Routine For: Total Hip Arthroplasty - Standard Precautions

Transcription

1 Standard Hip Precautions TOTAL HIP - 4 Ankle Pump not bend your operative hip beyond a 90 degree angle. not sit with your legs crossed or lie on your back with your operative leg crossed over the other leg. not rotate your hip inward. Follow these precautions until your doctor states otherwise. Bend ankles to move feet up and down, alternating feet. TOTAL HIP - 1 Quad Set TOTAL HIP - 2 Gluteal Squeeze Slowly tighten muscles on thigh of straight leg while counting out loud to. with other leg. Squeeze buttocks muscles as tightly as possible while counting out loud to. Page 1 of 6

2 TOTAL HIP - 6 Heel Slide TOTAL HIP - 7 Abduction Bend knee and pull heel toward buttocks. Hold seconds. Return. with other knee. Slide one leg out to side. Keep kneecap pointing up. Gently bring leg back to pillow. with other leg. TOTAL HIP - Hamstring Set TOTAL HIP - 3 Short Arc Quad Bend operative leg slightly, dig your heel into the bed surface without bending knee further. Hold seconds. Place a large can or rolled towel under leg. Straighten knee and leg. Hold seconds. with other leg. Page 2 of 6

3 TOTAL HIP - Straight Leg Raise HIP - 16 Bridging Bend knee of non-operative leg. Raise your operative leg inches with knee locked. Slowly lower leg. Lie on back with knees bent, feet shoulder width apart. Tighten buttocks and lift hips toward ceiling. Slowly lower. TOTAL HIP (ADVANCED) - 13 Abduction SITTING - 11 Toe Up Lie on non-operative side with a pillow placed between your thighs. Slowly lift operative leg towards ceiling, keeping toes pointed straight ahead. Slowly lower. Note: not use an ankle weight unless instructed to do so by your therapist. times each leg. Sit with your back supported; gently rise up on toes and back on heels. Page 3 of 6

4 SITTING - 5 Sitting Long Arc Quad HIP - 9 Hip Side Kick Sit with hips evenly on a chair. Kick out operative leg, straighten knee. Try to hold seconds. Use lbs on ankle. Holding a chair for balance, keep legs shoulder width apart and toes pointed forward. Lift operative leg out to side, keeping knee straight. not lean. using other leg. HIP - 8 Hip Backward Kick HIP - 10 "I love a Parade" Lift Using a chair for balance, keep legs shoulder width apart and toes pointed forward. Slowly extend the operative leg back, keeping knee straight. not lean forward. Using a chair for support, lift the foot of your operative leg, bend your knee (do not lift beyond 90 degree angle at the hip) and march in place. Page 4 of 6

5 TOTAL HIP - Standing Knee Curls ANKLE / FOOT - 7 Toe-Up Holding support, lift heel of your operative leg toward buttocks. Use lbs on ankle. Hold seconds. Using support, gently rise up on toes and rock back on heels. KNEE - 2 Knee Bend GAIT - 9 Leg Stand Holding a chair for balance, stand with feet shoulder width apart, slowly bend knees. Keep back straight, both feet on the floor. Slowly return to standing position. Stand leg for seconds. Use support as needed. Page 5 of 6

6 HIP - 36 Abduction: Isometric (Sitting) with Manual HIP - 43 Adduction: Isometric (Sitting) with Manual Sitting on a firm surface with feet flat on floor, shoulder width apart. Be sure feet are pointed straight ahead. Therapist applies manual contacts and gives cues to hold, contract and resist. Sitting on a firm surface, with feet flat on floor, shoulder width apart. Be sure feet are pointing straight ahead. Therapist applies manual contacts and gives cues to hold, contract and resist. KNEE - 17 Extension: Isometric (Sitting) with Manual KNEE - 9 Flexion: Isometric (Sitting) with Manual Sitting evenly on a firm surface with thighs supported. Extend knee while therapist applies manual contacts and gives cues to hold, contract and resist. Sitting evenly on a firm surface with thighs supported, pull heel back. Therapist applies manual contacts and gives cues to hold, contract and resist. Page 6 of 6

