Hip replacement is performed when the hip joint has experienced irreparable damage. A prosthesis is implanted to replace the femoral head, socket or even part of the hip bone. While early postoperative exercises involve nonresistance range of motion, modified Pilates is beneficial to recovery when started as early as two weeks after being discharged from the hospital, according to a study by Brett Levine, M.S., M.D., and colleagues in "Clinical Orthopaedics and Related Research" in 2009.
Hundred
The hundred is a Pilates pose that can be started in a modified position as early as two weeks postoperatively. As strength and mobility increase, you can transition into the standard hundred position, generally after six months. This is a warm-up exercise designed to engage and warm up core muscles. The standard position starts with you lying on your back. You place a ball between your ankles, raising your legs at a 45-degree angle while reaching your extended arms past your buttocks and lifting your head above the ground. Modify the move early by placing a pillow under your head and holding the ball between your bent knees propped on a half-roll. Hold the position for 10 seconds or build up to it.
Double Stretch
The double stretch helps strengthen core muscles and improve your base for walking. The double stretch keeps both legs together, bent at a 90-degree angle. Reaching with your hands, you grasp your legs at the shin, lifting your head. Modify this Pilates move as early as two weeks postoperatively by placing your bent knees on a half-roll and holding your thighs instead of your shins. Place a pillow under your head for support.
Resistive Hip Flexion
As you get stronger and retain mobility and stability in the hip, the flexion, using a resistance band, increases strength. Secure the band to an immovable object at ankle height. Wrap the other end of the resistance band around your ankle while standing and balancing with a chair in front of you. Face away from where the band is secured. Bring your leg forward toward the chair on which you are balancing. Do 10 repetitions four times daily after your doctor gives approval.
Resistive Hip Abduction
With the resistance band still attached to the immovable object, alter your position so your operated side is farthest away from the attached point. With the chair between you and the attached point, balance on the chair while pulling your ankle on the operated side away from the chair. Work slowly so you do not overextend. Do 10 repetitions four times daily.
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