Hello Christine Urban,
The musculoskeletal system needs decompressing to protect the joints. I would also follow doctor and physical therapist instructions. Avoid what is uncomfortable; do not work through pain, watch the client to keep them from overdoing something. Everyone is different and there are many joint replacement materials being used which are all factors.
Natalie aka NAPS 2 B Fit.
since she is a potential client at this point in time, I would educate myself about the different types of hip replacements so that you will know what questions to ask. As you could see from the answers above, there are different options. If I was a potential client, I would be impressed with a trainer who knows the differences. With double hip and knee replacements, you’ll need a physician’s okay in any case. I would then ask the client to bring copies of all the PT exercises she ever got.
The answer to your question should come from the client’s physician, surgeon, and/or physical therapist. In general, hip replacement leg should not cross the middle to the opposite side. Excessive ROM is also avoided for the hip. The knee in general should avoid lock out and hyperextension. Knee flexion is generally hoped to achieve 110 degrees. More than this is not necessary for almost all knee replacement clients.
For the most part exercise can include quite a variety. Again the medical team is the place to start for recommendations. I have had a few clients determined to run and play tennis with knee replacements. Which is not a good idea in my opinion. Water exercise is excellent, once the surgical wounds have healed. Without any medical recommendations, I really wouldn’t advise beginning a program with such a client.