Example of HUR concept for total hip replacement rehabilitation
The main factors defining the rehabilitation process are the surgical approach and the general state of the patient.
Whether the patient desires to gain physical fitness or wishes to recover for recreational activity should also be
considered when establishing the rehabilitation program. The given order is not fixed and should be interpreted as
an example. However, it shows a progressive contribution of the patient in the therapy. It should start as soon as
possible according to the patient’s tolerance and medical recommendations.
Action
Post-operative Days
Post-
operative
Post-operative Months
Day 1 Day 2-7 week 2-4 1-3
X X X X (6 weeks)
Operative hip range on motion (HROM) X
X X
X X
X Muscle strengthening: primarily hip X X X abductor and extension X X X Gait training (with assistive devices and stair climbing technique) X X Proprioceptive training X X Functional training (daily living) X X Endurance training X X X X
Prevention of dislocation:
Hip flexion above 90°, endorotation and adduction across midline
Acute in hospital and post discharge:
Ankle pumps
Pain control/edema reduction
70
X
X
3-12