1. 個人運動項目
全髖關節置換 家裡運動計劃
Personal exercise program
Total hip arthroplasty home exercise program
芝加哥醫藥大學
物理治療服務
芝加哥，伊利諾伊州 60637
773-702 6891
University of Chicago Medicine
Therapy Services
Chicago, Illinois 60637
全髖關節置換治療指南 Total Hip Arthroplasty Treatment Guidelines
您剛剛完成您的手術， 你的醫生已與物理治療師諮詢，開始你的康復旅程。 如果
你感到噁心， 頭暈，疼痛，和畏惧， 這都是手術後正常有的。 請讓你的護士，物
理治療師知道你的感覺如何。他們在這裡幫助您完成整個恢復過程。
You have just had your surgery, and your surgeon has consulted with physical
therapy to begin your rehabilitation journey. Feelings such as nausea, dizziness,
pain, and fear are all considered normal after having surgery. Please let your
nurse and therapist know how you are feeling. They are there to help you throughout your recovery.
手術後當天＃0 Post-OP day #0
1. 複習臀部注意事項 Review of hip precautions
a. 髖關節前屈彎曲不得大於 90 度
Do NOT bend hip past 90 degrees
b. 不要將手術後的腿橫過身體的中線
Do NOT bring surgical leg across midline of body
(no crossing legs)
c. 不要讓腳趾指向內
Do NOT allow toes to point inwards
2. 你的物理治療師會盡快和你做一個評估。這取決於你怎麼從麻醉中恢復過來時的狀態。
You will be evaluated by your PT as soon as the recovery room depending on how you recover from
anesthesia.
3. 你的物理治療師會教你如何適當地下床, 站立, 和坐椅子. 物理治療師將因應你耐受水平而安排運動項目
Your PT will work with you to get out of bed, standing and getting into a chair. Exercises will be
initiated as tolerated.
4. 手術後即可用助行器在耐受的範圍內進行負重步行。
Walking with your PT will be initiated as tolerated.
5. 除了和你的物理治療師運動外, 你應該開始坐在椅子上 1 小時或更長的時期 (如果你不能，註冊護士或
物理治療師可以幫助你回到床上) 。
In addition to working with your PT, you should begin sitting in a chair for periods of 1 hour or longer
(if you cannot, RN or your PT can assist you back to bed)

2. 手術後第一天 #1 POST-OP DAY #1
1. 你會繼續在醫院每天做兩次物理治療。
You will continue to see a PT twice a day while in the hospital.
2. 你的物理治療師會指導你完成所附的練習並與您一起因應你的耐受取得功能活動的進展, 包括步行。
Your PT will instruct you in the exercises attached and work with you to progress your tolerance to
functional activity, including walking
3. 增加你下床活動和在椅子上坐起來的時間用以促進增加你的耐力。
Increase your time spent out of bed, sitting up in a chair, to promote increased endurance
在你離開芝加哥醫藥大學之前 BEFORE LEAVING UCMC
(如果你出院是回家，而不是一個康復機構)
(if you go home with discharge rather than to a rehabilitation facility)
1. 你將要被指導完成上下樓梯, 記住這句話, "好的腿先上梯級, 壞的腿先下梯級"。當你上樓梯, 帶領你的
好腿向上。 當你下樓梯, 帶領你不好的腿 (手術後的腿) 。
You will be instructed on going up and down stairs. Remember the phrase, "up with the good, down
with the bad". When you are going up stairs, lead with your good leg. When you are going down
stairs, lead with your bad leg (leg that has been operated on)
2. 進/出你的汽車-首先從你的後背部進入汽車座椅。
Getting in/out of car - enter car seat by backing in with rear first
3. 如您有穿衣和如廁的困難, 職業治療師會和你做一個評估. 如需購買 “臀部套件”,我們可提供購買地址。
An occupational Therapist will be consulted if you are having increased difficulty with dressing and
toileting. A list of places to purchase a "hip kit" can be provided.
踝關節運動 ANKLE PUMPS
仰面躺下或坐在椅子。彎曲和伸直腳踝。
拉著腳趾拉向你的身體，然後指著他們遠離你的身體。 重複
10
次。
Lie on your back or sit in chair.Bend and straighten your ankles, pulling
your toes up towards your body and then pointing them away from your
body. Repeat
10
times
臀肌運動 GLUTE SET
平躺在你的背部。 擠壓臀部牢固地結合在一起。
為持約 5 秒。放鬆。
重複
10
次。
Lying on your back.
Squeeze buttocks firmly together.
Hold approx. 5 secs. Relax.
Repeat 10 times

3. 大腿前側運動 QUAD SET
平躺你的背部, 雙腿伸直。
彎曲你的腳踝, 向下推你的膝蓋使其緊貼你的床。
為持約 5 秒。放鬆。
重複
10
次。
Lying on your back with legs straight.
Bend your ankles and push your knees down firmly against the bed.
Hold 5 secs. relax. Repeat 10 times
大腿後側運動 1 HEEL SLIDE (start this once bulky ace wrap
dressing is removed)
平躺你的背部。彎曲和伸直你的腿, 滑動你的腳到你的下方,
拉直回到平放位置。重複
10
次。
Lying on your back.
Bend and straighten your leg, sliding your foot towards your bottom and
straightening back to resting position
Repeat 10 times
大腿前側運動 SHORT ARC QUAD
平躺你的背部。
將一個靠墊/抱枕放置手術膝下。彎曲另一膝蓋和平放你的腳在床上。
拉你的腳和腳趾向上, 收緊你完成手術的大腿肌肉和伸直膝蓋。
(保持膝關節背面與襯墊的接觸) 。 為持約 5 秒。放鬆返回起始位置。
重複
10
次。
Lying on your back. Place a cushion/pillow under the surgical knee.
Bend the other knee, resting your foot flat on the bed.
Pulling your foot and toes up, tighten your thigh muscle and straighten
the surgical knee (keep the back of the knee in contact with the
cushion). Hold approx 5 seconds and slowly relax to starting position.
Repeat 10 times

4. 大腿後側運動 SEATED HEEL SLIDES
坐在椅子上, 放毛巾在腳之下。
在椅子下面滑動你的腳, 慢慢地彎曲你的膝蓋。
向前滑動你的腳, 拉直你的膝蓋。
重複
10
次。
Sit on a chair with a towel under one foot. Slide the foot under the chair,
bending your knee slowly. Slide your foot forward, straightening your knee.
Repeat 10 times
大腿前側運動 LONG ARC QUADS
坐在椅子上。
拉你的腳趾向上, 收緊你的大腿肌肉和伸直你的膝蓋。
為持約 5 秒。放鬆你的腿。重複
10
次。
Sit on a chair.
Pull your toes up, tighten your thigh muscle and straighten your knee.
Hold approx. 5 secs and slowly relax your leg.
Repeat 10 times