How to work with a total hip replacement client By Chris Gellert, PT, MMusc & Sportsphysio, MPT, CSCS, AMS

How to work with a total hip replacement client
By Chris Gellert, PT, MMusc & Sportsphysio, MPT, CSCS, AMS 
www.pinnacle-tcs.com
"Teaching The Science Behind The Movement"







1-Remember your hip precautions(client's can't cross their legs across midline)

                    

                     
 Crossing the surgical leg
 (ie. right leg), Here the femur  forces the femur <--- lateral(outward) on the acetabulum. In other words, places a force to come out of the acetabulum.

2-Deep squats will also possibly dislocate hip

3-Function strengthening should focus on strengthening hamstrings, glute medius & minimus(abductors that stabilize in frontal plane) and glute maximus(assist with climbing stairs and walking in sagittal plane)

                                       Glute medius                                Diagonal lunge(glute medius and minimus)

Glute maximus

Functional strengthenin

(Don't fully extend hip)

4-Core strengthening exercises are important

 

 

 

 

                                    

        Bridging with physioball

  Trunk rotation with physioball

Wood chop exercise

 

 

 

 

 

 

Bridging with physioball