Postoperative rehabilitation training for femoral head

Many people are unsure when they should start exercising after femoral surgery, but you can tell by whether you can lift your thigh. If you are sure that you can lift your legs and let your calves hang naturally. You can put a belt around your ankles and pull it with your hands. How to do it specifically? Let's look at the specific steps:

First phase of exercise: muscles, distal joints

1. Six hours after the operation, instruct the patient to perform active or passive toe flexion and extension exercises.

2. 1-2 days after surgery, instruct the patient to perform ankle pump exercises such as plantar flexion (toes down), dorsiflexion (toes up), and other ankle pump exercises on the affected foot. 3-4 times a day, 5-20 minutes each time, and complete about 500 in a day; at the same time, guide the patient to do isometric contraction (static contraction) of the quadriceps femoris, dorsiflexion of the ankle, tighten the leg muscles for 5 seconds and then relax, tighten again, and relax again, 20 times as a group, three groups a day, and gradually increase the number of times and extend the time. Promote the recovery of muscle strength of related muscle groups, promote venous return of affected limbs at an early stage, reduce limb swelling, prevent complications such as deep vein thrombosis and pulmonary embolism in the lower limbs, promote blood circulation in the area around the surgery, reduce adhesion of surrounding tissues, and promote the recovery of muscle strength of the main muscle groups in the surgical area.

Second exercise: knee joint

Passive or active movement

Purpose: To make the hip, knee and ankle produce synchronous and continuous movements, and the human thigh muscles act on the knee joint by driving the bones. There are passive flexion and extension and active flexion and extension, which have a good effect on the recovery of muscle strength and the range of motion of the hip and knee joints, prevent adhesion of tissues around the joints, improve joint mobility, and enhance ligament strength to meet the needs of daily life.

Phase 3 Exercise: Hip Joint

Straight leg raising in bed should only be practiced within the range of 90°. Body position transfers can be performed beside the bed, including lying to sitting, sitting to standing, standing to walking training, walking exercises with crutches or a walker, and practicing getting out of bed. It is not advisable to bear weight too early. Before the fracture has healed, in order to prevent hip adduction deformity and facilitate fracture healing, do not cross your legs or lie on your side.

Postoperative functional exercise is a type of physical therapy, which can be performed with bare hands or using special equipment. It has the effect of promoting the recovery of motor organ function. Its main contents include muscle strength training, joint range of motion training, balance and coordination function training, walking function training, etc.