total knee replacement home exercises pdf
Because everyone responds to exercise differently you need to be the judge of how much exercise you can do each day. This physical therapy protocol applies to primary total knee arthroplasty.
10 Exercises Before Knee Replacement Surgery
Hold abdominal and buttock muscles tight throughout exercise.
. Inner Range Quadriceps Contraction Place a small pillow under your operated knee so it is bent at 30 degrees. Keep the toes of both feet pointed forward while your hands are on the walldoor. Total Knee Replacement Postoperative Weeks Postop Months 1-2 3-4 5-6 7-8 9-12 4 5 6 Brace.
Check the box under the appropriate day and week after you perform the exercises selected for you. Short arc quad 9. In a revision total knee arthroplasty or in cases where there is more connective tissue involvement Phase I and II should be progressed with more caution to ensure adequate healing.
Slowly lower your leg to the surface. A knee replacement can be your ticket to a healthier and more active lifestyle. Once you recover you can go back to many activities that were too painful and difficult for you before surgery.
Lift involved leg with the good leg to straighten out involved leg. Hip and Knee Bending Bend your operated hip and your knee keeping your foot on the bed Straighten your leg 5. Tense your thigh muscles quads by pushing the knee down into the bed pulling your toes towards you.
Do repetitions times per day. Standing hip flexion 7. Grasp the arms of the chair.
This will help reduce the inflammation or swelling and restore your movement. Seated Knee Flexion Stretch Butt Scoot - Stage 2 Keep. Bend it as far as you can.
Standing Knee Flexion Holding on to a walker bend the knee lifting foot toward buttocks. X16588 122019 AAHC Total Knee Replacement Total Knee Replacement Home Exercise Program Phase I Page 2. 4 Total Knee Replacement Pre-operative Upper Extremity Exercises Continued 3.
Repeat 10 times. The tendency is for the hip to come forward as the knee is. Standing hip abduction 6.
Stomach lying knee flexion Action. Total Knee Replacement Home Exercise Program Phase II Apply ice to your incision area for 20 to 30 minutes after exercising to help lessen discomfort. High risk patients only concurrent patellar realignment MCL repair lack quad control difficulty with balancecoordination X X Range of motion minimum goals.
Ankle pumps and circles Knee straightening stretch Knee bending stretch Ankle pumps and circles Thigh squeezes Heel slides Leg slides Lying kicks Straight leg raises Sitting kicks. Straighten knee by lifting foot off of the bed. Knee straightening Bend knee and place a small roll under your knee.
Heat is also beneficial for. Push down on the chair arms straightening your elbows so that you raise your buttocks off the seat of the chair. Pull foot up and then point foot down as far as possible.
Straighten knee pull your toes towards you keep your thigh on the pillow 4. Lift your surgical leg 12 inches keeping your knee straight and your toes pointed up. Progression to the next phase is based on Clinical Criteria andor Time Frames as.
Tense your thigh muscles quads as for exercise 3 then lift your leg approximately 2 inches off the bed. Make sure to do the exercises on both sides to build strength. Lie on your back with your unaffected leg bent at the knee and foot flat.
Bend your affected knee and slide your heel backward. Total Knee Replacement Exercises Pdf Thigh squeezes quadriceps sets Tighten the muscles on the top of your thigh by pushing the back of your knee down into the bed. Straight leg raise Sit or lie with your leg straight out in front of you.
Cross legs at ankles again. Apply a cold compress or bag of ice to the affected joint for 20 minutes many times throughout the day. Total Knee Replacement Home Exercise Program Phase I Page 3 10.
Total knee replacement home exercise program pdf Total knee replacement home exercise program pdf. Seated Knee Flexion Stretch Butt Scoot - Stage 1 Sit on a chair. Slowly return to starting position.
If an exercise causes an increase in joint discomfort stop doing that exercise. Ankle pumps Exercise can be done while sitting or lying down. Total Knee Replacement Home Exercise Program Phase II Page 2 5.
A heating pad should not be used without your surgeons approval. Regular exercise to restore strength and mobility to your knee and a gradual return to everyday activities are important for your full recovery after total knee replacementYour orthopaedic surgeon and physical therapist may recommend that you exercise for 20 to 30 minutes daily or even 2 to 3 times daily. Raise heel off floor so you are standing on the balls of your feet.
Sitting knee flexion ActionWhile sitting cross legs at ankles with good leg in front. Gradually try to increase the amount of bend in your knee. It also will dull your pain receptors.
Bend your non-surgical leg with your foot flat on the bed. Total Knee Replacement 5 Week 3 to Week 12 Start the following exercises 1. Knee Extension - Long Arc Quads Slowly straighten operated leg and try to hold it for 5 count.
Hip Flexion arch in place slowly M alternating lifted knees 20 times. And walk for 30 minutes 2 to 3 times daily during your early recovery. Be sure to keep your back kneestraight with the heel on the ground the entire time.
Hold your foot firmly down on the ground. Hold for 2 count. Hold for a slow count of ten.
SETS REPETITIONS HOLD 3 1 30 seconds 1. Home exercise program knee replacement Check the box under the appropriate day and week after you perform the exercises selected for you. Home exercise program knee replacement additional exercises Do these exercises only if instructed by a therapist or your surgeon.
Exercise Week 1 Week 2 Week 3 Week 4 Additional ExercisesM T W Th F S S M T W Th F S S M T W Th F S S M T W Th F S S. While lying on your stomach slowly bend your knee. You should try to exercise one to two times a day every day before surgery.
Heel slides hip and knee flexion. Knee bending stretch sitting knee flexion. Stand with hands on counter or sturdy chair for balance.
Toe touch - 12 body weight Full X X. Stagger your stance with one foot in front of the other. In most cases you can resume many of your normal.
Hip and knee bending While lying on your back slide the heel of the involved leg along bed so that the hip and knee bend then slide foot back down. Sit on a sturdy chair with arms. 0-100 0-120 X X Weight bearing.
Standing terminal knee extensions 5. Do repetitions times per day. Place large rolled towel under both knees and smaller roll or ball between thighs Squeeze small roll between thighs and lift one foot to straighten knee Hold 510 seconds and keep squeezing rolled towel while lowering foot down Repeat 815 times 34 days per.
Push back involved leg gently with front leg until stretch is felt. This exercise should be performed on both legs. With a maximum of 2lbs weight doing flexion abduction and adduction.
Encourage patient to completely straighten knee. While lying down slowly bend knee sliding heel up.
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