Gait Drills After Hip Replacement скачать в хорошем качестве

Gait Drills After Hip Replacement

First performed in 1960, hip replacement (total hip arthroplasty-THA) is one of the most successful operations in all of medicine. More than 285,000 hip replacements are performed a year in the United States. According to the National Institute of Arthritis, Musculoskeletal and Skin Diseases (NIAMS), "More than 90 percent of people who have hip replacement surgery will never need revision surgery." However, because more younger people are having hip replacements, and wearing away of the joint surface becomes a problem after 15 to 20 years, revision surgery is becoming more common." If you want keep your hip replacement happy, I have some field-tested fitness suggestions. *Reboot Your Glutes* The gluteus medius (outside butt muscle) and gluteus maximus (big rear butt muscle) are the primary drivers of the hips. They also help regulate motion at the lumbar spine, pelvis, and knee. Better gluteal control reduces the level of stress that travels directly into your artificial hip. Many THA patients have what we physical therapist call “gluteal amnesia” - the inability to efficiently fire the gluteal muscles. Restoring a robust neurological connection with your glutes is achievable with some dedicated exercise. *Improve Lower Extremity Strength* Most THA patients develop leg weakness long before their replacement operation and after the surgery their strength is even more depleted. They need to work on strengthening their legs, not just the hip, for an extended period of time. In my work with fitness clients that have undergone a hip replacement, I find diffuse lower extremity weakness that has probably been present for years. *Give Up the High Impact Activity* Do not run, jump, hop, kickbox, or trampoline with a total hip replacement. Think about your hip prosthesis like it’s a car tire. The more you take the car out and light up that tire, the quicker it will wear out. I know you read somewhere that a 120 pound 65 year-old has been successfully running marathons on pair of 15 year old hip replacements. I meet a lot of 180 pound, 65 year-olds that had to undergo a revision surgery on an eight year old hip replacement because they chose to do high impact activities. *Mass Matters* Force = Mass x Acceleration. Most of the hip replacement fitness folks I see need to work on the MASS portion of this physics formula. The extra pounds traveling down your leg with every step will creates a FORCE that takes a toll on a hip prosthesis. *Retrain Your Gait* If you have been traveling around with a painful hip for a number of years, you have probably developed some poor gait mechanics. After a hip replacement, those compensatory gait patterns are not going to go away without some effort. Walking is an automatic behavior similar to breathing. You do not think about how you inhale and exhale you just breathe. Most THA patients need to perform some gait specific training to abolish the neurologically ingrained patterns of walking that developed to avoid pain and compensate for weakness. Watch the video for some THA gait recovery drills.