Escolar Documentos
Profissional Documentos
Cultura Documentos
Patients Name: ___________________________________________ Surgeons Name: ___________________________________________ Date of Surgery: ___________________________________________ Physiotherapists Name: ___________________________________________
2. Ankle Pumping
Move your feet up, down and in circles. Repeat 50 times every hour that you are awake.
3. Buock Contractions
Tighten your buock muscle and hold for a count of 5 seconds. Repeat ve to ten times, three to four times each day.
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Learning to Move
Aer surgery, plan ahead. Take pain medication ahead of time. Exercise is a critical component of your recovery, particularly during the rst few weeks aer surgery. These exercises and walking will help to restore movement and strengthen your knee. The goal is for you to be able to resume activities.
Weight Bearing:
Weight bearing is the amount of weight that the doctor wants you to put on your new knee. There are three dierent amounts. Usually your doctor will want you to fully weight bear. Feather or touch weight- Your operated leg touches the oor enough to help you balance. Do not put any weight on it. Partial weight bearing- Only a certain amount of weight can be put on your operated leg. Your physiotherapist will help you learn how much. Full weight bearing- You can put full weight, or as much as you can tolerate when standing or walking.
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To go up the stairs:
Keep the cane/crutches with the operated leg. Start close to the boom step, and push down through your hands. Step up to rst step, the non-operated leg goes up rst. Step up to the same step with the operated leg and crutches, puing only the advised amount of weight through your operated leg.
To go down stairs:
Start at the edge of the step. Bring the cane/crutches and your operated leg down to the next step. Use upper body strength to support your weight and keep your balance. Step down to the same step with the non-operated leg, puing only the advised amount of weight through your operated leg.
Check your balance each time before proceeding to the next step.
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Beginner Exercises
These exercises begin during your hospital stay and continue on aer discharge.
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8. Extension Stretch:
Place the heel of your operated leg on a small roll. Press your operated knee down toward the bed using your front thigh muscles. Place your hands above the knee (as shown) and press down to help maximize the hamstring stretch behind your knee. Do not bounce with your hand, rather hold the stretch. Hold _____ seconds. Repeat _____ times.
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9. Knee Bend:
Lying as shown, bend your operated leg as far as possible. Hold _____ seconds. Repeat _____ times.
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Repeat sets of each exercise 2 to 3 times a day. These 3 dierent exercises can be used to improve your knee bend.
10 a) Siing on the bed or chair, slide your heel under the seat to bend your operated knee as much as possible. Hold _____ seconds. Repeat _____ times. 10 b) Cross the non-operated ankle over the operated ankle, and use it to help bend the operated knee. Hold _____ seconds. Repeat _____ times. 10 c) With your operated knee bent and your foot planted on the oor, slide your buocks forward in the chair to help bend your knee and feel a stretch. Hold _____ seconds. Repeat _____ times.
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b) Start with you knee bent as in 17a. Slowly straighten your operated leg against the resistance of the sheet. Keep your heel on the bed. Repeat_____times.
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Helpful Tip: You can begin on a lower step and progress as able to a higher step.
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Progression exercises:
1. Increase the amount of time you are balancing while using support. e.g. aim to balance for 20- 30 seconds. 2. Carefully try to balance without the use of a support. 3. Gradually increase the amount of time on one leg while NOT using support.
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Helpful Tip: Start with a lower step, and increase the step height as able. e.g. Begin with a 2-4 inch step. Progress to a 6 inch step, and then to a standard step height of 7-8 inches. Remember: This exercise is done the opposite way you were taught to do stairs. In the how to manage stairs section, we instructed you to use your non-operated leg to lead up the stairs and your operated leg to go down the stairs.
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At 6 Weeks
At 12 Weeks
Not Recommended
Never
Driving
Bowling Outdoor cycling (not mountain biking) Tennis (doubles) Golf (on the course- suggest golf cart) Cross country skiing (classic only)
Downhill skiing Cross country skiing (skate style) Ice and inline skating
Singles tennis
Stationary bicycling
Jogging/running
Swimming Golf ( start at driving range) Gardening (use a pad under knee)
Squash/ racquetball
Mountain biking
Basketball
Sailing
Kayaking
Canoeing
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We hope this booklet has helped to give you the information you need on the exercises you will be doing aer your total knee replacement. The information comes from the knowledge and experience of your health professionals. Special acknowledgment to Sunnybrook Holland Orthopaedic and Arthritic Centre for sharing their exercise booklets.
Thunder Bay Regional Health Sciences Centre Total Joint Clinical Pathway Team
No part of this publication may be reproduced or transmied by any means, including photocopying and recording, or stored in a retrieval system of any nature without the wrien permission of the Thunder Bay Health Sciences Centre: 980 Oliver Road, Thunder Bay Ontario, P7B 6V4, (807) 684-6000 CS-PTED-SURG-80-A Total Knee Replacement - Exercise Booklet copyright 2007 Thunder Bay Regional Health Sciences Centre All rights reserved by Thunder Bay Regional Health Sciences Centre with permission from Sunnybrook Health Sciences Centre.
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