All photos taken courtesy of Herongate Leisure centre Hungerford
Exercise programs written by Victoria Kerr Davies
Photography Cayford Media
Early Pool exercises following Total hip Replacement or other Hip surgery
WARM UP:
Walk forwards, backwards and sideways across the pool with even size steps x 2 in each direction
Do not use your hands.
Then standing facing the side of the pool, place your hands on the side to aid balance.
Gradually reduce the support as your strength and confidence builds over the next 2-4 weeks.
Stand tall with your weight evenly distributed.
Perform each exercise smoothly and slowly ten times.
Marching on the spot
Bring alternate knee to chest and down, allowing the water to aid upward movement.
Make sure you stand up tall do not dip.
Move alternate straight leg out to the side keeping toes pointing forward ( lead with the heel) and keep pelvis pointing straight to the wall.
Hip Extension
Stretch alternate straight leg out behind. Do not lean forward.
Knee bends
Bend alternate knee backwards keeping the thigh still to bring your heel towards your bottom.
In the same position as the exercise above
With the knee held bent behind you with toes pointing to bottom of pool, push back to feel stretch in front of thigh. Do not lean forward.
Squats
Stand feet slightly apart with them flat on the floor and weight evenly placed.
Squat down and slowly up.
Tiptoes
Squeeze buttocks and go up onto tiptoes and down.
Sideways lunges
Place feet wide apart. Keep facing the wall. Stretch sideways by allowing the side you are going towards to bend and keeping the other leg straight. (Going to right, right knee will bend, left leg remains straight) You should feel the stretch on the inside of the thigh of the straight leg.
Now stand sideways with one hand on the pool side to aid balance. Gradually reduce support as your strengthened confidence improves.
Keep standing up tall at all times
Repeat all these exercises facing both ways working with the leg furthest from the pool wall.
Perform each exercise x 10 smoothly and slowly.
Leg swings
Stretch straight leg out behind and swing leg forward and backward, keeping upper body still.
Cycling
Cycling action with leg keeping the upper body still.
Knee extension
Bring your hip up towards a right angle and bend knee to 90 degrees. Keeping the hip bent now straighten and bend your knee.
Place one foot forward, as in taking a step, keeping upper body still, transfer weight forward, keeping knee straight and foot flat on floor, knee of back leg should bend and heel come off the floor (your weight at this point should be on the front leg)
Now transfer weight back by straightening the bent knee and putting heel onto the floor, the toes of the front leg with lift up.
Take a long step forward, lunge onto front leg allowing the knee to bend and keeping back leg straight
The next set of exercises only to be done if you are a swimmer or confident in water.
Float with the support of water aids or float out from the pool steps.
Lying on your back
Alternately push your straight leg down towards the bottom of the pool and back up.
With straight legs push them apart, keeping toes pointing to the ceiling, then pull straight legs together to bring inside of feet to touch.
Bicycling legs
Do not go further than 90 degrees hip bend
Lying on your front
Alternate straight leg down and up keeping body level and do not rock.
Lying on your front push straight legs apart keeping toes pointing to bottom of the pool then bring the straight legs together to bring heels and feet to touch.
Then Bicycling legs on your front
Finally at the steps. Hold the side of the pool or rail for balance. As confidence grows and strength returns gradually reduce support.
Step up onto and off the bottom step, trying not to pull yourself up. Then do with the other leg.
Stand on bottom step and step down one step and back up. Swop legs.
Place alternate foot on bottom step and lunge forward to bring knee over foot.
Stand sideways to step. Step on and off step sideways. Repeat with the other leg leading.
Sit on a suitable step, so that head comfortably out of the water and you are stable. Stand up and then sit back down again.
Warm down
Walking across pool Forwards, backwards and sideways with
Normal Gait
On your tiptoes
High Stepping
Walk with a dip
Stretch out, with long stride.
Hydrotherapy film
Here is the complete 11 minute film for Early Hips
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