REHABILITATION AFTER TOTAL KNEE ARTHROPLASTY
Before joint replacement, the rehabilitation team should
evaluate the patient for muscle strength in all limbs, ability
to perform transfers, ambulatory status, and range of motion in
the lower limbs. The aim of this preoperative phase of
rehabilitation is to educate the patient in all exercise
protocols, postoperative precautions, deep breathing and
coughing and proper use of walking aids.
Postoperative rehabilitation
includes optimizing musculoskeletal function and educating the patient to avoid
overstressing the prosthetic joint.
IT IS IMPORTANT TO REBUILD AND STRENGTHEN THE
MUSCLES THROUGH ISOMETRIC EXERCISES
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TERMINAL KNEE
EXTENSION (SITTING DOWN) |
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| From a sitting position,
slowly raise your foot until is parallel with the floor. Then bring
the foot back and under you as far as possible. Repeat 10 times. |
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TERMINAL KNEE
EXTENSION (LYING DOWN) |
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Lie down on your back with pillow/roll under
your knee. While keeping elevated leg supported on pillow straighten
your knee, lifting foot of floor. Repeat 10 times. |
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ISOMETRIC GLUTEAL /QUAD SETS |
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ISOMETRIC GLUTEAL SETS Tighten buttock muscles and hold
for about 5 seconds and then relax. Repeat 10 times.
ISOMETRIC QUAD SETS With leg straight, press back of
knee down into floor straightening leg as much as possible and hold for
about 5 seconds and then relax. Repeat 10 times. |
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KNEE EXTENSION STRETCH |
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Lie or sit with
operated leg straight and ankle propped.
Press back of knee
down into floor and try straightening leg as much as possible. Repeat 10
times
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STRAIGHT LEG RAISE |
| Lie on your back. Keep one knee bent,
with foot flat on the floor. Lift opposite leg about two ft. while
keep knee straight and toes pointed in the air. Repeat 10 times. |
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CALF PUMPING |
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Slowly move your ankles, pulling your toes
up towards your head, then point your toes down.
With this exercise try to produce
strong muscle contractions in your lower leg. Repeat 10 times.
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SLIDING FORWARD IN CHAIR |
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| Sit on regular chair. Keeping feet planted
on the floor. Slide buttocks forward to the edge of the chair so that your
knees bend. |
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