Physiotherapy

Outcome Measures

Physiotherapy Arthroplasty Flowsheet

Lower Extremity Functional Scale (LEFS)

Interpreting Lower Extremity Functional Scale (LEFS) Scores

Timed Up and Go Test (TUG)

 

Weight Bearing Definitions

Non-Weight Bearing (NWB)
No weight allowed

Feather Weight Bearing (FeWB or TTWB)
Minimal weight allowed  i.e. not enough to crush an eggshell under their foot

50% Weight Bearing (50%WB)
Up to half of patient’s body weight is allowed.  Two crutches or a standard walker are necessary at all times

Protected Weight Bearing (PTWB or PWB)
Weight bearing as tolerated but gait aids are mandatory at all times until further follow-up with the surgeon

Weight Bearing as Tolerated (WBAT)
Patient is allowed as much weight as they feel comfortable with. Gait aid use is at the discretion of the treating physiotherapist

 

Hip Arthroplasty

Movement Restrictions for 6 weeks

no flexion of the hip > 90°

no adduction past neutral

no extremes of rotation

May begin active abduction in supine and standing after 4 weeks

May begin side lying abduction after 6 weeks

Exercises after Hip Arthroplasty

Exercises 2 weeks after Hip Arthroplasty

Guidelines for Rehabilitation after Anterior Approach THA

Knee Arthroplasty

Patients after knee arthroplasty may kneel, but should do so only on a padded surface while avoiding prolonged and/or repetitive kneeling.

Exercises after Knee Arthroplasty

Stage II Exercises after Knee Arthroplasty

LHSCHealth Professionals


Last Updated May 22, 2015 | © 2007, LHSC, London Ontario Canada