Hip Replacement Physical Therapy Protocol
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Arom gradually and in protected range no hip flex 90 add to neutral.
Hip replacement physical therapy protocol. Outpatient physical therapy should be scheduled prior to surgery. Instruction in hip precautions. When achieves sufficient hip mobility and gluteal strength and physician clearance lifetime restriction of high impact activities recommend outpatient pt start date at 10 14 days post operative advancement of hep determine additional physical therapy goals and establish plan of care updated 11 15 2016. Total hip arthroplasty tha is an elective operative procedure to treat an arthritic hip.
Open and closed chain exercises can begin. 4 5 weeks moderate protection phase. Physical therapy standards of care and protocol the following standards of care and protocols are the property of bwh and should not be copied or otherwise used without the permission of the director of rehabilitation services. Hip adduction with roll between legs squeezing.
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. Within 6 weeks you ll likely be able to do most of your normal activities. Home exercises to include. Joint replacement sports medicine jewish hospital medical plaza 100 e.
During hip replacement a surgeon removes the damaged sections of your hip joint and replaces them with parts usually constructed of metal ceramic and very hard plastic. Immediately post operatively days 0 3 goals. 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. Initial phase weeks 1 3 walking at home for about.
Liberty street suite 600. A physical therapist might help you with exercises you can do in the hospital and at home to speed recovery. Avoid hip flexion beyond 90 degrees no internal rotation and no adduction. Patient will attend physical therapy 2 3x week for the first 6 weeks or until patient returns to the surgeon.
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. Birmingham hip resurfacing total hip replacement. Total hip arthroplasty protocol page 2 of 3 total hip arthroplasty protocol phase 1.
Ankle pumps with leg elevation. Gluteus medius repair pt protocol. Total hip replacement recovery will start with physical therapy in the hospital and will continue once you go home.
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