Total Hip Replacement

[Dwijen]

Hi to everyone in this forum,
Well, I have a query regarding my patient with Total hip replacement.
Now, the patient is a 65 year old lady and had undegone TOTAL HIP REPLACEMENT ALMOST 2 MONTHS AGO.
She has no problems of diabetes, but she has hypertension which is under control through medication.
At present, she can perform hip-knee flexion of about 70 degreees of motion,
around 50 to 60 degrees of hip abduction in supine lying,
and about 15 to 30 degrees of hip external motion.
Now my question to the members is this,
(1) What are the options that i have, other than CPM to increase the Range of motion?
(2) Rather, should i increase the range beyond the present range available, can i use passive movements and/or peripheral joint mobilization to increase the Range?
(3) Should i initiate anti gravity hip abduction in side lying at this point?
(4) In general what are the options to increase the range of motion for all the types of hip motion i.e. hip flexion/extension, abduction/adduction, internal/external rotation, etc.
Any one having experience in this area please reply as immediately as you can
Thank you in advace

[sdkashif]

THR has already been discussed in detail in this forum. Please, click on the relevent tag sections regarding the THR for detail.

[physiobob]

Originally Posted by sdkashif

THR has already been discussed in detail in this forum. Please, click on the relevent tag sections regarding the THR for detail.

One example is at http://www.physiobob.com/forum/ortho...ement-thr.html (Protocol for physio post Total Hip Replacement (THR))

[jayyappanbpt]

Originally Posted by Dwijen

Hi to everyone in this forum,
Well, I have a query regarding my patient with Total hip replacement.
Now, the patient is a 65 year old lady and had undegone TOTAL HIP REPLACEMENT ALMOST 2 MONTHS AGO.
She has no problems of diabetes, but she has hypertension which is under control through medication.
At present, she can perform hip-knee flexion of about 70 degreees of motion,
around 50 to 60 degrees of hip abduction in supine lying,
and about 15 to 30 degrees of hip external motion.
Now my question to the members is this,
(1) What are the options that i have, other than CPM to increase the Range of motion?
(2) Rather, should i increase the range beyond the present range available, can i use passive movements and/or peripheral joint mobilization to increase the Range?
(3) Should i initiate anti gravity hip abduction in side lying at this point?
(4) In general what are the options to increase the range of motion for all the types of hip motion i.e. hip flexion/extension, abduction/adduction, internal/external rotation, etc.
Any one having experience in this area please reply as immediately as you can
Thank you in advace

hi,
better u can try only passive movments,,,,,
u wont give joint mobilization technique,,,,,,,because it loose the prosthesies,,
..u can encourage active mvts,,,,, u should take precaution to teach the rotatory mvts,,dont do beyond the limits,,,,