Rehabilitation - hip replacement surgery

2-week rehabilitation stay
workout with patient 6 days a week, Monday thru Saturday
each patient receives a brochure on safe handling of their implants

1st day at the rehabilitation centre

Preoperative procedures
• learning how to exercise following surgery
• adjustment of crutches
• learning to walk with a walker
• posture changing exercises, patients learn to walk on their own
• tips on how to avoid dislocation of the hip joint
Interview and exercises, duration: 30 minutes- 1 hour

2nd day at the rehabilitation centre

Postoperative procedures
Thrombosis prevention
• exercises for preventing thrombosis

Exercises for the operated leg
• isometric exercises for thigh quadriceps and hamstrings
• isometric exercises of gluteal muscles
• active exercises of the ankle

Kinesiotherapy:
• morning workout
• exercises – 2 times a day for 30 minutes

Physiotherapy:
• cryotherapy – 3 times a day for 20 minutes

Additionally, breathing exercises and fitness to strengthen the entire body.

3rd day at the rehabilitation centre

Objectives
• prevention of implant dislocation
• strengthening of hip and knee joints
• prevention of risks related to a long complete mobility recovery (e.g. thrombophlebitis, pneumonia, bedsores)
• patients learn to move on their own (onto the bed, chair, etc.), and to walk using crutches
• achieving painless range of motion of hip joint
Patient stabilization
Placing weight on the operated leg depending on the implant and doctor’s recommendations.

Additionally:

Kinesiotherapy
• morning workout
• exercises – 2 times a day for 30 minutes
• learning to walk– 2 times a day for 30 minutes

Physiotherapy
• cryotherapy – 3 time a day for 20 minutes.

4th – 7th day at the rehabilitation centre

Exercises
• continuation of all exercises done so far
• supportive hip joint exercises within the allowable range
• active exercises of the knee joint

Walking training
• continued safe walking training
• stair climbing
• posture changing

Kinesiotherapy
• morning workout
• exercises – 2 times a day for 30 minutes
• learning to walk– 2 times a day for 30 minutes

Physiotherapy
• cryotherapy – 3 time a day for 20 minutes.
• kinesiotaping
• laser stimulation

8th – 14th day at the rehabilitation centre

Objectives
• increasing the range of motion of the hip joint and strength and endurance of muscles
• establishing a proper walking pattern
• general improvement of patient’s health

Placing weight on operated leg
• see above

Exercises for the operated leg
• continuation of all exercises done so far
• exercises using an ergometer- stimulation of mobility
• active hip joint exercises within the allowable range
• mobilization of kneecap
• contracting of back thigh muscles
• stretching of back thigh muscles, calf triceps, thigh quadriceps
• stimulation of knee joint mobility (using cycling)
• exercises in closed kinematic loop
• improvement of depth perception
• control of safe walking

Kinesiotherapy
• morning workout
• exercises – 2 times a day for 30 minutes
• learning to walk– 2 times a day for 30 minutes

Physiotherapy
• cryotherapy – 3 time a day for 20 minutes.
• kinesiotaping
• laser stimulation