HEP-Hip Open Reduction Internal Fixation (ORIF) Exercises

Hip Open Reduction Internal Fixation (ORIF) Home Exercises

Hip ORIF Precautions (Dos and Donts):

Your hip requires special treatment for a temporary period after surgery, usually about two and a half months. During this time, abide by the following precautions:

1. Non-weight bearing to toe-touch weight bearing only!2. Don't lie on your side unless you keep pillows between your knees.3. Don't pivot (turn) on your involved leg.4. Don't use any type of exercise equipment except as instructed by your therapist.

A bit of advice: Before getting out of bed, it's a good idea to pump your ankles by moving your feet and toes up and down about 10 times. This will help prevent swelling and pooling of blood in your legs.

Do only those exercises taught you by your therapist. Gradually increase the number of sets you do as you get stronger.

General Exercise Instructions: Do only those exercises with the box checked as recommended by therapist unless specified otherwise by ORTHOPEDIC SURGEON.

Sitting Push-Ups

Purpose: To strengthen your shoulders and arms. Position: Sit forward in a chair with sturdy armrests or in a wheelchair. Place your hands on the armrests or on the top of the wheels of a wheelchair. Be sure brakes are locked.

Action:Lean forward from the waist. Push down with your arms and lift your bottom up off the chair.Hold.

Repeat _____times.Special Instructions:

Sit To Stand (one leg in front)

Purpose: To stand without putting weight on your surgical leg.

Position: Scoot forward in your chair. Bend your "good' leg under you. Keep your surgical leg out in front.

Action:Lean forward at your waist. Your face should be above your 'good' foot. Push up off the armrest with your arms while remaining bent at the waist. Straighten your leg, and then straighten your body as you reach for the walker.


Dorsiflexion / Plantarflexion1. Sit on a sturdy surface high enough that your feet don't touch the floor.2. Pull the top of your foot up toward your knee as far as possible. Hold for five seconds.3. Push your foot down as far as possible.4. Hold for five seconds and relax.


Quad Set1. Sit on a firm, flat surface with your hands behind you for support.2. Bend your uninvolved leg, keeping the involved leg straight3. Straighten out the involved leg as much as possible, tightening the muscles on top of your thigh.4. Hold for five seconds, and then relax.


Glut Sets1. Recline on your back, supported by your elbows.2. Keep both legs straight3. Squeeze your buttocks together as tightly as possible.4. Hold for five seconds and relax.


Hamstring Sets1. Recline on your back, supported on your elbows.1. Bend your knee to a height of about six inches.2. Tighten the knee by digging down and back with your heel.3. Hold for five seconds, and then relax.


Hip and Knee Flexion1. Lie on your back with your legs out straight and relaxed.2. Keep your kneecaps pointed toward the ceiling throughout the exercise.3. Slide one foot toward your buttocks, bending the knee and hip.4. Slowly return to the starting position.


Hip Abduction, Back Lying1. Lie on your back.2. Keep both legs straight, and your toes pointed toward the ceiling throughout the exercise.3. Move your involved leg out to the side as far as possible.4. Slowly return to the starting position and relax.


Short Arc Quad1. Sit on a firm, flat surface with your hands behind you for support.2. Place a rolled towel under your knee to bend it about six inches.3. Raise your foot until your knee is straight.4. Hold for five seconds, and then relax.


Straight Leg Raise1. Recline on your back, resting on your elbows.2. Bend the uninvolved leg, and keep the involved leg straight3. Straighten the involved leg as much as possible, tightening the muscles on top of the thigh.4. Raise your heel off the bed approximately four inches.5. Hold for five seconds, then slowly return to the starting position and relax.


Long Arc Quads1. Sit on a sturdy surface high enough that your feet don't touch the floor.2. Grip the sides of the surface for support.3. Straighten your knee completely (or degrees).4. Return to starting position and relax.


Documents

HEP-Hip Open Reduction Internal Fixation (ORIF) Exercises