After the insertion of a hip TEP (total endoprosthesis of the hip joint), physiotherapeutic follow-up treatment is necessary to achieve the best possible result. The hip is a typical ball-and-socket joint, articulating a round joint head (upper end of the femur) with a socket (pelvic bone), which largely encloses the head to give the hip joint stability. In addition, this joint is also muscularly secured. The aim is to strengthen the atrophied musculature and restore mobility.
3 simple exercises to imitate
1. exercise – “bridging” 2. exercise – “hip abduction” 3. exercise – “hip flexion “Further exercises outside the water, for strengthening after a hip TEP, can be performed with the help of a Theraband. Start with less pull or a lighter Theraband and increase with time. 1. exercise Start in supine position.
The feet are upright, around the knees a double-bound Theraband is stretched. The legs are stretched outwards, at the same time the pelvis is raised and slowly lowered again. The Theraband tension is maintained over 10-12 repetitions.
2nd exercise In lateral position the Theraband is tied around the upper thigh and a wall bar. The leg is bent at the knee, slightly lifted and led backwards against the Theraband tension in the direction of the extension and slowly lowered again. 3rd Exercise Also in lateral position, the Thera band is tied around both thighs and the upper leg is now spread out at an angle and brought back to the body.
Another exercise is done in the seat with hanging lower legs. The Theraband is fixed around an ankle and under the chair leg. The foot is turned slightly outwards and the leg is led up and down again.
This activates the adductors. 4th Exercise While standing, the front can now be trained in the next exercise. Knot the Theraband twice again and wrap it around your feet so that they are in the loop.
Now one foot is lifted by bending in hip and knee. The other foot fixes the Theraband to the floor. Do all exercises in the strength endurance range, 10-12 repetitions on each side and 3 sets.
The exercises should be interrupted, downgraded in intensity or optimized in execution if pain occurs during or after the training. More exercises can also be found under: Aftercare Hip-TEP1. ExerciseTo warm up in the water and get used to the buoyancy, jog for a few minutes on the spot.
Take your arms and legs with you and continue to breathe evenly and deeply. If you still feel too insecure, hold on to the railing or a pool noodle. 2nd ExerciseFor the next exercise everyone looks for a place at the edge of the pool.
With your back to the wall and your arms off, let your legs float up and ride a “bicycle” to move the leg joints through. 3rd ExerciseTo strengthen the abductors and train stability, now turn to the side while standing, only one arm is left holding on. The standing leg is slightly bent on the floor, the other leg is stretched out to the side and brought back to the body.
To train the strength endurance range, 10-12 repetitions and 3 sets are performed with each side. Be sure to keep moving in the water. During breaks you can easily jog again.
4th ExerciseIn the next exercise in the water, a pool noodle is now held under one foot while standing freely. Let the noodle and leg glide up from the buoyancy of the water and then slowly push it down again towards the bottom. 5th ExerciseTo exercise the adductors, i.e. the insides of the legs, a soft ball is pressed firmly between the knees for a few seconds.
This exercise can be intensified by holding on to the edge of the pelvis again with your back to the wall and moving your legs up and down simultaneously with the ball in the middle. 6th ExerciseTurn around now, hook your feet under the railing and let your body float up in a supine position. You may need a pool noodle under the upper body.
As with the leg press, the legs are now angled and stretched again, pulling the body towards the edge of the pool and pushing it away again. 7th ExerciseEven classic stretching exercises can be easily done in water. To stretch the front chain, hold on to the edge again, lift the heel of one leg towards the bottom and hold this position fixed with the other hand. The pelvis is pushed forward.Exercise To stretch the whole side, stretch the arms upwards while standing and incline the upper body to one side. For the back, bend slightly from a standing position, place one leg stretched forward and pull the toes up.
