- Hi, I'm Bob Schrupp, physical therapist.
- Brad Heineck, physical therapist.
- And together, we are the most famous physical therapists
on the Internet.
- In our opinion, Bob.
- Ra, Ra, Ra!
Today, we're gonna talk about some exercises to do
after a total hip replacement, with the anterior approach.
- An-terior. In other words, they did the surgery coming in
from the front side.
It's not a very popular surgery, but it may get
- I should say not very popular, not very common.
- Common, right.
- Yeah. It probably is gonna become more popular
because there are advantages to it.
- Sure.
- And we're probably gonna do a video on that.
- Yeah.
As a matter of fact
the precautions for an anterior are different than
- Right.
- The typical posterior.
And we do have a video on that.
Can you post that? Bob?
- Sure I'll link that up, right here.
- Okay. Very good. So,
- Alright. Let's start with the Exercises.
- A lot of times you don't have to, after surgery
you'll go through some exercises in the hospital.
Two or three days stay, and you go home
and oftentimes you don't have therapy.
- Right.
- Because things go quite well.
Here are some simple exercises you can do
after an anterior hip.
They're very similar
to the other video we made
for posterior, number one, simple squats.
- Now you can do this holding
onto a walker or onto a countertop or a sink.
- Exactly.
- Or so on.
- You know, if you got a good
solid chair to hold onto.
Okay, now with the anterior, you can squat
down as far as you want, but be careful,
cause you need to get back up without falling down.
- That's right.
- So take your time with these.
Be on the cautious side, go down not too far.
- Probably start narrow, with shallow squats.
- Right. Feet out wide.
There we go, like that.
Good posture,
not going over like this,
cause we wanna strengthen the legs.
- Feet out wide, but not turned out.
- Right, good point.
- Yeah. You want the feet pointed straight forward.
The toe is straightforward.
- Right, if this was my hip that was done,
we wouldn't want those toes pointing out that way.
- Right.
- Cause some people have a natural stance
like I do and that feels normal,
but you want to keep that foot toe forward.
- Because you don't want to bring the leg
into external rotation after an anterior hip.
- Good, excellent. So we've got squats 10 to 15 of 'em.
Then you're gonna to hip abduction.
Again, don't let your toe point out.
Watch my toe.
I'm gonna keep it pointed straight forward.
And you're gonna do 10 to 15
of these and don't do this.
- No dipping.
- Yep.
That's compensation or cheating.
We wanna do it properly and go like that.
- It's gonna be harder this way.
- Yep. Toe pointed forward.
I'm getting tired, Bob.
- Probably do some on the other side too, right?
- Sure. Yeah, yup.
- You're gonna wait there,
you're gonna make that hip work a little differently now.
- Exactly.
- We're saying this is the hip that had the surgery.
- Yep. So you can do it
on involved, the surgery side, and the opposite side.
- The same with the squats of course
is getting both of them
- At the same time. Mm hm.
The one thing you're not gonna do is this one.
Okay? And then you can go to marching.
Bring your knees up as high as you comfortably can.
Do 10 on a leg, 15 on a leg,
whatever you're comfortable with.
And then this one doesn't involve the hips, the last one,
but it does involve balance.
We want you to go up on your toes.
- You wanna get that Lonnie?
Are you getting it down to his feet? Oh, you are.
- Up on the toes and then rock back
and have something to hold onto.
This is a nice one to go to a cupboard or a sink where
you can wrap your hands around the sink a little bit,
because we don't want, obviously, anybody falling, so
- A good grab bar.
- up on your toes.
You don't have to lift your toes up very high.
Just a little bit.
Even if your feet don't come off, and you know,
if you're older person
or you have some strength difficulties
we just want to get those muscles activated.
- Right.
- And they'll activate whether you go this far
or really high.
So just do that, as tolerated,
balance is the biggest concern here.
Get those muscles firing.
And 10 of those is fine.
- Very good.
- So those are the four exercises,
so if you're gonna get that anterior hip,
this is a good set to do.
- And remember we're not just pretty
- We're pretty, we're pretty ugly...
- Pretty handy, pretty helpful.
I don't know why you can't get that in his head.
- Yeah. If you can't find yourself handsome
you'll find ya handy. It's a red, green thing.
- That's right.