1
REHABILITATION INTENSIFICATION POST HIP FRACTURE
Core Exercises for Phase 1 of PT Program and Exercises for CTL Program*
Sitting
1.
Chin tucks (neck retraction)*
2.
Trunk twists as far as possible left and right.*
3.
Trunk side-bending as far as possible toward the floor.*
4.
Partial stand-ups from chair.
5.
Lateral arm raises (shoulder abduction).* ET group progressed to performance
using free weights.
6.
Bicep curls and triceps lift, progressed to performance using free weights.
7.
Theraband diagonals (moving from shoulder extension/internal rotation to
shoulder abduction/external rotation).
Standing
8.
Back to wall. Arms abducted to 90° and arms and elbows brought back to wall.*
9.
Wall slides or partially sitting with knees flexed but supporting body weight.
10. Toe press: standing up and down on toes as high as possible.
11. Heel lift: rolling back on heels and lifting toes off the floor.
12. Tandem walking on a line; progressed to use of balance beam.
13. Standing with feet together and then on each leg.
14. Weight shifting onto single limb with one step, with lateral, forward, and
backward movement.
Floor Exercises
15. On hands and knees: rock backwards with attempt to bring buttocks to heels.*
2
16. Prone lying: raise arm and contralateral leg off the floor.*
17. Side lying hip abduction.*
18. Side lying quadriceps stretch: simultaneous hip extension and knee flexion.
19. Prone lying: raise one arm and the opposite leg simultaneously.
20. Supine hamstring stretch: thigh is held to the chest while knee is extended.*§
21. Supine with knees bent: one leg is allowed to fall o ut to the side to stretch hip
adductors. §
22. Supine lower abdominal exercise: begin pelvic tilt and then impose lower
extremity movement.
*Indicates exercise used in CTL home exercise program.
§Indicates exercise modified for subjects with hemiarthroplasty repair and hip flexion
restriction for the fractured limb.