Fractured Neck of Femur and Bridging Exercises

[jasaran]

i'm seeing a patient of fracture neck of femur, treated surgically by cemented bipolar hemiarthroplast, shall i do pelvic bridging for him, he has been discharged 15 days ago,

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[nancy fulla]

I had apatient with the same conditions 2 days ago and I don't think its agood idia to do pelvic breidgining yet ...you must wait more days

[gcoe]

Here are some things to consider:

Do you have a protocol in place at your hospital? There needs to be consensus between the orthopaedic surgeon and the physios about how patients should be progressed. This is a very routine procedure.

There is a lot of evidence for early mobilisation of patients and to offer strengthening programmes. However there seems less is known about the best time to start strengthening.

In my opinion bridging is a relatively low intensity exercise, particularly compared to sitting to standing. Unless there is some reason because of the type of artificial joint, it seems to me you are unnecessarily delaying such an exercise.

Have a look on PEDro: the link below will take you to a number of guidelines, reviews and trials on the best rehab for fractured hips. Most of these you can download for free

http://search.pedro.org.au/pedro/rec...d=Start+Search

[fakhrul]

hello, can someone help by listing the conservative treatment for # at neck of femur. Thanks

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yes i had a same case.so i will suggest u go for back isometrics initially before bridging ex
Additional Comment I forgot:
noooooooooo....plz first go with back isometrics then aafter plan for positioning thereupon trunk core stability exercises...then finally proceed for bridging exercises

[msk101]

Hi,
This is quite a standard procedure and generally the operating surgeon should be directing whether a person is Full or partial weightbearing post operatively and for how long. Generally however, bilateral bridging is started ASAP post operatively in both cemented and non-cemented arthroplasties to ensure good healing and strength of the glutes. single leg can be commenced later if the patient can do bilateral easily. weight bearing and mobilisation with standing abduction and extension exercises (with/without theraband or other resistance) is also common however, again, this depends on the hospital/surgical protocol for weightbearing status post op (this decision is made by the surgeons depending on the level of damage to the bone surrounding the prosthetic component, patient's bone density, patient's weight and general state premorbidly, and whether the prosthesis is cemented or not). i strongly suggest you confer with your surgeon to clarify his/her rehab protocol post op and strengthen as much as possible within those guidelines. Functional exercises are more beneficial than isometrics and will gain better results sooner if permitted.

hope that helps.
msk101