[Download Now] Restoring Balance & Function after Hip & Ankle Arthroplasty – Jason Handschumacher

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How many times have you heard a patient say that they had a hip replacement three years ago? I feel like I could lose my balance and fall because I never got all my strength back.

It is common to focus on pain reduction, basic trans-fers, range of motion and basic strength after lower total joint arthroplasty. This is where the patients stop. Long-term improvement of ambulation safety can be overlooked.

The long-term outcomes following ankle and hip joint replacement are emphasized in this course. We will look at what current literature says about which is the best way to improve balance after surgery. It may be surprisingly simple.

1. Identify current options in total hip & total ankle arthroplasty
2. Discuss gait & balance mechanics & how these can be maximized post-operatively
3. Review ankle & hip joint anatomy, the concepts of hip strategies & ankle strategies for balance & the effect of surgery on joint receptors
4. Examine current literature on the importance of balance & proprioceptive training following each procedure
5. Demonstrate which exercises & activities are most helpful, when to initiate each & which ones the patient should continue independently

There are options for total hip and total ankle surgery.

• Review surgical techniques and components
• Common Dx leading to THA and TAA
• Post-operative timelines and when to initiate balance training with each population

Balance mechanics are used to maximize outcomes after surgery.

• Review ankle and hip motions in “Normal” gait to understand which motions to emphasize
• Does the prosthesis limit range of motion and strength gain potential?
• Deficits at 6 months and 2 years post-operatively
• What is the role of proprioception and muscular response in balance and gait

Strategies for balance after surgery.

• The role of neuroplasticity in balance recovery
• Role of symmetry training and impacts on the contralateral limb
• Why surgery seems to have greater impact on ankle joint receptors than in the hip
• Greater muscle mass in the hip and which muscles are the keys in balance

Balance and proprioceptive training are important after surgery.

• Impact on patient perceived long-term outcome and how this can differ from the therapist
• Importance of patients regaining confidence and impact of fear of falling on actual falls
• How is the patient functioning long after discharge from formal therapy?

There are post-operative exercises and activities.

• Single limb stance and tandem stance activity early and late in rehabilitation
• Varying sensory inputs for progressions
• Effective strengthening exercises and proper dosing/overload principles

Restoring balance and function after hip and ankle surgery. Restoring balance and function after hip and ankle surgery. Balance and function are restored after hip and ankle surgery.