7 CHART COPY Routine For: Standard Hip Precautions not bend your operative hip beyond a 90 degree angle. not sit with your legs crossed or lie on your back with your operative leg crossed over the other leg. not rotate your hip inward. Follow these precautions until your doctor states otherwise. TOTAL HIP - 4 Ankle Pump TOTAL HIP - 1 Quad Set Bend ankles to move feet up and down, alternating feet. Slowly tighten muscles on thigh of straight leg while counting out loud to. with other leg. TOTAL HIP - 2 Gluteal Squeeze TOTAL HIP - 6 Heel Slide TOTAL HIP - 7 Abduction Squeeze buttocks muscles as tightly as possible while counting out loud to. Bend knee and pull heel toward buttocks. Hold seconds. Return. with other knee. Slide one leg out to side. Keep kneecap pointing up. Gently bring leg back to pillow. with other leg. TOTAL HIP - Hamstring Set TOTAL HIP - 3 Short Arc Quad TOTAL HIP - Straight Leg Raise Bend operative leg slightly, dig your heel into the bed surface without bending knee further. Hold seconds. Place a large can or rolled towel under leg. Straighten knee and leg. Hold seconds. with other leg. Bend knee of non-operative leg. Raise your operative leg inches with knee locked. Slowly lower leg. HIP - 16 Bridging TOTAL HIP (ADVANCED) - 13 Abduction SITTING - 11 Toe Up Lie on back with knees bent, feet shoulder width apart. Tighten buttocks and lift hips toward ceiling. Slowly lower. Lie on non-operative side with a pillow placed between your thighs. Slowly lift operative leg towards ceiling, keeping toes pointed straight ahead. Slowly lower. Note: not use an ankle weight unless instructed to do so by your therapist. times each leg. Sit with your back supported; gently rise up on toes and back on heels. Page 1 of 2

8 CHART COPY Routine For: SITTING - 5 Sitting Long Arc Quad HIP - 9 Hip Side Kick HIP - 8 Hip Backward Kick Sit with hips evenly on a chair. Kick out operative leg, straighten knee. Try to hold seconds. Use lbs on ankle. Holding a chair for balance, keep legs shoulder width apart and toes pointed forward. Lift operative leg out to side, keeping knee straight. not lean. using other leg. Using a chair for balance, keep legs shoulder width apart and toes pointed forward. Slowly extend the operative leg back, keeping knee straight. not lean forward. HIP - 10 "I love a Parade" Lift TOTAL HIP - Standing Knee Curls ANKLE / FOOT - 7 Toe-Up Using a chair for support, lift the foot of your operative leg, bend your knee (do not lift beyond 90 degree angle at the hip) and march in place. Holding support, lift heel of your operative leg toward buttocks. Use lbs on ankle. Hold seconds. Using support, gently rise up on toes and rock back on heels. KNEE - 2 Knee Bend GAIT - 9 Leg Stand HIP - 36 Abduction: Isometric (Sitting) with Manual Holding a chair for balance, stand with feet shoulder width apart, slowly bend knees. Keep back straight, both feet on the floor. Slowly return to standing position. Stand leg for seconds. Use support as needed. Sitting on a firm surface with feet flat on floor, shoulder width apart. Be sure feet are pointed straight ahead. Therapist applies manual contacts and gives cues to hold, contract and resist. HIP - 43 Adduction: Isometric (Sitting) with Manual KNEE - 17 Extension: Isometric (Sitting) with Manual KNEE - 9 Flexion: Isometric (Sitting) with Manual Sitting on a firm surface, with feet flat on floor, shoulder width apart. Be sure feet are pointing straight ahead. Therapist applies manual contacts and gives cues to hold, contract and resist. Sitting evenly on a firm surface with thighs supported. Extend knee while therapist applies manual contacts and gives cues to hold, contract and resist. Sitting evenly on a firm surface with thighs supported, pull heel back. Therapist applies manual contacts and gives cues to hold, contract and resist. COMMENTS: Patient Name/Number: Clinician Name/Signature: Date: Page 2 of 2