Physical Therapy Based on Closed Kinematic Chain Patterns for Patients after Total Hip Replacement

In this chapter I will focus on the importance of properly managed movement therapy for patients after total hip replacement. It is necessary to find correct movement patterns which can help patient to become more independent in ADL and locomotion. It seems to be much more effective to choose therapy based on closed kinematic chains (CKC). In CKC we have bigger amount of motor units and it is easier to maintain postural reactiv - ity. The main aim is to use similarity in movement patterns. In therapy we choose pat terns that are similar to ADL activities. Acral Coactivation Therapy (ACT) is a movement therapy that works with these principles. The effects of the therapy are seen in differ ent areas: improvement of patient’s ADL skills, better postural reactivity and stability (lumbo-pelvic stability), decrease subjective level of pain. In the subacute and chronic phase of therapy, we can follow up previous aims and focus on restoring full function and condition.