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Total Hip Replacement Physical Therapy Protocol

Total Hip Arthroplasty Protocol Page 2 of 3 TOTAL HIP ARTHROPLASTY PROTOCOL PHASE 1. Hip abduction lying on back.

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TOTAL HIP ARTHROPLASTY PROTOCOL POSTERIOR APPROACH 4 TO 6 WEEK GOALS.

Total hip replacement physical therapy protocol. Rail use ok to descend 3. Gentle Physical Therapy Walking Goals. Isometric exercises in pain-free range low intensity Gentle massage.

Rail use ok to d escend 3. Home exercises to include. Stairs with a reciprocal pattern and NO railing to assist to ascend.

Walk without a limp or assistive device. REHABILITATION GUIDELINES FOR TOTAL HIP REPLACEMENTDIRECT LATERAL APPROACH DO NOT. Physical Therapy Protocols Hip.

Walk without a limp or assistive device. Day 3-7 home 1. Patients who undergo total hip replacement with gluteus medius repair will delay PT x6 -8 weeks.

3Sleep on your operated side for 6-8 weeks to avoid irritation to your hip. 1Cross your legs when lying or sitting. Please see postop open gluteus medius repair protocol.

Review total hip precautions B. 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. Proximal Hamstring Repair PT protocol.

Restore hip ROM within anterior hip precautions Maintain pain controlpatient comfort Normalize gait. TOTAL HIP ARTHROPLASTY PROTOCOL ANTERIOR APPROACH 4 TO 6 WEEK GOALS. 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.

Hip adduction with roll between legs squeezing. Define the protocol to be followed for all patients referred from Northwestern Orthopedics after the above procedure has been performed. The above mention Hip Replacement Rehabilitation Protocol should be tailored to individual patients need and performed in guidance of a physical therapist.

This procedure replaces your damaged hip joint with an artificial hip implant. Precautions After Total Hip Replacement Following points must be explained clearly during Hip Replacement Rehabilitation. Physiotherapy can improve strength and gait speed after total hip replacement and help prevent complications such as subluxation and thromboembolic disease.

Seated long arc quads short arc quads 5. Avoid hip flexion beyond 90 degrees no internal rotation and no adduction. Straight leg raises as tolerated check with surgeon on non-cemented hips 3.

Ankle pumps with leg elevation. Ankle dorsiflexion ankle pumps. Stand from chair without upper extremity assistance DC INSTRUCTIONS FROM THE HOSPITAL.

Anterior Cruciate Ligament ACL Reconstruction PT Protocol. Open Hip Surgery PT Protocol. The procedure involves removing your arthritic hip joint and replacing it with an artificial hip.

2Pivot on you operated leg when turningin standing take small steps instead. Hip Arthroscopy PT Protocol. Single leg stance.

DC INSTRUCTIONS FROM THE HOSPITAL. Treatment will follow the defined protocol below and be carried out by. Combined hip flexion and internal rotation Posterior approach.

1 mile by 6 weeks postop 2 miles by 8 weeks. 132016 Increase hip ABD. Short arc quad sets.

Microsoft Word - SuperPATH Total Hip Replacement Physical Therapy Protocol-2docx Created Date. Supine hip abductionadduction avoid going past neutral 7. Total hip arthroplasty THA is an elective operative procedure to treat an arthritic hip.

4Rotate your operated leg outward. Outpatient physical therapy should be scheduled prior to surgery. In addition physiotherapy increases the patients mobility and offers education about the exercises and precautions that are necessary during hospitalization and after discharge.

Jimmy Chow and Chandrika Lotwala PT DPT. Stand from chair without upper extremity assistance. 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.

INITIAL PHASE Weeks 1-3 Walking at home for about 5 minutes every hour Bike for approximately 10 minutes Quad sets Glut sets Heel slides Supine hip. Gluteus Medius Repair PT Protocol. Single leg stance.

Muscle re-education and motor control of post-op leg Incision management. Continue previous exercises 2. Knee Replacement PT Protocol.

Home Exercise Program post-op Glute sets. If OA is causing your hip pain and you are having difficulty managing basic functional tasks you may benefit from a surgical procedure called a total hip replacement THR. Knee and hip ROM exercises restrict to 90 degrees at the hip with posterior approach Strengthening Modified crunches one bent one knee straight Forward planks Single leg half pelvic bridge Standing hip flexion to 90 degrees at the hip with posterior approach Standing hip abduction Bent over hip extensions.

Hip Replacement and Hip Resurfacing PT Protocol. This protocol was adapted from a protocol developed by Dr. Joint Replacement Sports Medicine SuperPATH THA Physical Therapy Guidelines This protocol has been developed using a combination of the most current research and clinical expertise with SuperPATH hip replacements.

Heel slides Quad sets. The hip is a big joint in your body and the THR surgery is a big surgery. Total Hip Replacement Standard of Care Administration Approval.

Stairs with a reciprocal pattern and NO railing to assist to ascend. Instruction in hip precautions. Patient may discontinue use of assistive device when able to ambulate without a significant limp.

Amy Putnam VP Physician Services Purpose. Hamstring sets digging heel in.

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