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Physical therapy after hip replacement: Can rehab happen at home?

May 11, 2016

About the Author

photo of Robert H. Shmerling, MD

Robert H. Shmerling, MD, Senior Faculty Editor, Harvard Health Publishing

Dr. Robert H. Shmerling is the former clinical chief of the division of rheumatology at Beth Israel Deaconess Medical Center (BIDMC), and is a current member of the corresponding faculty in medicine at Harvard Medical School. … See Full Bio
View all posts by Robert H. Shmerling, MD


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July 1, 2016

I’m late to find this post but wow, this should be great. May not get any better…

Henry Ebem
May 18, 2016

The construct of this study is limited and may have included patients in category A below. The study is silent on possible complications, comorbidities, patient compliance level and proper implementation of prescribed exercises. It is worthy to noted that therapeutic exercises, like medication, have dose, intensity and duration to be effective and achieve set goals. Performing the right exercises correctly 10 times is more effective than doing same wrongly 100 times, which could worsen condition. Again, teaching a patient therapeutic exercises in an office or hospital environment does not take into consideration possible variations in positioning, exercises equipment available at home and patient’s presence of mind to learn correctly therapeutic exercises that is critical to functional recovery while under pain and limited functional ability.
A). Discharge from hospital to Home–A: Expected high functioning, safe at home, with ability to meet needs, implement expected patient role with limited assistance; has assistive & exercise equipment
B). Discharge from hospital to Home-B: Expected Moderate functioning, safe at home, has some assistance at home to meet needs, implement expected patient role; has assistive & exercise equipment
C). Discharge from Post-acute care facility – Rehabilitation/SNF to Home-C: Low functioning, need assistance at home to meet needs, keep safe, and implement expected patient role; has assistive & exercise equipment

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