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.
Repeat _____times.Special Instructions:
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.
Repeat _____times.Special Instructions:
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.
Repeat _____times.Special Instructions:
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.
Repeat _____times.Special Instructions:
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.
Repeat _____times.Special Instructions:
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.
Repeat _____times.Special Instructions:
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.
Repeat _____times.Special Instructions:
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.
Repeat _____times.Special Instructions:
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.
Repeat _____times.Special Instructions:
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.
Repeat _____times.Special Instructions: