- I tied.
(upbeat music)
- Hi, I'm Bob Schrupp, physical therapist.
- I'm Brad Heineck, physical therapist.
- And together we are the most famous physical therapist
on the internet.
- That we are.
(others laughing) In our opinion.
- He's a funny guy.
All right, today, we're gonna talk about,
we're gonna show you how to get out of bed,
after you've had a total hip replacement.
Now, this is assuming that you're gonna follow
the total hip precautions.
And, generally, there are, what three, at least?
- The three biggies. - The three biggies.
You don't want to bend your hip more than 90 degrees.
Brad, why don't you?
- Yeah, we got to clarify.
- Lean on me, 'cause I need to-
- What you got this for, Bob?
- Yeah, I tied this around my leg to indicate-
- It matches my tie.
I got Garcia tie too, and looking at that, it matches.
But what is the line there for?
- Actually, this is to indicate
that this is the hip that was replaced.
Okay, just to have it show up.
I'm not trying to be, I dunno,
if you remember this on "Joanie Loves Chachi."
Remember Chachi used to tie kerchiefs around his leg?
He'd be really cool, around his jeans.
You don't remember.
- I don't know who Chachi was, anyhow.
- Anyway, so, you don't want to go above 90 degrees
flex that hip more than 90 which,
show what a right angle is.
- Okay, here we go.
Move your arm a little bit, Bob.
Here, we got the femur joint,
the hip is right there where you got the new hip there
and right here would be 90 degrees.
Now, bend forward, Bob.
- So, that breaks the 90.
- That's no good. - That's more than 90.
- That's for taking the hip out of joint.
- If I go like this. - Yeah, that makes it 90.
- That's more than 90. - Right.
- If I'm sitting on the edge here
and I lean forward like this. - No good.
- Yeah, so there's a lot of things you can't do
when you have that hip replacement.
The other thing is you're not gonna do
is you're not gonna wanna cross
the surgical hip over the non-involved hip.
- Right. - So, you can't cross
over like that.
- That would make the hip wanna pop out that way.
'Cause it's not secure yet, things have to heal.
- And the other thing we don't wanna do is turn the hip.
So, we don't wanna turn it this way or this way.
- Particularly- - Particularly this way.
- Yeah, inwards.
- I think this way is not as bad
but we just teach people not to turn
in any direction. - Be cautious.
- All right, so you're in bed.
We're gonna try to get out
without doing any of those things.
- You're in bed. - I'm in bed.
- He's in bed.
- I'm talking about the patient, the patient's in bed.
- Okay, so, you're in bed, there's nobody with you.
So, you gotta get out bed.
You wanna make sure you don't take that hip
and pop it out of joint.
You want to keep it healthy.
- So, first thing I wanna do is take the good leg, okay.
I'm gonna put it up and I'm gonna put this toe
and I keep it straight up the whole time.
I'm not gonna go this way.
I'm gonna use this leg to help slide my butt over.
Okay.
Now, I'm gonna get up onto my elbows.
Okay.
And now I'm gonna get up onto my hands.
I'm still not above the, haven't broke the 90.
I'm still leaning back.
Now, I'm gonna lower this leg down.
- You can bend the knee,
that's okay. - You can bend the knee.
I'm assuming that the hip is a little bit weak too
and the leg is a little bit weak.
So, I'm moving over now, again,
I'm using this leg to help position myself
and now I can lower this down and I'm still at the 90.
Now, I gotta kind of walk my butt forward.
- Yep.
- Til the foot gets on the ground
and you want to get this foot flat on the ground.
And now I'm in position to go ahead and stand up.
- And typically, you're gonna have,
people just gotta hip have a walker.
So, the walker, you'd want to have close to your bed
and you would position it here.
And, then. - Right.
And, now, again, I slide forward even further.
And then I can go right up to a standing position.
- Right.
And, typically, the surgeon's gonna tell
if your weight bearing or not.
You're gonna know all that by the time you get home.
- Right, you're gonna know how much weight you're allowed
to put on your hip.
- Yeah, and if you don't have a red walker like this,
that matches my red Garcia tie, well maybe you can get one.
- Oh, your face is red.
Okay, thanks a lot.