Knee surgery prehab exercises that include range of motion and strengthening exercises have been shown to improve strength and function prior to surgery, improve strength and function after surgery, can potentially decrease hospital stay times. Total knee replacement home exercise program phase ii, page 2 x16589 rev. Total 9 17 physician notification the physician will be notified if the patient 1 fails to meet the expected goals for each phase of the protocol, 2 has a persistent joint effusion, 3 develops a chronic pain syndrome, 4 has difficulty with ambulation, 5 has a. Sit on the floor, sofa or bed with your legs outstretched. Handouts can be printed and used as they areor they can be easily customized with a practice logo. Regular exercise to restore strength and mobility to your knee and a gradual return to everyday activities are important for your full recovery after knee replacement. Knee joint replacement surgery postoperative exercise. Bridge exercise keep your pelvis level as you lift your hipspelvis and buttocks into the air. More than 90% of people who have total knee replacement surgery experience a dramatic reduction of knee pain and a significant improvement in the ability to perform common activities of daily living. Slide your heel up and down the board as you bend and. Static quads sit on the floor with your legs straight out in front of you.
Total knee exercises why should i exercise my knee. The most common form of damage seen is osteoarthritis. Knee flexion exercises in a chair sit in a chair and bend your knee to allow your. To get the best results from your surgery, it is important that you do your exercises consistently and correctly. Recovering from a partial or total knee replacement and returning to a more active lifestyle will take time. Perform throughout the day, 10 per hour while awake. Walking is a good exercise but is no substitute for your stretching and exercises. Straighten knee as far as you can, then slowly bend knee as far as it will go. Push the back of your knee down into the floor using your thigh muscles. Regaining your range of motion and strength after total knee replacement surgery is critical to regaining your ability to do the things that are important to you. Total knee replacement home exercise program phase ii.
Image result for total knee replacement exercises pdf knee. Heel slides lie on your back, bend your knee and slide your heel along bed toward your buttocks. You will work with your doctor and physiotherapist to plan this exercise program. Feb 15, 2019 image result for total knee replacement exercises pdf stay safe and healthy. Feb 05, 2014 this video demonstrates the exercises patients can do before, and after having total knee replacement surgery in spokane, wa at sacred heart medical center. It is not intended to replace the advice of your health care provider. Postoperative instructions for total knee replacements. When the patellofemoral joint the joint between the patella and the distal femur is stiff, affected by degeneration, or is unhappy the knee is unhappy. Total knee replacement exercise booklet sunnybrook hospital. Knee rehabilitation exercises to ensure that this program is safe and effective for you, it should be performed under your doctors supervision. Contact your health care provider if you believe you have a health problem.
If you are having any problems with the exercises, please call sports. Encourage a straight line from the shoulder to knee. Do the exercises selected by your physical therapist in the right phase 1, 2, or 3 for your stage of recovery. An important factor in deciding whether to have total knee replacement surgery is understanding what the procedure can and cannot do. Bend your knee 105120 degrees fully straighten your knee. The ultimate home exercise program after a total knee replacement.
A total knee replacement is a surgical operation aiming to replace a wornout joint. Recovering from a partial or total knee replacement and. Home exercise program following knee surgery during your hospitalization, you have had knee surgery. This helps you get back your knees range of motion and strength. Feb 15, 2019 image result for total knee replacement exercises pdf. Repeat 3 sets of 1015 repetitions, 3 to 5 times per day. Please practice handwashing and social distancing, and check out our resources for adapting to these times. The tendency is for the hip to come forward as the knee is bent. Proposed rehab protocol for total knee replacement. It is important to consistently perform the exercise prescribed by your physical therapist in. The exercise program will take approximately 30 minutes to complete and should be done two times per day. You can place light weights around your ankle and repeat any of the above exercises.
Total knee replacement preop exercises straight leg raises lie on your back with one leg bent and the other leg straight, raise your straight leg off bed 1012 inches. Total 9 17 physician notification the physician will be notified if the patient 1 fails to meet the expected goals for each phase of the protocol, 2 has a persistent joint effusion, 3 develops a chronic pain syndrome, 4 has difficulty with ambulation, 5 has a limitation of knee motion, or 6. Lying on your back or sitting, bend and straighten your ankles briskly. Tighten the muscles on the front of your thigh and push the back of your knee down into the bed. Physiotherapy exercises following total knee replacement. A series of printable pdf handouts addressing some of the most common musculoskeletal conditions and treatments in plain, straightforward language. Its the joint that allows the leg to bend and straighten. The information presented is intended for general information and educational purposes. Exercise 3 is to be performed with a slideboard under your foot. Surgery is just one part of the treatment for knee arthritis what you do before and afterwards will have a big impact on your recovery.
Your physiotherapist may give you new exercises to help bend and straighten your knee and improve strength and balance. Exercises to increase movement or begin working the muscles 1. Do both ankles at the same time or alternating feet. Apply ice to your incision area for 20 to 30 minutes after exercising to help lessen discomfort. By 3 weeks after surgery, your knee should feel better and you should be able to make your exercises harder to reach your goals. During stage i, continue with rice rest, ice, compression, and elevation.
