The rehabilitation physician, together with the orthopedic surgeon, rehabilitation therapist and nurse, formed a treatment team to check in and develop a rehabilitation plan.
Postoperative day 1 to 2
1. Lie in bed and pay attention to the position placement. After hip arthroplasty, there are four dangerous and avoidable positions.
(1) Hip flexion over 90°;
(2) lower limb inversion over the body midline;
(3) External rotation of the extended hip;
(4) flexion of the hip internal rotation.
2.Physiotherapy.
(1) Ice therapy: 1 to 2 times a day, 20 minutes each time.
(2) Computerized medium frequency electrotherapy: 1～2 times a day, 20 minutes each time.
(3) Limb pneumatic therapy: 1 to 2 times a day, 15 minutes each time.
4.Exercise therapy: 1～2 times a day, 30～60 minutes each time.
(1) Prevention of cardiopulmonary system complications by active or passive respiratory training;
(2)Assist external booth ;
(3) Assisted hip and knee flexion and extension training;
(4) Isometric contraction exercises for the muscles of the affected limbs, including: isometric contraction exercises for the gluteus maximus, gluteus medius, quadriceps, biceps, and gastrocnemius;
(5) On the second postoperative day, after removal of the negative pressure drainage tube, CPM training of the affected limb should be performed, with the passive range of motion of the hip joint not exceeding 85°;
(6) Active movement of the ankle, foot and toe.
Post-operative day 3 to 6
1.Physiotherapy: ice therapy, computerized intermediate frequency electrotherapy.
2.Limb pneumatic therapy.
3.Exercise therapy
(1)Continue the exercise training on the 1st to 2nd day;
(2) Bed activity exercises: turning over, sitting up, moving, sitting on the edge of the bed, etc;
(3) Try to move from sitting to standing;
(4) Standing training from sitting position from a high chair or high bed.
Post-operative day 7 to 12
1.Paraffin wax therapy: 1～2 times a day for 20 minutes each time.
2.Computerized intermediate frequency electrotherapy: 1～2 times a day, 20 minutes each time.
3.Limb pneumatic therapy.
4.Exercise therapy.
(1) Progressive muscle strength training of the muscles around the hip;
(2)Try to go up and down stairs;
(3) Walk with crutches as much as possible to achieve partial weight bearing (four-legged crutches → elbow crutches → walking stick);
(4) Occupational therapy: ADL training mainly: such as getting up, transfer and walking training, etc.
3 weeks after surgery
1.Exercise therapy
(1)Further increase muscle strength;
(2) Gait exercises: walking speed, endurance, stairs, slope, pay attention not to cross legs when sitting or lying down.
2.Operational therapy: ADL training: bathing, toileting, riding in a car, etc.
3.Physiotherapy: paraffin therapy, computerized intermediate frequency electrotherapy, hydrotherapy, etc. if necessary.
4.Discharge missionary.
5.Make follow-up time and plan.