There are so many variables to consider.
While I would not want to give any suggestions as to how you ought to go about training this individual, I surely would encourage you to do the following before you begin training your client:
1. Make sure you understand the anatomy of the hip joint.
2. Make sure you know what type of replacement your client has had.
3. Make sure you speak with her orthopaedist as well as her physiotherapist to make sure there is isn’t any contraindications to exercise. I am quite sure that there are.
Questions to consider:
1. How long ago did she have the surgery.
2. If she had the surgery 3-4 four months ago and you are not prepared to work with people with hip replacements I believe you are taking a huge risk.
3. If your client is having pain, it might not be a good idea to train her.
4. If he/she is still using an assistive device to walk, I wouldn’t touch it.
I hope this gives you a little food for thought as to how you should go about approaching your new client and I wish you the best.
Good answers by Joanne and Susan, I also don’t know what you mean by limit her mobility.
Balance is an important component to work on. In addition there are exercises contraindicated for those with a hip replacement (adduction, grapevines etc.), so you must have clear guidelines from her physician or physical therapist what she can do.
Hi Blessing. I’m assuming in your question that you actually mean to “improve” her hip mobility – true? There are many ways to accomplish that, but always, take into account your client’s current limitations and the recommendations of your client’s medical team (e.g. physician and therapists). Easy cycling on a stationary bike, passive and active stretching, and progressive resistance exercises with bands (such as hip flexion and extension) are all exercises that I’ve used with my clients with post hip-replacement mobility and strengthening.
Take your time, listen to the feedback of your client, and communicate with your client’s healthcare providers and you and your client should be fine.
I hope that this helps.
Not sure why you would want to limit her mobility. Establishing hip strength and (as much pain free) range of motion are the two biggest things to getting her moving.
If he/she did rehab, a lot of that was established there. Depending on amount of time post-op and physician release, which again usually happens while in rehab, the total-hip precautions, internal rotation, leg-crossing and flexing past 90degrees, are less important. But then too, depending on the approach, if its anterior the precautions are no longer applicable to total hip replacements, even right after having the surgery.
Tim Williams, BS, HFS, PTA, KTP