Symposium: Advanced Techniques for Rehabilitation after Total Hip and Knee Arthroplasty

Clinical Orthopaedics and Related Research®

, Volume 467, Issue 6, pp 1468-1475

First online:

Pilates Training for Use in Rehabilitation after Total Hip and Knee Arthroplasty: A Preliminary Report

  • Brett LevineAffiliated withMidwest Orthopaedics at Rush Email author 
  • , Beth KaplanekAffiliated withThe Pilates Center of Long Island
  • , William L. JaffeAffiliated withNew York University Hospital for Joint Diseases

Rent the article at a discount

Rent now

* Final gross prices may vary according to local VAT.

Get Access

Abstract

Recently, a strong emphasis has been placed on establishing rehabilitation protocols after primary total hip and knee arthroplasty in an attempt to shorten, improve, and standardize the postoperative period of recovery. Less invasive surgical techniques, patient demands, and the pressure of insurance regulations have forced postoperative rehabilitation to be placed on an expedited scale. With these concerns in mind, we introduce a pre- and postarthroplasty program involving the Pilates method. Modified exercises have been developed to account for the postoperative precautions and needs of total hip and knee arthroplasty patients. A patient-driven interest in the use of Pilates for postoperative rehabilitation has led to the development of our programs following total hip or knee arthroplasty. In reviewing our early observations of a small series of patients, it appears this technique can be utilized without early complications; however, further studies are necessary to confirm its utility and safety.

Level of Evidence: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.