nickji
member
- Joined
- Mar 8, 2009
- Messages
- 163
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- 79
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- Travelling for 39 years
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United Kingdom
Contributions requested for a list of Post.Op. Activities
Hi Everyone,
Here's a short list of Post Op. activities (though the non-weight bearing on uncemented is contentious). The info comes from:
broken link removed: https://aboutjoints.com/physicianinfo/topics/hiprehab.htm
I'm hoping that others might add to the list to make a really definitive list of Activities, with time-line ( with the stress on Activities rather than Prohibitions) - so if anyone feels like adding to it, that would be great.
ACTIVITIES:
Day of surgery
Deep breathing exercises, incentive spirometry
Active ankle ROM exercises
Postop day 1
Quadriceps isometric exercises
Gluteus muscle isometrics depending on surgical approach
Maintain hips in abduction
Active assisted and knee flexion exercises as tolerated
Postop day 2-6
Begin ambulation with a walker or crutches; initiate progressive gait training
*(Cemented total hip replacement:
Weight-bearing as tolerated)
*(Bony ingrowth total hip replacement:
Toe-touch weight-bearing for 6 wks.
Then advance to weight-bearing as tolerated)
*(Trochanteric osteotomy
If secure reattachment, start weight-bearing as tolerated; if tenuous, partial weight-bearing Instruct hip precautions
Instruct energy conservation and work simplification techniques)
Active assisted exercise, progress to active ROM motion and strengthening exercises - we've all been given our exercises, so no need to list them here!
Postop day 7-3 mos
Progressive strengthening and ranging of the trunk, hip, and knee
Closed kinetic chain exercises - note these are not recommended for first week post op.
Improving endurance and gait pattern
Eliminating the use of assistive devices
Pool therapy, bicycling, long-distance walking, progressive stair climbing, and isotonic exercises with weights are encouraged
Postop 3 mos
Focus on level and location of pain, daily walking distance, sitting or standing duration, use of assistive devices, method of stair climbing, use of analgesics, and community reintegration
A patient should maintain total hip precautions for 12 weeks after the procedure. This allows for a pseudocapsule to reform. The incidence of dislocation is reduced by > 95% after 12 weeks.
Enjoy it all,
Nick
Hi Everyone,
Here's a short list of Post Op. activities (though the non-weight bearing on uncemented is contentious). The info comes from:
broken link removed: https://aboutjoints.com/physicianinfo/topics/hiprehab.htm
I'm hoping that others might add to the list to make a really definitive list of Activities, with time-line ( with the stress on Activities rather than Prohibitions) - so if anyone feels like adding to it, that would be great.
ACTIVITIES:
Day of surgery
Deep breathing exercises, incentive spirometry
Active ankle ROM exercises
Postop day 1
Quadriceps isometric exercises
Gluteus muscle isometrics depending on surgical approach
Maintain hips in abduction
Active assisted and knee flexion exercises as tolerated
Postop day 2-6
Begin ambulation with a walker or crutches; initiate progressive gait training
*(Cemented total hip replacement:
Weight-bearing as tolerated)
*(Bony ingrowth total hip replacement:
Toe-touch weight-bearing for 6 wks.
Then advance to weight-bearing as tolerated)
*(Trochanteric osteotomy
If secure reattachment, start weight-bearing as tolerated; if tenuous, partial weight-bearing Instruct hip precautions
Instruct energy conservation and work simplification techniques)
Active assisted exercise, progress to active ROM motion and strengthening exercises - we've all been given our exercises, so no need to list them here!
Postop day 7-3 mos
Progressive strengthening and ranging of the trunk, hip, and knee
Closed kinetic chain exercises - note these are not recommended for first week post op.
Improving endurance and gait pattern
Eliminating the use of assistive devices
Pool therapy, bicycling, long-distance walking, progressive stair climbing, and isotonic exercises with weights are encouraged
Postop 3 mos
Focus on level and location of pain, daily walking distance, sitting or standing duration, use of assistive devices, method of stair climbing, use of analgesics, and community reintegration
A patient should maintain total hip precautions for 12 weeks after the procedure. This allows for a pseudocapsule to reform. The incidence of dislocation is reduced by > 95% after 12 weeks.
Enjoy it all,
Nick
