Reduce swelling prevent blood clots control your pain. Proposed rehab protocol for total knee replacement. Tighten the muscles on the front of your thigh and push the back of your knee down into the bed. Total knee replacement home exercise program phase i.
Best total knee replacement exercises, weeks 3 12 youtube. It is important to be patient, to be an active participant in your exercise program, and to strictly follow the. 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. 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, and improve long term function and quality of life. Ice on the operated knee while elevating the leg above your heart helps reduce swelling. Home exercise program following knee surgery during your hospitalization, you have had knee surgery. 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 knee replacement postop exercises cleveland clinic.
Recovering from a partial or total knee replacement and returning to a more active lifestyle will take time. Currently i still do some knee exercises also back exercises for sciatica most days. Just being able to get on with life and do things normally should be all you need. The following exercises are to be performed 10x each, at least 2x daily 1x in the morning, 1x in the afternoon. Repeat 10 times every hour to help prevent blood clot formation and pump swelling away from the leg. You should allow 15 minutes, two to three times a day, to begin with. Exercise following knee replacement mayo clinic connect. Contact your health care provider if you believe you have a health problem. Additional exercises after knee replacement surgery. Cleveland clinic offers expert diagnosis, treatment and rehabilitation for bone, joint or connective tissue disorders and rheumatic and immunologic diseases.
Total knee arthroplasty protocol brigham and womens hospital. Apply ice for 10 15 minutes to the operated knee or thigh especially after exercise. Regular exercises are necessary to restore your knee mobility and strength. Your physiotherapist may give you new exercises to help bend and straighten your knee and improve strength and balance. After a knee replacement, you can get up and about very quickly. Start with 10 repetitions of each exercise, 3 times a day and gradually increase the number of repetitions until you can perform 20 to 30 of. It is not intended to replace the advice of your health care provider.
Make sure that your patient has a follow up appointment for a wound check. Bend your knee 105120 degrees fully straighten your knee walk and go up and down stairs normally be able to ride a stationary bike. 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. Progress to 30 minutes, two to three times a day, by the end of six weeks. Start with 10 repetitions of each exercise, 3 times a day and gradually increase the number of. Total knee arthroplasty protocol brigham and womens. It is recommended that the exercises be taught by a physiotherapist. You will need to do only the exercises that your physiotherapist determines are important for you. 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. Knee replacement exercises are a vital part of the recovery process to ensure you get the best results from your new knee. Simply follow the exercises in realtime to complete your rehabilitation exercises after your total knee replacement. Exercise after surgery will help you recover and regain the movement and strength of your knee. In order to get the best function possible from your knee, it is important that you perform the exercise program described below.
Initiate gentle strengthening exercises with the primary goal of activating the quadriceps. You should only exercise within the limits of pain. That is in addition to either a 2 mile brisk walk, or a 12 mile swim 5 to 6 days a week. Exercise guide for knee replacement surgery grand river. Although the physiotherapy team and hospital staff will help you with your rehabilitation, it is important that you take an active role in this process. The best time to ice is after you exercise or do a lot of walking. Patella kneecap mobility is vital for optimal knee health and is a must amongst knee surgery prehab exercises. Total knee replacement postop exercises procedure details.
Total knee replacement manual and therapyrehab protocol. This program may be supervised by a physiotherapist initially or for several weeks, pending on your progress. Doing the exercises in this handout will strengthen the muscles that support your knee to help you recover from knee replacement surgery. The goal of the following exercises is to regain range of motion while limiting pain and inflammation. Total knee replacement exercise guide orthoinfo aaos. Post operative exercises weeks 12 for total knee replacement video of post operative exercises weeks 12 for total knee replacement brandon strouth, d. In this stage, youll get back on your feet and return to an active lifestyle. Exercises to be done before, during and after your hospital stay.
Each case can be very different depending on the goals of the patient, the age of the. If you have severe arthritis in your knee or knees, you may benefit from physical therapy to. 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. Knee joint replacement surgery postoperative exercise program. Jonathan cluett, md, is a boardcertified orthopedic surgeon with subspecialty training in sports medicine and arthroscopic surgery. It contains exercises and advice to help you recover to the best of your ability, and provides guidance so that you know what to expect. Group exercises were the favoured destination for patients following tkr in highvolume centres with focus on kneespecific strengthening, stretching and functional exercises. Each case can be very different depending on the goals of. I think it is up to you but it seems like a good idea to keep up. Also, obtain a copy of the operative report from the surgeon. Aug 05, 2014 simply follow the exercises in realtime to complete your rehabilitation exercises after your total knee replacement.
