Pilates Training for Use in Rehabilitation after Total Hip and Knee Arthroplasty: A Preliminary Report
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
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.
- Adamand K, Loigerot D. The Pilates Edge: An Athlete’s Guide to Strength and Performance. New York, NY: Penguin Books; 2004.
- American Sports Data Inc. Available at http://www.americansportsdata.com. Accessed March 4, 2008.
- Beck R. Getting to the core. Using pilates to promote overall wellness during rehabilitation. Rehab Manag. 2008;21:34–36.
- Bennett D, Ogonda L, Elliott D, Humphreys L, Lawlor M, Beverland D. Comparison of immediate postoperative walking ability in patients receiving minimally invasive and standard-incision hip arthroplasty: a prospective blinded study. J Arthroplasty. 2007;22:490–495. CrossRef
- Berger RA. A comprehensive approach to outpatient total hip arthroplasty. Am J Orthop. 2007;36(9 Suppl):4–5.
- Berger RA, Jacobs JJ, Meneghini RM, Della Valle C, Paprosky W, Rosenberg AG. Rapid rehabilitation and recovery with minimally invasive total hip arthroplasty. Clin Orthop Relat Res. 2004;429:239–247. CrossRef
- Berry DJ, Berger RA, Callaghan JJ, Dorr LD, Duwelius PJ, Hartzband MA, Lieberman JR, Mears DC. Minimally invasive total hip arthroplasty. Development, early results, and a critical analysis. Presented at the Annual Meeting of the American Orthopaedic Association, Charleston, South Carolina, USA, June 14, 2003. J Bone Joint Surg Am. 2003;85:2235–2246.
- Blum CL. Chiropractic and Pilates therapy for the treatment of adult scoliosis. J Manipulative Physiol Ther. 2002;25:E3. CrossRef
- Brosseau L, MacLeay L, Robinson V, Wells G, Tugwell P. Intensity of exercise for the treatment of osteoarthritis. Cochrane Database Syst Rev. 2003;2:CD004259.
- Donzelli S, Di Domenica E, Cova AM, Galletti R, Giunta N. Two different techniques in the rehabilitation treatment of low back pain: a randomized controlled trial. Eura Medicophys. 2006;42:205–210.
- Duschatko DM. Certified pilates and gyrotonics trainer. J Bodyw Mov Ther. 2000;4:13–19. CrossRef
- Foucher KC, Hurwitz DE, Wimmer MA. Preoperative gait adaptations persist one year after surgery in clinically well-functioning total hip replacement patients. J Biomech. 2007;40:3432–3437. CrossRef
- Ganz SB, Wilson PD, Jr, Cioppa-Mosca J, Peterson MG. The day of discharge after total hip arthroplasty and the achievement of rehabilitation functional milestones: 11-year trends. J Arthroplasty. 2003;18:453–457. CrossRef
- Herrington L, Davies R. The influence of Pilates training on the ability to contract the transversus abdominis muscle in asymptomatic individuals. J Bodyw Mov Ther. 2005;9:52–57. CrossRef
- Hurwitz DE, Ryals AR, Block JA, Sharma L, Schnitzer TJ, Andriacchi TP. Knee pain and joint loading in subjects with osteoarthritis of the knee. J Orthop Res. 2000;18:572–579. CrossRef
- Jago R, Jonker ML, Missaghian M, Baranowski T. Effect of 4 weeks of Pilates on the body composition of young girls. Prev Med. 2006;42:177–180. CrossRef
- Keays KS, Harris SR, Lucyshyn JM, MacIntyre DL. Effects of Pilates exercises on shoulder range of motion, pain, mood, and upper-extremity function in women living with breast cancer: a pilot study. Phys Ther. 2008;88:494–510.
- Klein GR, Levine BR, Hozack WJ, Strauss EJ, D’Antonio JA, Macaulay W, Di Cesare PE. Return to athletic activity after total hip arthroplasty. Consensus guidelines based on a survey of the Hip Society and American Association of Hip and Knee Surgeons. J Arthroplasty. 2007;22:171–175. CrossRef
- Lawlor M, Humphreys P, Morrow E, Ogonda L, Bennett D, Elliott D, Beverland D. Comparison of early postoperative functional levels following total hip replacement using minimally invasive versus standard incisions. A prospective randomized blinded trial. Clin Rehabil. 2005;19:465–474. CrossRef
- Levine B, Kaplanek B, Scafura D, Jaffe WL. Rehabilitation after total hip and knee arthroplasty: a new regimen using Pilates training. Bull NYU Hosp Jt Dis. 2007;65:120–125.
- Maher CG. Effective physical treatment for chronic low back pain. Orthop Clin North Am. 2004;35:57–64. CrossRef
- Ogonda L, Wilson R, Archbold P, Lawlor M, Humphreys P, O’Brien S, Beverland D. A minimal-incision technique in total hip arthroplasty does not improve early postoperative outcomes. A prospective, randomized, controlled trial. J Bone Joint Surg Am. 2005;87:701–710. CrossRef
- Pearse EO, Caldwell BF, Lockwood RJ, Hollard J. Early mobilisation after conventional knee replacement may reduce the risk of postoperative venous thromboembolism. J Bone Joint Surg Br. 2007;89:316–322. CrossRef
- Pilot P, Bogie R, Draijer WF, Verburg AD, van Os JJ, Kuipers H. Experience in the first four years of rapid recovery; is it safe? Injury. 2006;37(Suppl 5):S37–40. CrossRef
- Rydeard R, Leger A, Smith D. Pilates-based therapeutic exercise: effect on subjects with nonspecific chronic low back pain and functional disability: a randomized controlled trial. J Orthop Sports Phys Ther. 2006;36:472–484.
- Shakoor N, Hurwitz DE, Block JA, Shott S, Case JP. Asymmetric knee loading in advanced unilateral hip osteoarthritis. Arthritis Rheum. 2003;48:1556–1561. CrossRef
- Shand D. Pilates to pit. Lancet. 2004;363:1340. CrossRef
- Siler B. The Pilates Body. New York, NY: Broadway Books; 2000.
- Tanavalee A, Thiengwittayaporn S, Itiravivong P. Progressive quadriceps incision during minimally invasive surgery for total knee arthroplasty: the effect on early postoperative ambulation. J Arthroplasty. 2007;22:1013–1018. CrossRef
- Thien TM, Ahnfelt L, Eriksson M, Stromberg C, Karrholm J. Immediate weight bearing after uncemented total hip arthroplasty with an anteverted stem: a prospective randomized comparison using radiostereometry. Acta Orthop. 2007;78:730–738. CrossRef
- Thorp LE, Sumner DR, Block JA, Moisio KC, Shott S, Wimmer MA. Knee joint loading differs in individuals with mild compared with moderate medial knee osteoarthritis. Arthritis Rheum. 2006;54:3842–3849. CrossRef
- Ungaro A. Pilates Body in Motion. New York, NY: DK Publishing; 2002.
- Willson JD, Dougherty CP, Ireland ML, Davis IM. Core stability and its relationship to lower extremity function and injury. J Am Acad Orthop Surg. 2005;13:316–325.
- Pilates Training for Use in Rehabilitation after Total Hip and Knee Arthroplasty: A Preliminary Report
Clinical Orthopaedics and Related Research®
Volume 467, Issue 6 , pp 1468-1475
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- Industry Sectors
- Author Affiliations
- 1. Midwest Orthopaedics at Rush, 1725 W. Harrison St., Suite 1063, Chicago, IL, 60612, USA
- 2. The Pilates Center of Long Island, Huntington, NY, USA
- 3. New York University Hospital for Joint Diseases, New York, NY, USA