Start with 10 repetitions of each exercise, 3 times a day and gradually increase the number of. If you have severe arthritis in your knee or knees, you may benefit from physical therapy to. Knee replacement exercise booklet weight bearing as tolerated. Your physiotherapist may give you new exercises to help bend and straighten your knee and improve strength and balance. Recovering from a partial or total knee replacement and returning to a more active lifestyle will. Mobility exercises remain completely passive without the use of muscles to move your knee. If you are having any problems with the exercises, please call sports medicine north at 9788186350. Brett sears, pt, mdt, is a physical therapist with over 15 years of experience in orthopedic and hospitalbased therapy. Knee exercises can be started straight away after a knee. Progress to 30 minutes, two to three times a day, by the end of six weeks. Exercise guide for knee replacement surgery please bring this guide to the hospital. Post operative exercises weeks 12 for total knee replacement video of post operative exercises weeks 12 for total knee replacement brandon strouth, d. Aug 05, 2014 simply follow the exercises in realtime to complete your rehabilitation exercises after your total knee replacement.
It is recommended that the exercises be taught by a physiotherapist. Bend your knee 105120 degrees fully straighten your knee walk and go up and down stairs normally be able to ride a stationary bike. In the first few weeks at home it is important that you continue to improve your knee bending and straightening. 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. The following exercises are designed to improve the range of movement in your knee, and strengthen the muscles surrounding it. You can place light weights around your ankle and repeat any of the above exercises. Each case can be very different depending on the goals of the patient, the age of the.
It is not intended to replace the advice of your health care provider. Exercises you do before knee replacement surgery can strengthen your knee, improve flexibility, and help you recover faster. In order to get the best function possible from your knee, it is important that you perform the exercise program described below. The information presented is intended for general information and educational purposes. Each case can be very different depending on the goals of. Knee joint replacement surgery postoperative exercise program. Total knee replacement manual and therapyrehab protocol. Total knee replacement manual and therapyrehab protocol dr. Knee arthroscopy exercise programme the following guide will help you to understand your postoperative exercise program. The following exercises are to be performed 10x each, at least 2x daily 1x in the morning, 1x in the afternoon.
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. It is important to be patient, to be an active participant in your exercise program, and to strictly follow the. If your other knee is preventing you from doing what you want, im sure it cant hurt to continue your exercises. Your home exercise program will include activities to help reduce swelling and increase your knee motion and strength. Physical therapy exercises to do after total knee replacement. Knee replacement exercises are a vital part of the recovery process to ensure you get the best results from your new knee. Ankle exercises point your feet up and down in a pumping motion.
The exercise program will take approximately 30 minutes to complete and should be done two times per day. Currently i still do some knee exercises also back exercises for sciatica most days. Heel slides lie on your back, bend your knee and slide your heel along bed toward your buttocks. Do the exercises selected by your physical therapist in. Exercises to be done before, during and after your hospital stay. Cleveland clinic offers expert diagnosis, treatment and rehabilitation for bone, joint or connective tissue disorders and rheumatic and immunologic diseases. Simply follow the exercises in realtime to complete your rehabilitation exercises after your total knee replacement. Total knee exercises why should i exercise my knee. Physiotherapy exercises following total knee replacement. When you have total knee replacement tkr surgery, recovery and rehabilitation is a crucial stage.
Exercise guide for knee replacement surgery please bring this guide to the hospital and to all physiotherapy appointments. Apply ice for 10 15 minutes to the operated knee or thigh especially after exercise. In the first few weeks at home it is important that you continue. These resistance exercises usually can begin 4 to 6 weeks after your surgery. Mar 31, 2020 when you have total knee replacement tkr surgery, recovery and rehabilitation is a crucial stage. The goal of the following exercises is to regain range of motion while limiting pain and inflammation.
This will help you move easier and get back to doing the activities you enjoy. You should only exercise within the limits of pain. Jonathan cluett, md, is a boardcertified orthopedic surgeon with subspecialty training in sports medicine and arthroscopic surgery. Walking is a good exercise but is no substitute for your stretching and exercises. Postoperative exercises weeks 12 for total knee replacement. Exercise guide for knee replacement surgery grand river. Physiotherapy advice following total knee replacement surgery.
