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Returning to Yoga Practice and Teaching After Total Hip Arthroplasty
Andrew G Yun1, Marilena Qutami1, Eric Carles2
1Hip and Knee Replacement/Orthopaedic Surgery, Providence Saint John's Health Center, Santa Monica, USA.
Cureus
|October 14, 2021
Summary
Highly experienced yoga instructors can safely return to practicing and teaching yoga after total hip arthroplasty (THA). This study found no complications, with patients resuming activities within two months post-surgery.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Rehabilitation Science
Background:
- Patients undergoing total hip arthroplasty (THA) often express a desire to return to yoga practice.
- Concerns exist regarding the safety of yoga post-THA due to reported dislocations.
- The feasibility and safety of returning to yoga for highly motivated individuals remain unclear.
Purpose of the Study:
- To investigate the timing and feasibility of returning to yoga practice and teaching after THA.
- To assess the safety and outcomes in a cohort of experienced yoga instructors post-THA.
Main Methods:
- Retrospective review of 19 THAs in 14 yoga instructor patients (2010-2019).
- Exclusion of patients who practiced yoga but did not teach.
- Primary outcomes: return to practice/teaching, 14 classic yoga poses fluency.
- Secondary outcomes: Hip Disability and Osteoarthritis Outcome Score (HOOS, Jr.), complications, radiographic assessment.
Main Results:
- All 14 patients successfully returned to practicing and teaching yoga.
- Mean time to return to practice and teaching was 2 months post-surgery.
- All patients achieved fluency in 14 classic yoga poses.
- No complications were reported at a mean follow-up of 5 years.
- Mean HOOS, Jr. score was 92 (SD ± 15).
Conclusions:
- Return to yoga practice and teaching is feasible and safe for experienced yoga instructors after direct anterior THA.
- Patients can safely resume yoga activities, including complex poses, with appropriate modifications.
- This study supports yoga as a safe and beneficial activity post-THA in a select, highly motivated patient group.
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