Hip replacement is a life-changing event for our clients. Edema, nerve disruption, muscle imbalance and adhesions can all sideline and discourage even our most active clients. Learn about Scarpa’s and Colles’ fascia along the abdomen, groin, and thigh. Experience lymphatic, somatic and corrective work to allow healing and entry into a full Pilates environment restoration.
The 2-hour background lecture video provides pre- and post-op recommendations for the scheduled trauma of total hip replacement surgery. Fascial disruption, bone healing, stages of recovery are explained. Deepen your understanding of the various factors involved with best practice recovery. Learn practical advice on how to implement best practice for optimal recovery for this common situation for many of our clients.
4 hours of pre-recorded LAB ZOOM meetings give demonstrations and discussion on active Pilates environment work for clients.
Objectives
At the end of this course, the participant will:
- Better understand the physical and functional aspects of hip replacement scheduled trauma
- Better understand how the differing anatomical approaches to hip replacement impact movement
- Better understand the post-operative stages throughout the first recovering year
- Learn recommendations and exercises to support the post-operative stages
- Better understand how compensatory patterns from end-stage arthritis impact full return to desired physical goals, and how Pilates supports full return.
- Better understand how to support clients both pre- and post-operatively at the appropriate stage
- Better understand the need for, and physical locations of, the fascial continuities and anatomy most impacted by the surgery
- Better understand the impact of lymphatic exercises for edema control and emotional support
- Better understand the functional goals necessary for gait, climbing stairs and regaining balance.
- Better understand how to program the Pilates environment experience to produce the best physical, psychological success for the client
Lesson Plan
Module 1. Lecture
- The replacement journey: onset of symptoms, discernment, selecting a physician, approach, scheduling, and preparation
- Skeletal and soft tissue impact
- Lymphatic disruption and control recommendations
- Progressing functional goals in the Pilates environment: sitting, stance, gait, stair-climbing
- Aging pitfalls: balance, gait speed
LAB 1
- Pre-op hip arthritis exercises
- Bed exercises
- Supportive in walker: Standing balance and easy range of motion
- Somatic supine breathing and lymphatic exercises
- Managing swelling and lymphatic flow
- Addressing scar tissue and fascial adhesions
LAB 2
- Bridging; balancing the pelvis
- Developing range and strength in abductors, rotators
- Developing a reformer program
- Stance, gait quality and speed
