Total Hip Replacement Physical Therapy Protocol

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.

Total hip replacement physical therapy protocol.

2x week for 3 weeks then 1x week for 3weeks d c at 6 weeks unless gai t deviations persist 1. Promote hip extension by lying in prone if possible to prevent a hip flex contracture. Into hip abduction extension and external rotation. Immediately post operatively days 0 3 goals.

Straight leg raises hip flexion abduction extension in standing. Arom gradually and in protected range no hip flex 90 add to neutral. Hip flexors it band adductors piriformis and gluteal muscles often exhibi t adaptive shortening and spasms b. Total hip arthroplasty tha is an elective operative procedure to treat an arthritic hip.

Groin hip flexors and hamstrings. Open and closed chain exercises can begin. This procedure replaces your damaged hip joint with an artificial hip implant. It is designed for rehabilitation following a posterior approach total hip arthroplasty.

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. Recommended long term activities after total hip replacement. Birmingham hip resurfacing total hip replacement. Wall squats to 30 degrees hip.

Quad hamstring and glute sets gait training on level. Reacher and grabber devices to be used for retrieving objects on floor or assist with socks or stockings. Hip adduction with roll between legs squeezing. 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.

Total hip arthroplasty these rehabilitation guidelines are presented in a criterion based progression. Total hip arthroplasty lateral approach rehab protocol last revision. Posterior total hip precautions. 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. Short arc quads long arc quads hamstring curls. Physical therapy protocols hip. May begin week 1 post op.

4 5 weeks moderate protection phase. 90 degrees with supervision of a therapist. Walker quad cane as instructed by physical therapy. Weight bearing restrictions as per m d.

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