therapist.
Long shoe horn to.
Hip flexors it band adductors piriformis and gluteal muscles often exhibi t adaptive shortening and spasms b.
Recommended long term activities after total hip replacement.
Into hip abduction extension and external rotation.
Walker quad cane as instructed by physical therapy.
It is designed for rehabilitation following a posterior approach total hip arthroplasty.
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.
Weight bearing restrictions as per m d.
Total hip arthroplasty tha is an elective operative procedure to treat an arthritic hip.
Immediately post operatively days 0 3 goals.
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.
Perform bed mobility and transfers with minimal assistance while maintaining wb precautions ambulate 25 100 feet w assistive device stair training as appropriate for home ambulation independently perform slr regain 80 prom and arom flexion verbalize precautions exercises.
Reacher and grabber devices to be used for retrieving objects on floor or assist with socks or stockings.
Posterior total hip precautions.
Wall squats to 30 degrees hip.
General time frames are given for reference to the average but patients will progress at different rates depending on their age comorbidities pre surgical range of motion rom strength and health functional status rehabilitation compliance.
Open and closed chain exercises can begin.
2x week for 3 weeks then 1x week for 3weeks d c at 6 weeks unless gai t deviations persist 1.
Hip adduction with roll between legs squeezing.
Arom gradually and in protected range no hip flex 90 add to neutral.
Promote hip extension by lying in prone if possible to prevent a hip flex contracture.
Quad hamstring and glute sets gait training on level.
This procedure replaces your damaged hip joint with an artificial hip implant.
Posterior direct total hip arthroplasty rehabilitation guideline this rehabilitation program is designed to return the individual to their activities as quickly and safely as possible.