THR, Trochanteric bursitis and abduction ex's!

[morwenna]

Hi,

I'm working in a Hip and Knee Replacement clinic in Canada now, and we are`looking at revamping our patient education leaflets.

We do many Birmingham Hip resurfacing surgeries, and the guy who's worked out the post-op exercises for these has dropped resisted abduction as he feels it is accounting for a number of our patients developing trochanteric bursistis.

We've taken out abduction in lying from the early stage THR exercises, and I'm trying to research to see if we need take out side-lying hip abduction, and theraband-resisted abduction in standing which have been introduced at the 6 week mark.

What are people's feelings on this? Has anyone found any research that shows a correlation between hip abd ex's and troch bursitis?

Can we localise Glut med with the hip flexed and thus cause less trauma to the bursa that way? We also have seated hip abd/ext rotation vs theraband, and the clam-shell exercise .... think these are OK?

Better go, patients waiting, but any feedback would be welcome.

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