EXERCISE FOR KNEE REPLACEMENT SURGERY

Weeks 1-3 after surgery

1. Passive Knee Bend:

– Sit on chair with feet on floor

– Keep foot fixed on floor and slide bottom forwards on chair to bend knee

– Hold 5 to10 seconds. Repeat 5-10 times.

2. Assisted Knee Bend:

– Sit on firm chair

– Cross non-operated leg over operated leg

– Gently push with non-operated leg until stretch is felt on front of operated knee

– Hold 5 to10 seconds. Repeat 5-10 times.

3. Sitting Knee Straightening:

– Sit on firm chair

– Keep back of thigh on chair and straighten operated leg + To make harder: add ankle weights

– Hold 5 to10 seconds. Repeat 5-10 times.

Weeks 3-12 after surgery – Exercises to improve bending

4. Active Knee Bend:

– Lie on stomach

– Bend knee, bringing heel towards bottom Tip: Use non-operated leg to bend operated leg

– Hold 5 to10 seconds. Repeat 5-10 times. Do 2 times per day

5. Standing Knee Bend:

– Hold chair or firm counter for support

– Stand on non-operated leg

– Bend knee, bringing heel towards bottom

– Hold 5 to10 seconds. Repeat 5-10 times. Do 2 times per day

6. Step Lunge:

– Place operated leg on a step. Hold rail for balance

– Slowly bend knee forward until stretch is felt in the front of Knee.

– Hold 5 to 10 seconds. Repeat 5-10 times – Do 2 times per day

Exercises to Improve Straightening

7. Calf Stretch:

– Stand at wall with one leg ahead of the other

– Keep back leg straight with heel on floor and toes pointing forward

– Lean into the wall until stretch is felt in the calf of back leg

– Hold 5 to10 seconds. Repeat 5-10 times. Do 2 times per day

8. Passive Knee Straightening:

– Lie on stomach

– Hang foot and ankle of operated leg over edge of bed

– Let gravity pull leg straight. To make harder: work up to hanging kneecap over edge of bed . Hold 5 to10 seconds.

– Repeat 5-10 times. Do 2 times per day

9. Active Knee Straightening:

– Lie on stomach. Place large roll under ankle

– Straighten knee. Hold 5-10 seconds.

– Repeat 5-10 times. Do 2 times per day.

Exercises to Improve Balance and Walking

10. Side to Side Weight Transfers:

– Stand facing counter or table

– Place feet hip-width apart

– Shift your weight gently side to side. To make harder: lift feet and step from side to side .

– Repeat 5-10 times. Do 2 times per day.

11. Forward and Back Weight Transfers:

– Stand facing counter or table

– Place one foot in front of the other

– Shift your weight forward and back

– Switch foot position and repeat. To make harder:lift feet and step forward and back.

– Repeat 5-10 times. Do 2 times per day.

12. Mini Knee Bends:

– Hold counter or table for support

– Stand tall with feet flat on floor

– Bend hips and knees slightly, keeping weight on your heels and knees over second toe. Slowly return to start position. Hold 5-10 seconds.

– Repeat 5-10 times. Do 2 times per day.

13. Toe-Heel Ups:

– Hold counter or table for support

– Rise up on toes. Hold 5-10 seconds.

– Rock back on heels, lifting toes up

– Repeat 5-10 times. Do 2 times per day

14. One Leg Balance:

– Stand facing counter or table with a chair behind you for safety

– Stand on operated leg. Lift non-operated leg off floor, keeping pelvis level and back straight . Hold 5-10 seconds.

– Repeat 5-10 times. Do 2 times per day

Exercises to Improve Strength

15. Resisted Knee Bend:

– Attach elastic to secure object and to ankle of the operated leg as shown

– Sit forward on chair and place operated leg on towel. Slide foot backwards along the floor to bend Knee.

– Hold 5-10 seconds. Repeat 5-15 times. Do 2 times per day.

16. Resisted Knee Bend:

– Attach elastic to secure object and to ankle of the operated leg as shown

– Sit forward on chair and place operated leg on towel. Slide foot backwards along the floor to bend Knee.

– Hold 5-10 seconds. Repeat 5-15 times. Do 2 times per day.

17. Sit to Stand:

– Sit on edge of firm chair. Lean forward until nose is over toes

– Press feet into the floor and stand up using legs, not arms

– Slowly sit back down on chair. Repeat 5-15 times. Do 2 times per day.

18. Wall Slides:

– Stand with back against wall. Place feet shoulder- width apart and about 2 feet from the wall

– Bend your knees and slowly slide down wall, keeping knees over second toes

– Stop when you feel thigh muscle working

– Slowly slide back up the wall

– Repeat 5 – 15 times. Do 2 times per day.

19. Stepping Up/Down:

– Stand facing low step. Hold counter or railing for balance.

– Slowly step up, leading with operated leg.

– Slowly step down, leading with non-operated leg. + Tip: keep pelvis level at all times

– Repeat 5-15 times. Do 2 times per day.

20. Side Steps:

– Stand next to low step. Hold counter or railing for balance

– Slowly step up, leading with operated leg

– Slowly step down, leading with non-operated leg. Tip: keep knees over second toe at all times

– Repeat 5-15 times. Do 2 times per day.

21. Split Squat (lunge):

– Hold counter for support.Step forward with operated leg

– Slowly bend knee, keeping knee behind toes and over ankle

– Return to starting position

– Switch sides. Repeat 5-15 times. Do 2 times per day.

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