Recent E-mails

On PRI and Hip Replacements…

I am working with two people that have had right hip replacements.  I’ve done the testing and given them the basic repositioning exercises.  Are there any specific PRI recommendations for hip replacements? 

The most common specific recommendations by MD’s are to avoid adduction past midline and internal rotation past neutral for 6-8 weeks. If your patients are many months post-operative you could go after adduction and internal rotation and AF IR development bilaterally. This would increase their gluteus maximus strength and control of their FA movement. There are many PRI techniques that would be appropriate; we are partial to seated, prone, and standing reciprocal pull backs with adductors, medial hamstrings and anterior gluteus medius muscles on.