Physiotherapy after a hip TEP is of vital importance. In most cases, structures (vision, ligaments, muscles) around the hip joint are injured by the operation. The physiology of the hip joint is thus severely impaired.
At this point, physiotherapy after a hip TEP becomes indispensable. The possible damage can be counteracted by targeted muscle build-up and restoration of mobility in the hip joint. A hip TEP therefore does not have to lead to a loss of everyday exercises such as walking, running, bending, jumping etc., but should rather contribute to an improvement in the quality of life. An overview of the respective healing phase from day 1 to day 360 can be found in the article MTT after hip TEP surgery.
6 simple exercises from physiotherapy to imitate
1. exercise – “knee-hip extension” 2. exercise – “bridging” 3. exercise – “looping heel” 4. exercise – “cycling” 5. exercise – “lumbar strengthening” 6. exercise – “abductors
Physiotherapeutic intervention/exercises
To ensure that physiotherapy after a hip TEP also leads to a positive outcome, adduction of the leg over the middle of the body, flexion in the hip joint over 90° and rotational movements in the hip joint should be avoided in the first few days. In the following, some exercises are presented which patients can easily perform at home. 1. rear muscle chain In supine position the rear muscle chain can be statically strengthened.
To do this, simply press the stretched leg completely into the support and hold it. Both sides alternately, with three repetitions each. To prevent the lower back from moving into the hollow back, the abdominal muscles must also be tensed.
2. bridging Another exercise is bridging. In the supine position, the feet are placed on the floor, the tip of the foot is pulled up and the pelvis is slowly and forcefully pushed upwards until the abdomen and thighs form a diagonal line. Hold briefly, with strong butt tension and slowly lower again.
Back in supine position with legs stretched out, the heels are alternately pushed out long and down. A simple mobilization is the “dragging heel”: In the supine position, the tips of the feet are used to build up tension and with the heel on the ground, the knee and hip are bent, i.e. the heel is guided towards the buttocks. Attention, do not bend over 90° in the hip.
This exercise can also be done in a sitting position, with a cloth under the foot for better sliding. 4. cycling Cycling Cycling” in the supine position is also suitable for mobilizing all leg joints. 5. lumbar spine In order to move the lower spine and thus also strengthen the hip joints at the same time, the feet are placed against a wall in the supine position during the next exercise.
The pelvis moves slightly forward and backward, or up and down, through controlled abdominal muscle tension. When rolling up, the soles of the feet press strongly into the wall. 6. abductors To strengthen the abductors, one leg is lifted slightly from the floor, stretched out, spread to the side and then brought back up again, also in the supine position.
An increase is the stand. Hold on to a chair. The standing leg is bent slightly and the other leg is spread to the side and brought back up again.
In this way, the stability of the standing leg is also trained. Both sides should be trained in the strength endurance area, i.e. 12-15 repetitions on each side á three sets. 7. adductors The opposite side, the adductors, can be trained in the seat.
To do this, the legs hang freely, one foot turns slightly outwards, the leg is stretched slightly and slowly led up and down again. To increase the traction, a Thera band can be used to increase the traction. 8. wall seat The wall seat is suitable for strengthening the static while standing.
However, care should be taken not to bend hips and knees too far. This exercise can also be performed dynamically by bending and stretching the legs, i.e. the back glides up and down the wall. More exercises can be found in the articles:
- Hip-TEP exercises
- Exercises for hip arthrosis
- Exercises from physiotherapy for the hip
- Hip-TEP aftercare
1. hip flexorTo stretch the hip flexors, the operated leg is let down from the couch or bed in supine position.
To intensify the procedure, the healthy leg is now bent and pulled towards the body and this position is held for about 30 seconds. Stretches should always be in a comfortable range, easy to feel but not painful.2. back of leg The back of the leg can be stretched by placing the heel of the stretched leg on a stool and pulling up the tips of the toes while standing.
To train depth sensitivity and stability while standing, a wiggle board is suitable. First, hold on to a solid object and try to balance the balance. Later you can practice in a one-legged stance.
The exercises should be done daily, especially at the beginning, with slight increases after some time. Exercises, movements and stretches should not cause pain – not during the exercise and not afterwards. If this is the case, interrupt the exercise, control the execution and possibly choose a less intensive variant.
