Today's video covers exercises that can be used to help manage hip osteoarthritis or be implemented after a total hip replacement (THR). Hip pain associated with osteoarthritis (OA) is the most common cause of hip pain in older adults. The condition affects both the structure and function of the hip joint and is usually associated with both mobility and strength deficits.
Symptoms typically include morning stiffness, which improves within one hour of being awake, pain in the anterior and/or lateral hip with weight bearing and limited mobility in at least two of the six hip movements (flexion, extension, adduction, abduction, external rotation and internal rotation).
Clinical testing for hip OA will usually include a loss of mobility with internal rotation and abduction typically being most affected. Weakness of the hip musculature, especially the abductors, is also often noted.
Considering these common impairments, rehabilitation should focus on gentle joint mobility drills and exercises to strengthen the muscles surrounding the hip. Shown in this post are several exercises that are good options for many people. However, each individual’s symptoms and impairments can be unique and there may be other exercises that are more appropriate.
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Reference: Cibulka M, et al. Hip Pain and Mobility Deficits - Hip Osteoarthritis. Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health from the Orthopaedic Section of the American Physical Therapy Association. 2009.