Pilates Training for Use in Rehabilitation after Total Hip and Knee Arthroplasty: A Preliminary Report
- 1.1k Downloads
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.
KeywordsTotal Joint Arthroplasty Postoperative Rehabilitation Outpatient Physical Therapy Rapid Rehabilitation Knee Arthroplasty Patient
We thank Beth Kaplanek and Dina Scafura for developing the following protocol: Specified Pilates Techniques for Hip and /or Knee Syndromes®.
- 1.Adamand K, Loigerot D. The Pilates Edge: An Athlete’s Guide to Strength and Performance. New York, NY: Penguin Books; 2004.Google Scholar
- 2.American Sports Data Inc. Available at http://www.americansportsdata.com. Accessed March 4, 2008.
- 7.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.Google Scholar
- 9.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.Google Scholar
- 18.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.PubMedCrossRefGoogle Scholar
- 19.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.PubMedCrossRefGoogle Scholar
- 28.Siler B. The Pilates Body. New York, NY: Broadway Books; 2000.Google Scholar
- 32.Ungaro A. Pilates Body in Motion. New York, NY: DK Publishing; 2002.Google Scholar