total knee replacement physical therapy exercises pdf

Squeeze buttocks together and hold for 5 seconds. Do both ankles at the same time or alternating feet.


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Patella femoral and tibial femoral joint mobilization and soft tissue mobilization as indicated.

. Check Out The Details Of Exercises That Might Be Helpful For Relief knee Pain. This exercise should be performed on both legs. Physical therapy has not been scheduled.

Your first session with outpatient physical therapy will be on the third day after surgery at the OC therapy location of your choice. DO NOT hold your. 0-100 0-120 X X Weight bearing.

SETS REPETITIONS HOLD 3 3 30 seconds. Knee Extension StretchQuad Sets. Add hip ABDADD knee extension 90-0 if available.

Hold this position for 5 seconds. Total Knee Replacement Postoperative Weeks Postop Months 1-2 3-4 5-6 7-8 9-12 4 5 6 Brace. Activeactive assistedpassive AAAPROM exercises seated and supine.

The knee joint to become irregular and rough preventing smooth and painless motion of the knee joint. Ankle Pumps Gently point toes up towards your nose and down towards the surface. Your strength level perform the exercise with or without an exercise band tied around your knees.

It is the very best exercise you can do for your knee after surgery. Therapeutic exercise and functional mobility. Knee joint replacement may be recommended for.

Place towel roll under heel. Come motivated and ready to work. Do repetitions times per day.

Total hip replacement THR of motion ROM 31 1l9 straight Although a physical therapy program and total knee replacement TKR leg raises 311131419 terminal with unique exercise parameters sta- physical therapy protocols have been knee extension 3l4 stationary bi- tionary cycling etc may be studied found to range from only. High risk patients only concurrent patellar realignment MCL repair lack quad control difficulty with balancecoordination X X Range of motion minimum goals. Perform 3 sets of 15-20 seconds holds once per day.

Cryotherapy is recommended following physical therapy treatment to reduce pain discomfort and swelling in the knee joint. Repeat 10x on each leg. Hold for the count of five 5 then relax and repeat.

Concentrate on pushing your knee into the bed. Ankle Pumps Move feet up and down and in circles. Toe touch - 12 body weight Full X X.

Knee Extension - Long Arc Quads Slowly straighten operated leg and try to hold it for 5 count. O Exercises o Ankle pumps o Passive knee extension to 0 degrees o SLR o Quad sets o AAROM - Knee flexion to at least 90 degrees o Hip adductionabduction o Instruct in gait training safe transfers o Start stationary bike low resistance. Total Knee Replacement Manual and TherapyRehab Protocol Dr.

Starting your exercise program and mobility early is vital to making your rehabilitation successful. Perform exercises marked by your therapist. _____repetitions and _____sessions a day.

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 2 or 3 times a day during your. It is important for you to see the knee cap glide up and down during this exercise. Relax your thigh muscle.

Ankle pumps with leg elevation Passive knee extension stretch emphasis on full knee extension Active assistive ROM knee flexion Quad Sets Straight leg raises. Tighten your quad muscles in the front of your. Encourage patient to completely straighten knee.

6 Total Knee Replacement Pre-operative Lower Extermity Exercises Continued 3. Slowly raise your knee upward as far as you can without rolling your pelvis backward. Q Lie on your back and press your surgical knee into the floor or mat tightening the muscles in the front of the thigh.

Knee extension exercise 90-30 degrees Hamstring stretches gentle Day 4 day 10 after surgery. 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. Weight Bearing - as tolerated CPMROM -- as tolerated Exercises.

Place the heel of your operated leg on a roll with the toes pointed to the ceiling. Keep your knee straight and pull the towel or belt. Your physical therapist will go over.

1 23 6 89 45. Total Knee Replacement Exercise Guide. Rise up on toes slowly for 5 count.

While trying to stretch a little bit further. The only movement should be from your knee lifting up. Keep your core engaged.

Physical therapist Therapeutic Exercise progression of exercise from Phase II To be guided by outpatient physical therapist Stationary Bike 4-way straight leg raise SLR Closed chain weight shifting activities including side-stepping Balance exercises. Abduction and Adduction Slide leg out to the side. Keep kneecap and toes pointing toward ceiling.

Knee osteoarthritis or arthritis causing knee pain that has failed to respond to conservative therapy decreased knee function caused by arthritis inability to work because of knee pain inability to. TOTAL KNEE REPLACEMENT EXERCISES 1. Tighten your thigh quadricep muscles pressing the back of your knee down into the bed.

Do repetitions times per day. Standing Heel Raises Hold on to a walker. If you are doing this exercise correctly you should feel a stretch behind your knee.

Proposed Rehab Protocol for Total Knee Replacement. Tighten your thigh muscles and press your knee as flat as possible Imagine you are squashing a tennis ball behind your knee. For this exercise you will need to sit toward the front of a hardback chair.

Exercise can be done while lying down or standing. Begin 1- to 2-minute holds. Ad 10 Knee Exercises May Help Strengthen The Muscles That Support The Knee.

Progress to 15 minutes. Edward Kelly MD MBA. Until you feel a gentle stretch behind your knee.

When lifting up do not lean backward. Come back to foot flat on the floor. Quadriceps Setting Tighten the muscles just above your knee by straightening your knee completely.

Hold this contraction for a count of five and then relax. Begin by bending your knee back as far as it will got until you experience a tolerable stretch. You will need physical therapy after surgery and these appointments can be made prior.

Motion Phase Week 2 -6 Goals. Suggested Therapeutic Exercises Ankle pumps with leg in elevation quad sets passive knee extension AAROM knee flexion SLR TKE gentle hamstring sets hamstring stretching calf stretching patella femoral mobilizations NMES for quad disuseatrophy PRN Day 5-14. 9 ONS Knee Replacement Physical Therapy Pre- and Post- Op Exercises ONSMDCOM 18009999ONS 10 POST-SURGICAL EXERCISES uad Sets Knee Push-Downs2.

Perform throughout the day 10 per hour while awake. Tighten your front thigh muscles to press your operated knee down toward the bed. Lie on your back or sit with your leg extended.

Place your hands above the knee as shown and press down to help maximize the stretch behind your knee. Looped around the ball of your foot.


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