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Postrehabilitation Exercise Considerations Following Hip Arthroplasty

Brueilly, Kevin E. PT, PhD1; Schoenfeld, Brad J. MSc, CSCS, CSPS, NSCA-CPT2; Darbouze, Marcia R. BA3; Kolber, Morey J. PT, PhD, CSCS3,4

Strength & Conditioning Journal: August 2013 - Volume 35 - Issue 4 - p 19–30
doi: 10.1519/SSC.0b013e31828a0049
Article

ABSTRACT: JOINT REPLACEMENT (ARTHROPLASTY) IS THE MAINSTAY OF SURGICAL INTERVENTIONS FOR INDIVIDUALS WITH PAIN AND IMPAIRMENTS OF THE HIP THAT HAVE BEEN RECALCITRANT TO CONSERVATIVE INTERVENTIONS. MANAGEMENT OF CLIENTS WHO HAVE HAD A HIP ARTHROPLASTY (HA) CAN BE CHALLENGING FOR THE STRENGTH AND CONDITIONING PROFESSIONAL GIVEN THE POTENTIAL FOR LATE COMPLICATIONS AND RESIDUAL IMPAIRMENTS. ALTHOUGH COMMON OVERARCHING PRINCIPLES EXIST THAT MAY IMPROVE THE CLIENT’S FITNESS LEVEL, A REQUISITE UNDERSTANDING OF SURGICAL APPROACHES, PRECAUTIONS, REHABILITATION PRINCIPLES, AND RESIDUAL IMPAIRMENTS ARE NECESSARY TO DESIGN SAFE AND EFFECTIVE POSTREHABILITATION EXERCISE PROGRAMS. THIS ARTICLE PROVIDES A FRAMEWORK FOR POSTREHABILITATION PROGRAM DESIGN FOLLOWING HA.

1Wingate University Physical Therapy Program, Wingate, North Carolina;

2Department of Health Science, CUNY Lehman College, Bronx, New York;

3Department of Physical Therapy, Nova Southeastern University, Ft. Lauderdale, Florida; and

4Boca Raton Orthopaedic Group, Boca Raton, Florida

Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding.

Kevin E. Brueilly is an associate professor and founding director of the Doctor of Physical Therapy program at Wingate University in Wingate.

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Brad J. Scheonfeld is a lecturer in Exercise Science, Department of Health Science, CUNY Lehman College, Bronx.

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Marcia R. Darbouze is a student in the Doctor of Physical Therapy program at Nova Southeastern University in Fort Lauderdale.

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Morey J. Kolber is an associate professor in the Doctor of Physical Therapy program at Nova Southeastern University in Fort Lauderdale, FL, and the director of Physical Therapy at Boca Raton Orthopaedic Group in Boca Raton, FL.

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© 2013 by the National Strength & Conditioning Association