title: Algorithm of physical therapy exercises following total hip arthroplasty.
abstract: Authors present a set of exercises for patients after total hip replacement (THR) treated due to idiopathic hip joint osteoarthritis. Outcome of surgical treatment depends largely on physical therapy conducted after the procedure. Physical therapy following total hip arthroplasty involves restoration of proper physical function. Exercises increase the strength of hip girdle muscles and stabilize the involved hip joint. Total postoperative rehabilitation improves the gait esthetics. Restoring patient's full independence in everyday and professional life after total hip arthroplasty is the best test for properly conducted rehabilitation.    A rehabilitation algorithm following hip arthroplasty was established based on the data acquired from literature and authors' own studies. Methods of rehabilitation following total arthroplasty was unified with regard to the type of endoprosthesis (cemented and non-cemented). Rehabilitation after revision and cancer arthroplasties were not taken into consideration.    Exercises were divided into those performed in supine and standing positions as well as resistance training (using an elastic TheraBand® tape). At a later stage of rehabilitation, marching and walking as well as cycloergometer training were included. Patient's position during the day and in the sleep for two months following THR was taken into account, including some types of exercises that are contraindicated and pose a threat of endoprosthesis luxation.
authors.affiliation: Chair and Department of Rehabilitation, Poznań University of Medical Sciences, Poznań, Poland. strylaw@gmail.com
authors.forename: Wanda
authors.initials: W
authors.lastname: Stryła
authors.forename: Adam M
authors.initials: AM
authors.lastname: Pogorzała
authors.forename: Piotr
authors.initials: P
authors.lastname: Rogala
authors.forename: Andrzej
authors.initials: A
authors.lastname: Nowakowski
mesh_terms: D000465:Algorithms; D019644:Arthroplasty, Replacement, Hip / Q000534:rehabilitation*; D005081:Exercise Therapy / Q000379:methods*; D005684:Gait; D006801:Humans; D053580:Muscle Strength; D026741:Physical Therapy Modalities; D020127:Recovery of Function