When to start exercise after hip replacement
Best Home Exercises after Total Hip Replacement: Critical Exercises
hi I'm Bob Shrum physical therapist Brad
hanok physical therapist together we
have the most famous physical therapist
on the internet Brad and I opinion of
course Bob what are we talking about
today Brad total hip surgery and
exercises at home after you get home
from the hospital okay and he just had
one of our viewers asked for some
exercise to do after get home and as I
have a patient right now he's four weeks
out he's 58 years old and we're doing
exactly the same thing so it's really
good timing can I make a point sure now
a lot of times people don't even have
therapy after total hip surgery right
yeah the times they go right home so
this is really good for them exactly all
right let's get started
all right so I'm the patient and I just
want to review it you're going to have
the precautions right so you should know
those right now but we can review them
if you're sitting down this is probably
the biggest one do not bend forward like
this to put your socks on or tie your
shoes or whatever or standing you should
not do this the other one is don't cross
your legs don't cross your legs yep
don't do this kind of thing the other
one is if this is the the new hip don't
point that toe inward right don't don't
step if this is the hip don't step on
that foot and then go like this oh yeah
that's the one where I've seen people
actually do it where they dislocate this
right so yep okay okay the exercise is
your home you're going to use your
walker I have to show up okay okay we're
going to get to the real exercises we're
going to use the walker at home you can
go up to a countertop where there is a
sink and you can actually hold on to run
the sink we don't have one here but you
probably know what I'm talking about
with the walker though we're going to do
number one is just marching okay so
bring the knees up and you're going to
bring them up as high as you kid but not
past 90 degrees and you probably won't
get it past 90 anyways okay just watch
out so you don't bump your knees into
this part of the Walker and I like to do
10 on a leg so if you're counting one
two three on each one T to go up to 20
okay number two now this one with the
Walker you have to be little careful
because you're going to go out to the
side okay hip abduction I'll show it
from this angle
okay so usually there you go show what
happen if the walkers too close
you bump your foot into it no good we
don't need that there you go out to the
side there you go and then show this way
and this is what you don't want to do
you don't want to go like this right you
want to keep straight up good posture
bringing the leg out to the side makes
it much more difficult by the way and
also can you see this over here Lonnie
bring your foot out a tendency is that
people will point their toe like this
and that's not correct you want to keep
your toe pointing forward
let's go work that hip adductor laughing
yeah this is a really important one by
the way because if you get that walking
where you're walking head going like
this after a hip this is the exercise
that's going to correct it and you want
to do both sides right back you bet
because actually you're getting a little
weight bearing through the hip then to
exact spacing that way til 10 to 15 on
this one why don't you face this way Bob
the Neptune is hip extension working
those glute muscles going straight
behind good posture up tall Bob why
don't you demonstrate the incorrect way
and one of those dipping Birds all right
it's no good dipping out of the water
yep do them right do them right 10 to 15
on each leg as well all right and toll
pointed straight forward again yep
turning it out to the side let that
happen
okay now this next one isn't really for
the hip but it's really good for your
balance ankle strengthening you're going
to go up on your toes honey can you see
my dad was ill donax oh you can see
what's going on down here do you go
he'll toll right away or do you just go
heels first and then toes depends on a
person usually I'll go heel tall right
away tall like this yep rock up now face
that way Bob so they can see it from the
lateral view I get the Walker out of the
way and you know some people are going
to have a hard time getting the heels up
real high or getting a toes up real high
even if you only get up a quarter inch
and sometimes people can only get their
toes up a little bit but you're still
doing the same you're still getting it
the strengthening the muscles are still
working regardless if you're getting up
as high as Bob is so going to work those
again 10 to 15 of those the whole thing
is probably going to take you
about five minutes at the most when
you're done do those three times a day
and within a few weeks you're going to
be ready for the advanced exercises if
you're at that level
all right I'll link that right here okay
so that because we're going to go right
to that one next so thanks for watching
good job
