Clinical Orthopaedics and Related Research®

, Volume 467, Issue 6, pp 1468–1475 | Cite as

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

  • Brett LevineEmail author
  • Beth Kaplanek
  • William L. Jaffe
Symposium: Advanced Techniques for Rehabilitation after Total Hip and Knee Arthroplasty


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.


Total Joint Arthroplasty Postoperative Rehabilitation Outpatient Physical Therapy Rapid Rehabilitation Knee Arthroplasty Patient 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



We thank Beth Kaplanek and Dina Scafura for developing the following protocol: Specified Pilates Techniques for Hip and /or Knee Syndromes®.


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Copyright information

© The Association of Bone and Joint Surgeons 2009

Authors and Affiliations

  • Brett Levine
    • 1
    Email author
  • Beth Kaplanek
    • 2
  • William L. Jaffe
    • 3
  1. 1.Midwest Orthopaedics at RushChicagoUSA
  2. 2.The Pilates Center of Long IslandHuntingtonUSA
  3. 3.New York University Hospital for Joint DiseasesNew YorkUSA

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