Algorithm of physical therapy exercises following total hip arthroplasty

Area of Science:

• Orthopedics
• Physical Therapy
• Rehabilitation Medicine

Background:

• Total hip replacement (THR) for osteoarthritis requires effective post-operative physical therapy.
• Rehabilitation is crucial for restoring function, muscle strength, and joint stability after THR.

Purpose of the Study:

• To present a comprehensive set of exercises for patients undergoing THR.
• To establish a unified rehabilitation algorithm for cemented and non-cemented hip arthroplasty.

Main Methods:

• Developed a rehabilitation algorithm based on literature review and author studies.
• Categorized exercises into supine, standing, and resistance training (TheraBand®).
• Included marching, walking, and cycloergometer training in later stages, considering patient positioning and contraindicated exercises.

Main Results:

• Postoperative rehabilitation significantly improves hip girdle muscle strength and joint stability.
• A structured exercise program enhances gait and restores patient independence in daily activities.
• Careful consideration of exercise type and patient positioning minimizes risks like endoprosthesis luxation.

Conclusions:

• A well-defined rehabilitation protocol is essential for successful outcomes after total hip arthroplasty.
• The presented exercise regimen aids in restoring physical function and independence.
• This approach standardizes rehabilitation for common THR types, excluding revision and cancer cases.