- Hi, I'm Bob Schrupp, physical therapist.
- Brad Heineck, physical therapist.
- Together we got the most famous
physical therapists on the internet, Brad.
- In our opinion, of course, Bob.
- What are we talking about today, Brad?
- Total hip surgery and exercises at home
after you get home from the hospital.
- Okay.
- We just had one of our viewers
ask for some exercises to do after you get home
and it's, I have a patient right now.
He's four weeks out. He's 58 years old
and we're doing exactly the same thing.
So it's really good timing.
- Can I make a point?
- Sure.
- You know, a lot
of times people don't even have therapy
after total hip surgery.
- Right, yeah.
- A lot of times they go right home.
So this is really good for them.
- Exactly. Good point
- All Right. Let's get started.
- Alright. So...
- I'm the patient
- And I just want to review it.
You're going to have the precautions
- Right?
- So you should know those right now,
but we can review 'them
if you're sitting down, this is probably the biggest one.
Do not bend forward like this to put your socks
on or tie your shoes or whatever, or standing
you should not do this.
The other one is don't cross your legs.
- Don't cross your legs.
- Yep. Don't do this kind of thing.
The other one is if this is the
new hip don't point, that toe inward.
- Right. And don't step.
If this is the hip don't step
on that foot and then go like this.
- Oh yeah. No good.
- That's the one where I've seen people actually
do it where they dislocate the hip.
- Right. So. Okay.
- Okay. The exercises you're home,
You're going to use your walker. Bob...Bob...
- I had to show off. Okay?
- Okay. We're going to get to the real exercises.
We're going to use the walker at home.
You can go up to a countertop where there's a sink
and you can actually hold on to run the sink.
We don't have one here
but you probably know what I'm talking
about with the Walker though.
We're going to do number one is just marching.
- Okay.
- So bring the knees up and you're going to bring them
up as high as you can, but not past 90 degrees
and you probably won't get it past 90 anyways.
Okay. Just watch out.
So you don't bump your knees into this part of the walker.
And I like to do 10 on a leg.
So if you're counting 1, 2, 3 on each one, you go up to 20.
- Okay.
Okay, Number two, now this one with a Walker.
You have to be a little careful
because you're going to go out to the side.
Okay? Hip abduction.
- I'll show up from this angle first.
- Okay. So usually there you go.
Show what happened, you know, if the Walker's too close
you bump your foot into it.
No. Good. We don't need that.
There you go out to the side. There you go.
- And then I'll show this way
and this is what you don't want to do.
You don't want to go like this.
- Right.
- You want to keep straight up good posture.
Bringing the leg out to the side
makes it much more difficult by the way.
- And also, could you see this over here?
Lonnie, bring your foot out... A tendency
is that people point their toe out like this.
- Yeah.
- And that's not correct.
You want to keep your toe pointing forward?
That's going to work that hip abductor muscle.
- Straight that way, yep.
- This is a really important one, by the way, because
if you get that walking where you are walking head
going like this after a hip,
this is the exercise that's going to help.
- That's going to correct it.
And you want to do both sides right, Brad?
- Correct. You bet.
- 'Cause actually you're getting a little weight bearing
through the hip then too and
your strengthening that way too.
- 10 to 15 on this one.
Why don't you face this way, Bob?
The next one is hip extension working those glute
muscles going straight behind.
Good posture up tall.
Bob, why don't you demonstrate the incorrect way? Yeah.
- Kind of one of those dipping birds, right?
- It's no good
- Dipping outta the water.
- Yep. Do them right, Do them right.
10 to 15 on each leg as well. All right.
- And toe point straight forward again.
Don't be turning it out to the side.
- Right. Don't let that happen.
- Okay.
- Now this next one, isn't really for the hip
but it's really good for your balance,
ankle strengthening.
You're going to go up on your toes.
- Lonnie, can you see my toes?
- Yeah. Zoom down actually.
So you can see what's going on down here.
- Do you go heel toe right away?
Or do you just go heels first?
And then toes
- Depends on the person.
Usually I'll go heel toe right away.
- So like this
- Yep
- Rock up.
- Now face that way, Bob.
So they can see it from the lateral view.
Yeah. Get the Walker out of the way
And you know, some people are going to have a hard time
getting the heels up real high
or getting the toes up real high.
Even if you only get up a quarter inch.
And sometimes people can only get their toes
up a little bit, but you're still doing the same...
- Yeah, you're still getting the strengthening.
- The muscles are still working,
regardless if you're getting
up as high as Bob is so going to work those again,
10 to 15 of those, the whole thing
is probably going to take you about
five minutes at the most when you're done
do those three times a day.
And within a few weeks, you're going to be ready
for the advanced exercises if you're at that level.
- All right. I'll link that right here.
- Okay.
- So that 'cause we're going to go right to that one next.
So thanks for watching.
- Good job.