With the extensive development of artificial hip replacement, postoperative rehabilitation exercise has been paid more and more attention, a
With the extensive development of artificial hip replacement, postoperative rehabilitation exercise has been paid more and more attention, and the fine surgery combined with the perfect rehabilitation exercise can obtain the ideal effect. Because the correct rehabilitation exercise can make the patients recover, increase muscle strength, joint activity, coordination of the restoration movement of daily life, and can effectively reduce the complications after total hip replacement, promote limb function recovery.
1 the first stage of functional exercise (after surgery for 1 ~ 3 days): mainly to the static contraction of muscle movement and distal movement of the joints, the purpose is to promote lower limb blood circulation, to prevent thrombosis is very important. The femoral head four muscle isometric contraction exercise: supine, legs straight from the bed, unit four biceps contraction to the proximal patellar traction, slow movement, each lasting 5 to 10 seconds, and then rest for 5 minutes, 90 times a day. The ankle joint exercise: supine, actively toe flexion movement, ankle plantar flexion and dorsiflexion, each action for 10 seconds, then relax, 90 times a day. The gluteal muscle contraction: patient supine straight leg, arm comfortably on both sides of the body, hip muscle contraction, hold 10 seconds, relax, 60 times a day or so. The patellar movement movement: supine, gently push the nursing staff patella upper and lower, left and right, 30 times a day.
2 the second stage of functional exercise (4-10 days after operation): mainly to strengthen the muscle contraction and contraction of joint movement. The straight leg raising exercise: supine, legs straight up from the bed, ask the heel of 20 cm, in the air is stopped for 2 ~ 3 seconds, after the pause time increases gradually, about 90 times a day. The flexion of the hip flexion exercise: supine, nursing staff hand in patients with knee, a hand heel, without causing pain the downward flexion of the hip, hip flexion angle of knee exercise, but should not be large, should be less than 45 degrees, 30 times a day.
3 the third stage (functional exercise after 11 days to 1 months): at this time, the pain is relieved or disappeared, the muscles and ligaments around the prosthesis began to repair, to get out of bed training. However, patients with cementless prostheses should be trained after 15 days. Lying abduction: supine position, lower limb abduction, about 120 times a day. The supine to sitting training: hands, limb abduction, use your hands to support and force health leg limb will move to the bedside, about 30 times a day. The seat to stand, crutch training: the patient moved to the bedside, healthy legs first, limb after touchdown, crutches, legs and crutches by health support stand, stand 2 minutes to start training, in order to prevent orthostatic hypotension, gradually increased. The stand to walk with crutches training: limb weight-bearing, crutches must have accompanying personnel protection, so as to avoid accidents, time is determined according to the patients physical, usually not more than 15 minutes, 3 times a day.
4 the fourth stage functional exercise (1 months after surgery): hip flexion exercises: standing position, hands crutches or walkers, contralateral single leg standing, keep the body perpendicular to the ground. Ipsilateral hip flexion of knee, hip flexion to 90 degrees up, strengthen the iliopsoas muscle. The knee extensor exercise: standing position, hands crutches or walkers, contralateral single leg standing, keep the body perpendicular to the ground. The affected leg straight leg raising, strengthen the four biceps muscle strength. Hip abduction exercises: the same position and above, the affected side hip abduction, to 40 degrees, to enhance the strength of the hip abductor muscle.
5 the fifth phase of functional exercise (after the operation of 2 months): the use of static bicycle exercise: this method can help lower limb muscles and hip activity coordination. When the foot pedal is started, the first step is backward, and when it is felt that the back stepping action is very relaxed and comfortable. When the action is coherent, and then increase the number and frequency of foot pedal, 2 times a day, each time for 15 minutes, gradually increased to a daily 3 times, each time for 20 to 10 minutes.
6 the sixth stage functional exercise (3 months after surgery): the limb can be gradually gradually from a single double load, turn the abandoned crutches. Because the body balance has been established, can help double or single turn more skilled walking, 3 times a day, each time 10 ~ 15 minutes. When the balance of the body conditioning to fully skilled, you can turn around every day with normal walking 3 to 4 times, each time for 20 to 30 minutes, which can eventually return to normal walking state. In addition, patients with hip replacement should be done within 3 months not only from the bed side, supine, avoid heavy manual labor and strenuous physical activity. To achieve the "four no", that is: do not force the hip flexion squat, and sitting cross legged stool, not short not see "legs". Go upstairs when the health of the first limb, after suffering from the upper limb, down the stairs when the affected limb first, the lower limbs. 6 months after the option of walking exercise routine, not climbing, running, and long run high leg.