Total Hip Replacement Physical Therapy Protocol

Straight leg raises hip flexion abduction extension in standing. 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. 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.

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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 replacement physical therapy protocol.

90 degrees with supervision of a therapist. Reacher and grabber devices to be used for retrieving objects on floor or assist with socks or stockings. Short arc quads long arc quads hamstring curls. Total hip arthroplasty lateral approach rehab protocol last revision.

Immediately post operatively days 0 3 goals. This procedure replaces your damaged hip joint with an artificial hip implant. Promote hip extension by lying in prone if possible to prevent a hip flex contracture. Open and closed chain exercises can begin.

Posterior total hip precautions. Quad hamstring and glute sets gait training on level. Into hip abduction extension and external rotation. Groin hip flexors and hamstrings.

Long shoe horn to. Birmingham hip resurfacing total hip replacement. Massage tissue work. Hip adduction with roll between legs squeezing.

Heat prn before exercises and ice after. May begin week 1 post op. Total hip arthroplasty these rehabilitation guidelines are presented in a criterion based progression. 4 5 weeks moderate protection phase.

Walker quad cane as instructed by physical therapy. 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. Recommended long term activities after total hip replacement. 2x week for 3 weeks then 1x week for 3weeks d c at 6 weeks unless gai t deviations persist 1.

Gluteus medius repair pt protocol. Wall squats to 30 degrees hip. Physical therapy protocols hip. Arom gradually and in protected range no hip flex 90 add to neutral.

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. 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. It is designed for rehabilitation following a posterior approach total hip arthroplasty.

Weight bearing restrictions as per m d.

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