The hip joint is a ball and socket joint. Its range of motion isn't only front and back (flexion and extension), but also in a more circular motion. Once you've undergone a hip replacement, the main goal of rehabilitation and physical therapy is to regain pain-free use of the hip. Exercises that strengthen the muscles of the hip joint are emphasized so that the daily activities of living can resume, and also to prevent dislocating the new joint.
Hip Extension/Bridging
This exercise works the gluteus maximus (buttock). Hip extension is necessary for walking and climbing stairs. The gluteus maximus needs to be strong to stand and to maintain good posture. You may notice a stark difference in strength on the side you've had your hip replacement on. Lie on a flat surface on your back, with your knees bent and your feet flat. Lift your hips up and hold for five seconds. Lower your hips slowly. Do 10 to 20 reps.
Hip Abduction
The ability to move your leg away from your body is powered by your hip abductors--think about climbing in and out of a car. Your hip abductors are also essential for balance--it's often necessary to step out to the side to right yourself from falling. Lie on the unaffected side with your hips stacked. Rest your head on your bottom arm. Flex your foot and lift your leg slowly. You will feel the muscles on the side of your hip work. Lower your leg slowly. Do three sets of 10 reps.
Seated Leg Extensions
This exercise works the quadriceps (thigh muscle) which is also a hip flexor. Sit at the edge of a bed or chair, with your hips slightly above your knees and feet hanging. Straighten the knee of the affected leg. Slowly bring your foot back to starting position. Complete two to three sets of 10 reps.
References
- Medscape: Total Joint Replacement Rehabilitation
- "Rehabilitation Techniques in Sport Medicine"; William E. Prentice; 1999



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