Weekbyweek rehab protocol for total knee replacement. Exercises you do before knee replacement surgery can strengthen your knee, improve flexibility, and help you recover faster. Postoperation total knee replacement exercises youtube. The information presented is intended for general information and educational purposes. In the first few weeks at home it is important that you continue. The intent of this physical therapy protocol is to provide the clinician with a guideline of the post operative rehabilitation course of a patient who has undergone a total knee arthroplasty tka at brigham and womens hospital bwh. Keep up with your therapy and exercises with this instructional video from st. Simply repeat what you see and you will have completed the best post op. Ice on the operated knee while elevating the leg above your heart helps. Post operative instructions for total knee replacements. The intent of this physical therapy protocol is to provide the clinician with a guideline of the postoperative rehabilitation course of a patient who has undergone a total knee arthroplasty tka at brigham and womens hospital bwh.
Physiotherapy exercise after total knee replacement. Squats, banded clams, bilateral and unilateral bridges, my own variation of heel slides, etc. This will help you move easier and get back to doing the activities you enjoy. Scott, md weeks 1 through 6 the goal of knee replacement surgery is to return you to normal functional activities as soon as.
Knee replacement exercise booklet weight bearing as tolerated. Perform exercises one 1 and two 2 fifteen 15 times every hour. Continue to manage your pain and swelling with the tips on pages 57. Mar 05, 2015 i would think that after 14 months, kneespecific exercises are no longer necessary. Total knee replacement home exercise program phase i, page 3 x16588 122019 aahc total knee replacement. To get the best results from your surgery, it is important that you do your exercises consistently and correctly. You will start the following exercise program soon after your surgery. Recovering from a partial or total knee replacement and returning to a more active lifestyle will. Your leg muscles may feel weak after knee replacement surgery because you did not use them much with your knee problems.
Elevate your entire leg by placing pillows underneath the entire operated leg, not just under the knee. Aug 06, 2015 keep up with your therapy and exercises with this instructional video from st. Exercise guide for knee replacement surgery please bring this guide to the hospital. The exercise program will take approximately 30 minutes to complete and should be done two times per day. Exercise guide for knee replacement surgery please bring this guide to the hospital and to all physiotherapy appointments. 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. Do the exercises selected by your physical therapist in the right phase 1, 2, or 3 for your stage of recovery. Mar 31, 2020 when you have total knee replacement tkr surgery, recovery and rehabilitation is a crucial stage. Knee replacement exercises guide knee pain explained. After thr, no highvolume orthopaedic centres offered routine physiotherapy unless patients were considered in clinical need of additional physiotherapy support. Heel slides lie on your back, bend your knee and slide your heel along bed toward your buttocks.
Total knee replacement manual and therapyrehab protocol dr. Postoperative exercises weeks 12 for total knee replacement video of postoperative exercises weeks 12 for total knee replacement brandon strouth, d. Cleveland clinic is a nonprofit academic medical center. Walking is a good exercise but is no substitute for your stretching and exercises. Physiotherapy exercises following total knee replacement.
The following exercises are designed to improve the range of movement in your knee, and strengthen the muscles surrounding it. If your other knee is preventing you from doing what you want, im sure it cant hurt to continue your exercises. This illustrated guide includes exercises and activities designed to restore muscle strength and mobility to your knee following total knee replacement. Knee arthroscopy exercise programme the following guide will help you to understand your postoperative exercise program. These resistance exercises usually can begin 4 to 6 weeks after your surgery.
Postoperative exercises weeks 12 for total knee replacement. Do the exercises selected by your physical therapist in. Exercise after surgery will help you recover and regain the movement and strength of. When you have total knee replacement tkr surgery, recovery and rehabilitation is a crucial stage. Gently point and pull ankle of your surgical leg by pumping foot up and down. In the first few weeks at home it is important that you continue to improve your knee bending and straightening. Your home exercise program will include activities to help reduce swelling and increase your knee motion and strength. 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 exercises can be started straight away after a knee. Knee joint replacement surgery postoperative exercise. You can place light weights around your ankle and repeat any of the above exercises. Ankle exercises point your feet up and down in a pumping motion. Exercise guide for knee replacement surgery vancouver. Knee joint replacement surgery post operative exercise program david f.
Make sure you check with the surgeon before you start using any protocol. Mobility exercises remain completely passive without the use of muscles to move your knee. Knee replacement exercise booklet weight bearing as. I would think that after 14 months, kneespecific exercises are no longer necessary. During stage i, continue with rice rest, ice, compression, and elevation. Total knee exercises why should i exercise my knee.
530 157 1149 483 18 275 350 54 1378 1274 1243 216 1304 289 1349 436 1108 995 1446 993 1536 1010 1300 779 1108 534 758 147 191 421 455 59 1399