To begin with, you will be asked to keep the following appointments. Knee replacement exercise booklet weight bearing as. This illustrated guide includes exercises and activities designed to restore muscle strength and mobility to your knee following total knee replacement. A patients guide to total joint replacement and complete care. Your home exercise program will include activities to help reduce swelling and increase your knee motion and strength. Hold for the count of five 5, then relax and repeat. Your leg muscles may feel weak after knee replacement surgery because you did not use them much with your knee problems. Knee joint replacement surgery postoperative exercise program. Exercise guide for knee replacement surgery vancouver. Total knee replacement postop exercises cleveland clinic.
Your orthopaedic surgeon and physical therapist may recommend that you exercise for 20 to 30 minutes, 2 or 3 times a day and walk for 30 minutes. A heating pad should not be used without your surgeons approval. What to expect from occupational therapy the goal of occupational therapy is to improve function in activities of daily living for example, learning how to move yourself around your house, your bathroom, getting into and out of a car, etc. Perform exercises one 1 and two 2 fifteen 15 times every hour. The following exercises are aimed at regaining strength and normal movement in the knee joint following an injury. If you are unable to straighten the knee beyond position a by two weeks call us and leave a message at 4169678526. Knee replacement exercises are a vital part of the recovery process to ensure you get the best results from your new knee. The following exercises are to be performed 10x each, at least 2x daily 1x in the morning, 1x in the afternoon. If you are having any problems with the exercises, please call sports medicine north at 9788186350. After a knee replacement, you can get up and about very quickly.
Top 3 advanced total knee replacement strengthening exercises. Overview of total knee replacement the knee joint is the largest joint in the body. Quadriceps setting tighten the muscles just above your knee by straightening your knee completely. The goal is for your knee to be as straight as your nonoperative knee by 3 weeks after surgery during this exercise. Do the selected exercises just like you were taught. Also, obtain a copy of the operative report from the surgeon. Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals. Postoperation total knee replacement exercises youtube. The goal of the following exercises is to regain range of motion while limiting pain and inflammation. Additional exercises after knee replacement surgery. Postoperative exercises weeks 46 for total knee replacement video of postoperative exercises weeks 46 for total knee replacement this video covers some exercises to do after a total knee replacement and is presented by heartland orthopedic specialists physical therapist, brandon strouth, d. Total knee replacement rehabilitation exercises ankle pumps 1 slowly bend the foot up and down at the ankle.
This video demonstrates the exercises patients can do before, and after having total knee replacement surgery in spokane, wa at sacred heart medical center. See more ideas about total knee replacement exercises, knee replacement surgery and knee exercises. Knee replacement exercises guide knee pain explained. Repeat 10 times every hour to help prevent blood clot formation and pump swelling away from the leg. The knee joint is located at the meeting point of the thigh bone femur and the shin bone tibia. Total knee replacement home exercise program phase i. Make sure you check with the surgeon before you start using any protocol. The knee cap patella covers the area where the two bones meet. Doing the exercises in this handout will strengthen the muscles that support your knee to help you recover from knee replacement surgery. Knee replacement rehabilitation rehab is a series of exercises you do after your surgery. Physical therapy exercises to do after total knee replacement. Holding onto the walker, place your surgical leg behind you.
Ankle pumps gently point toes up towards your nose and down towards the surface. Keep affected leg as straight as possible and tighten muscles on top of thigh. Standing knee flexion holding on to a walker, bend the knee, lifting foot toward buttocks. Remember to ice your knee 20 minutes before and after therapy sessions or performing exercises.
Beginning 34 days after surgery, you may apply heat under the knee or to the thigh muscle well above the incision for 1015 minutes before you exercise. Oct 25, 2015 famous physical therapists bob schrupp and brad heineck present advanced strengthening exercises for the person who has undergone surgery for a total knee replacement. Keeping your thigh on the chair, straighten out your knee as you slowly kick up. Total knee replacement postop exercises exercises can help your recovery after knee replacement surgery. Attempt to straighten the knee as much as possible towards position b. Printable orthopaedic patient education orthoinfo aaos. Preparation for your total knee replacement surgery begins several weeks before the date of the surgery itself. Patella kneecap mobility is vital for optimal knee health and is a must amongst knee surgery prehab exercises. You will start the following exercise program soon after your surgery. Keeping your foot on the floor or sofabed, slowly bend one knee until you feel the knee being comfortably stretched without hurting. Make sure that your patient has a follow up appointment for a wound check.
Initiate gentle strengthening exercises with the primary goal of activating the quadriceps. If you have a lot of swelling and stiffness in your knee, you may not be able to fully straighten. Total hip exercises doing the exercises in this handout will help you recover after total hip replacement surgery. This will help you move easier and get back to doing the activities you enjoy. Total knee replacement home exercise program phase i, page 3 x16588 122019 aahc total knee replacement. Image result for total knee replacement exercises pdf.
Painful total knee replacement why does it still hurt. This is a physical examination and a series of tests xrays, blood work, etc. Knee replacement exercise booklet weight bearing as tolerated. Seated knee extension to strengthen your thigh muscles quadriceps the exercise. Total knee replacement exercise guide orthoinfo aaos. The ultimate home exercise program after a total knee. Exercise is often measured in repetitions and sets. This knee rehabilitation exercise program focuses on strengthening the muscles that support your knee to help reduce stress on your knee joint. Bridge exercise starting position lie on your back with your knees bent to prepare for the bridge exercise. Do the best you can without getting to the point of severe pain. In order to get the best function possible from your knee, it is important that you perform the exercise program described below.
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