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Table 2 Description of conventional exercises used in total hip arthroplasty rehabilitation

From: Effect of cycle ergometer and conventional exercises on rehabilitation of older patients with total hip arthroplasty: study protocol for randomized controlled trial

Weeks postoperative Lower-limb weight-bearing/Assistive device for walking Description
2 to 4 Partial/Walker • Stretching (30 seconds each muscle group): hip flexors, extensors, adductors; knee flexors, extensors; ankle dorsiflexors and plantar flexors
• Active assisted range of motion (5 to 10 repetitions): hip flexion, extension, abduction, external rotation; knee flexion, extension
• Muscle strengthening (1 to 3 sets of 10 to 15 repetitions):
o Hip flexors, extensors, abductors (low-resistance rubber band fixed to the ankle in standing position)
o Knee extensors (sandbag fixed to the ankle in a seated position)
• Transfer training: supine to side - lying in bed; sit and stand bed and chair
• Gait training using a parallel bar and assistive device
4 to 6 Total/Crutch or cane • Stretching maintained
• Active range of motion (5 to10 repetitions): hip flexion, extension, abduction, external rotation; knee flexion, extension
• Muscle strengthening (1 to 3 sets of 10 to 15 repetitions):
o hip flexors (moderate-resistance rubber band fixed to the ankle in standing position)
o hip abductors (standing position and seated position with moderate-resistance rubber band)
o hip extensors (bridge exercise, one- and two-footed in supine position)
o knee extensors and flexors (weight-training equipment, in a seated position, 20% 1RM)
• Balance and gait training: walking on an unstable surface, backward walking, side step with the use of parallel bars if necessary
6 to 8 Total/With or without cane • Stretching maintained
• Muscle strengthening (1 to 3 sets of 10 to 15 repetitions):
o hip flexors and abductors maintained
o hip extensors (bridge exercise, one- and two-footed in supine position with ball)
• Climbing and descending stairs
• Coordination, balance, and gait training: circuits with stairs, obstacles, changing direction, changing speed
8 to 10 Total • All exercises maintained
• Addition of the muscle strengthening of hip and knee extensors with squat exercises (1 to 3 sets of 10 to 15 repetitions)
  1. RM, repetition maximum.
  2. Description of conventional exercises used in total hip arthroplasty rehabilitation.