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Total Hip Replacement Rehab Protocol

The document outlines a home health physical therapy protocol for total hip replacement patients. The evaluation visit includes an assessment, safety instructions, stair training, ambulation training, and post-op exercises. At 2 weeks, patients progress to cane ambulation and add new standing and sidelying exercises. By 4 weeks, patients transition to outpatient therapy or are discharged, continuing exercises and adding balance training. The goal is independence, community ambulation with a cane, and full hip range of motion. Therapists use judgment to progress patients individually.

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Ahmad Rifai Sarraj
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2K views1 page

Total Hip Replacement Rehab Protocol

The document outlines a home health physical therapy protocol for total hip replacement patients. The evaluation visit includes an assessment, safety instructions, stair training, ambulation training, and post-op exercises. At 2 weeks, patients progress to cane ambulation and add new standing and sidelying exercises. By 4 weeks, patients transition to outpatient therapy or are discharged, continuing exercises and adding balance training. The goal is independence, community ambulation with a cane, and full hip range of motion. Therapists use judgment to progress patients individually.

Uploaded by

Ahmad Rifai Sarraj
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
  • Discharge Plan
  • Postop Exercises
  • 2 Weeks Post-Op
  • Home Program
  • Evaluation Visit

Texas Home Health Total Hip Replacement Protocol

Evaluation Visit: 1.) Comprehensive Physical Therapy assessment 2.) Precautions: No hip flexion over 90 degrees No adduction past neutral No internal rotation past neutral 3.) Home Safety Assessment Making sure to assess for all surfaces that the patient will be sitting on; focus is on maintaining precautions on all those areas 4.) Stair Training with step-to pattern (if applicable) 5.) Ambulation with Walker 6.) Begin Post-op therapeutic Exercises as below 7.) Instruct patient on use of education booklet Post-op Exercises: 1.) Supine: Ankle Pumps, Quad Sets, Glut Sets, Short Arc Quads, heel slides, hip abduction (making sure to eliminate resistance) 2.) Seated: Ankle Pumps, Long Arc Quads, Hip flexion (below 90 degrees) 3.) Standing: Hip extension, Hip Abduction, Heel Raises 2 weeks Post-op: 1.) Progress ambulation to cane when able to complete without antalgic pattern/pain a. Gait Training geared towards increasing weight shift and weight bearing onto THR LE, decreasing circumdution with ambulation 2.) Continue Post-op exercises as above 3.) Add the following exercises as patient is able to complete without pain: a. Standing: TKEs, Hip flexion (below 90 degrees), mini squats b. Supine/Sidelying: SLR (with therapist assistance to the degree that pain is eliminated), Sidelying Hip abduction, Clamshells (do not cross neutral adduction) 4 weeks Post-op: 1.) Begin Transition to outpatient therapy or DC (if appropriate) 2.) Continue all above therapeutic exercise and progress repetitions to at least 25 3.) Begin balance / proprioceptive training 4.) Introduction to home thera-band exercise Discharge Goals: 1.) Independence with Home Program 2.) Patient is no longer homebound 3.) Patient able to ambulate community distances with appropriate gait pattern and no more assistance than a cane 4.) Full AROM of affected hip in flexion and abduction Note: These are guidelines and not all patients are alike. Doctor orders take precedence over standard protocol. Therapist is to use their professional judgment and discretion when assigning new interventions and progressing treatment according to the individual patients ability.

Texas Home Health – Total Hip Replacement Protocol Evaluation Visit: 1.) Comprehensive Physical Therapy assessment 2.) Preca

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