THA Hypertrophy Protocol
Study Key Exercises
Suetta et al. 2004
  • Seated knee extensions
  • Leg presses
Husby et al. 2009
  • Leg press
  • Hip abduction machine
Mikkelson et al. 2012
  • Supine
    • Gluteal sets
    • Pelvic tilt
    • Hip abduction
    • Hip flexor stretch
  • Sitting
    • Knee extension sitting on chair with rubber band around ankles
  • Standing
    • Hip extension(low resistance)
    • Hip abduction(low resistance)
    • Hip flexion(low resistance)
    • Step exercise(step height 6-10cm
Husby et al. 2010
  • Leg press
  • Hip abduction machine
Mikkelsen et al.,2017
  • Hip flexion
  • Hip abduction
  • Hip extension
  • Knee extension
  • Leg press
Matheis and Stöggl, 2018
  • Cross walker
  • Treadmill
  • Weight shifting
  • Step seq. (unstable surface)
  • Single leg stance + hip extension and abduction exercises
Madara et al. 2019
  • Early phase 1 (week 1-6)
    • Quad set SAQ SLR
    • gluteal sets supine
    • Standing hip extension step ups
    • Supine abduction heel slide
    • Weight shift SL balance
    • Standing hip abduction
    • Bilateral heel raise
    • STS walking
    • stairs
  • Mid phase 2 (weeks 7-12)
    • LAQ resisted knee extension (theraband)
    • Mini wall squat advanced bridges (resistance band, single band)
    • Step ups onto raised boxes
    • Step out in clamshells
    • SL balance (no hands)
    • Bilateral 4 way hip SL hip abduction 4 way
    • Bilateral heel raise (single lower: eccentric)
    • Walking
    • STS no hands
  • Late phase 3 (weeks 13-16)
    • Wall squats
    • Squats heel touch off a step 6’’
    • Resisted side step
    • Single leg stance
    • Raise limb push into wall (stork)
    • Single heel raises
    • 30 mins stationary bike or walking
    • Sports specific activities
Winther et al. 2020
  • Leg press
  • Hip abduction machine
Winther et al. 2020 (pain and load progression)
  • Leg press
  • Hip abduction machine
  • Knee extension machine
Winther et al. 2020
(postural sway)
  • Leg press
  • Hip abduction machine
TKA Hypertrophy Protocol
Petterson et al. 2009 Muscle groups specified rather than specific exercises
  • Hamstrings, Gastrocnemius, Soleus, Hip abductors, Hip flexors
  • NMES (neuromuscular electrical quad stimulation)
Jakobsen et al. 2014
  • Knee extension
  • Leg press
Madsen et al. 2013
  • Squat
  • Leg press
  • Knee extension
  • Seated curls
  • Back extension
  • Sit up bench
  • Lat pulley
  • Triceps vertical machine
Min Ji Suh et al. 2017
  • Knee extension
  • Hamstring curl
Husby et al. 2018
  • Leg press
  • Knee extensions
Hsu et al. 2019
  • Leg press
  • Knee extension machine
  • Seat curl machine
  • Hip adductor machine