Exercising at Home After a THR: it is as Good as Formal Physical Therapy?

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Exercising at Home After a THR: it is as Good as Formal Physical Therapy?
American Association of Hip and Knee Surgeons – Hip Surgery and Physical Therapy
November 7, 2015
Matthew S. Austin, MD and co-authors Brian T. Urbani, MS, James J. Purtill, MD, William J. Hozack, MD, Richard H. Rothman, MD, PhD, and Javad Parvizi, MD, FRCS


The study, “Formal Physical Therapy after Primary Total Hip Arthroplasty May Not Be Necessary,” presented at the 25th Annual Meeting of the American Association of Hip and Knee Surgeons (AAHKS) on November 7, 2015 questioned whether formal outpatient physical therapy is necessary following total hip replacement surgery.

Patients were separated into two groups: those who followed a prescribed exercise program at home and those who received two to three sessions of formal physical therapy over two months after surgery. Surgeons examined the patients after one month and after six months and found no significant difference in their outcomes.

The study concluded that “formal OPT is not superior to prescribed, patient-directed home exercises.” The authors point out that they have “moved away from routinely prescribing outpatient physical therapy” to patients who have had total hip replacement surgery, and that more research needs to be done.
 

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