Woman performing exercises for hip replacement recovery in a physical therapy setting.

Guide for patients who have undergone hip replacement surgery

This guide provides detailed instructions on what patients should do before and after hip replacement surgery, focusing on the crucial exercises that aid in recovery. The article outlines key exercises such as ankle dorsiflexion, knee flexion, gluteal muscle strengthening, and quadriceps muscle strengthening, emphasizing their importance in ensuring a successful recovery. It also offers practical tips for post-surgery recovery, stressing the importance of consistency and proper technique in performing these exercises.

Published on 19/12/2024

What to do before hip replacement surgery and the fundamental exercises the patient should do postoperatively.

WHAT TO DO:

  • dress comfortably in pajamas or shorts;
  • wear closed-toe sneakers with stretch or non-slip socks;
  • learn to stand over the bed rather than inside it;
  • practice knee flexion exercises while seated and strengthening exercises while lying down (knee);
  • utilize common areas of the ward: cafeteria, TV room, terrace. Be accompanied by family members or staff;
  • you are patients, not invalids;
  • focus on your own recovery rather than that of fellow patients;
  • avoid getting out of bed abruptly; sit for a few minutes before standing;
  • use crutches;
  • if unsure, call us for assistance;
  • remember that the hip prosthesis is at risk of dislocation in the first few months. Memorize dangerous movements and learn the correct ones. The safety maneuver is to bring the knee outward.

EXERCISES FOR PATIENTS UNDERGOING HIP REPLACEMENT SURGERY

(10 repetitions 3 times a day)

ANKLE DORSIFLEXION-PLANTARFLEXION:

move your ankle, foot and toes slowly up and down. Can be repeated several times throughout the day to reactivate calf vein pump.

KNEE FLEXION:

without lifting the pelvis, flex and extend the knee (keeping the knees slightly apart) by sliding the heel on the bed. Once maximum flexion is reached, bring the knee outward and hold for 5 seconds.

GLUTEAL MUSCLE STRENGTHENING:

bring your arms alongside your body, bend your knees slightly apart and lift your buttocks off the mattress, creating a “bridge”;

Contract your buttocks and hold the contraction for 5-10 seconds, then relax.

QUADRICEPS MUSCLE STRENGTHENING:

Sit on the bed with your legs hanging off the edge keeping your knees slightly apart. Actively extend and flex the knee alternately.