http://movementsafootblog.com/2007/11/12/teaching-clients-with-hip-replacements/ A BodyMind Think Tank - Taking fitness to the next level Sun, 13 Jun 2010 11:13:36 +0000 hourly 1 http://wordpress.com/ http://movementsafootblog.com/2007/11/12/teaching-clients-with-hip-replacements/#comment-1225 Body thinker Sun, 24 Aug 2008 19:18:20 +0000 http://bodymindthinktank.com/2007/11/12/teaching-clients-with-hip-replacements/#comment-1225 Hip replacements do not last. Just as the hip wears down, the mechanical new hip wears down. Because of the pain in the hip prior to the surgery, many avoid certain movements. This could lead to weakness. In rehab, he should work on building strength all all the muscles of the hip, legs and torso. Hip replacements do not last. Just as the hip wears down, the mechanical new hip wears down. Because of the pain in the hip prior to the surgery, many avoid certain movements. This could lead to weakness. In rehab, he should work on building strength all all the muscles of the hip, legs and torso.

]]> http://movementsafootblog.com/2007/11/12/teaching-clients-with-hip-replacements/#comment-1224 teri viereck, Ph.D. Sun, 24 Aug 2008 16:46:42 +0000 http://bodymindthinktank.com/2007/11/12/teaching-clients-with-hip-replacements/#comment-1224 After 40 years of yoga I had a hip replacement four years ago. Maybe I did too much yoga. The surgery is a very wonderful thing, my husband has had three of them, he never did any yoga. Now he needs to have a re-revision which is a complicated rebuilding of the pelvis, I wonder what he will be able to do in rehab. Any advice? After 40 years of yoga I had a hip replacement four years ago. Maybe I did too much yoga. The surgery is a very wonderful thing, my husband has had three of them, he never did any yoga. Now he needs to have a re-revision which is a complicated rebuilding of the pelvis, I wonder what he will be able to do in rehab. Any advice?

]]> http://movementsafootblog.com/2007/11/12/teaching-clients-with-hip-replacements/#comment-1166 Michael K. Jones, PhD, PT Sun, 10 Aug 2008 18:52:57 +0000 http://bodymindthinktank.com/2007/11/12/teaching-clients-with-hip-replacements/#comment-1166 Excellent post and I agree with your comments. Not only is the surgical approach important in the re-education of the movement after total hip surgery but also the type of surgical fixation is also. The porous or cement fixation will determine the degree of weight bearing and movement in the early stages of rehabilitation. The incision itself doesn't limit the movement after the total hip replacement (THR) but the surgical approach and the tissue that is resected or removed determines the limits of movement post surgical. The resection of the iliofemoral and iliopubic ligaments are the primary reasons for precautions with hip movement after THR. Usually the limitation is no flexion beyond 90 degrees, hip adduction across the midline of the body and hip internal rotation. These three movements together are usually prohibited as well as any one of these movements taken to an extreme. These combinations may result in dislocation of the prosthesis requiring surgical intervention to reduce the dislocation. The anterior surgical approach is most common. The posterior approach is usually but not always, reserved for hip replacement revisions or unusual situations. Its great to have someone writing on medical exercise guidelines. There is certainly a need. Excellent post and I agree with your comments. Not only is the surgical approach important in the re-education of the movement after total hip surgery but also the type of surgical fixation is also. The porous or cement fixation will determine the degree of weight bearing and movement in the early stages of rehabilitation. The incision itself doesn’t limit the movement after the total hip replacement (THR) but the surgical approach and the tissue that is resected or removed determines the limits of movement post surgical. The resection of the iliofemoral and iliopubic ligaments are the primary reasons for precautions with hip movement after THR. Usually the limitation is no flexion beyond 90 degrees, hip adduction across the midline of the body and hip internal rotation. These three movements together are usually prohibited as well as any one of these movements taken to an extreme. These combinations may result in dislocation of the prosthesis requiring surgical intervention to reduce the dislocation. The anterior surgical approach is most common. The posterior approach is usually but not always, reserved for hip replacement revisions or unusual situations. Its great to have someone writing on medical exercise guidelines. There is certainly a need.

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