That is in addition to either a 2 mile brisk walk, or a 12 mile swim 5 to 6 days a week. This program may be supervised by a physiotherapist initially or for several weeks, pending on your progress. 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. Postoperative exercises weeks 12 for total knee replacement video of postoperative exercises weeks 12 for total knee replacement brandon strouth, d. Total knee replacement postop exercises procedure details. Total knee replacement home exercise program phase i. Make sure that your patient has a follow up appointment for a wound check. I would think that after 14 months, kneespecific exercises are no longer necessary. Patella kneecap mobility is vital for optimal knee health and is a must amongst knee surgery prehab exercises. Keep up with your therapy and exercises with this instructional video from st. Total knee arthroplasty protocol brigham and womens.
Tighten the muscles on the front of your thigh and push the back of your knee down into the bed. Knee joint replacement surgery post operative exercise program david f. After a knee replacement, you can get up and about very quickly. Group exercises were the favoured destination for patients following tkr in highvolume centres with focus on kneespecific strengthening, stretching and functional exercises. After thr, no highvolume orthopaedic centres offered routine physiotherapy unless patients were considered in clinical need of additional physiotherapy support. Scott, md weeks 1 through 6 the goal of knee replacement surgery is to return you to normal functional activities as soon as. 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. Total knee replacement postop exercises cleveland clinic. Exercise following knee replacement mayo clinic connect. Total knee replacement exercise guide orthoinfo aaos. 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. You should allow 15 minutes, two to three times a day, to begin with. Should you have any queries or concerns regarding any aspect of the program. Exercise after surgery will help you recover and regain the movement and strength of.
Doing the exercises in this handout will strengthen the muscles that support your knee to help you recover from knee replacement surgery. Make sure you check with the surgeon before you start using any protocol. Ice on the operated knee while elevating the leg above your heart helps reduce swelling. Knee replacement exercise booklet weight bearing as. Postoperative instructions for total knee replacements. Also, obtain a copy of the operative report from the surgeon. Total knee arthroplasty protocol brigham and womens hospital.
You will start the following exercise program soon after your surgery. Simply repeat what you see and you will have completed the best post op regime. Aug 06, 2015 keep up with your therapy and exercises with this instructional video from st. Repeat 10 times every hour to help prevent blood clot formation and pump swelling away from the leg. You will need to do only the exercises that your physiotherapist determines are important for you. Gently point and pull ankle of your surgical leg by pumping foot up and down. Recovering from a partial or total knee replacement and returning to a more active lifestyle will take time. Elevate your entire leg by placing pillows underneath the entire operated leg, not just under the knee. 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 replacement exercises guide knee pain explained. Home exercise program following knee surgery during your hospitalization, you have had knee surgery.
Your leg muscles may feel weak after knee replacement surgery because you did not use them much with your knee problems. 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. Regular exercises are necessary to restore your knee mobility and strength. Do the exercises selected by your physical therapist in the right phase 1, 2, or 3 for your stage of recovery. Squats, banded clams, bilateral and unilateral bridges, my own variation of heel slides, etc. Post operative instructions for total knee replacements. Quadricep sets tighten your thigh muscle for 5 to 10 seconds relax repeat 10 times knee extension place a small rolled towel just. Contact your health care provider if you believe you have a health problem.
Total knee replacement home exercise program phase i, page 3 x16588 122019 aahc total knee replacement. Knee joint replacement surgery postoperative exercise. Just being able to get on with life and do things normally should be all you need. 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. Exercise guide for knee replacement surgery vancouver. Exercise after surgery will help you recover and regain the movement and strength of your knee. Total knee replacement exercise booklet sunnybrook hospital. In this stage, youll get back on your feet and return to an active lifestyle.
Cleveland clinic is a nonprofit academic medical center. Physiotherapy exercise after total knee replacement. Mar 05, 2015 i would think that after 14 months, kneespecific exercises are no longer necessary. 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. Simply repeat what you see and you will have completed the best post op. Postoperation total knee replacement exercises youtube. Best total knee replacement exercises, weeks 3 12 youtube.
I think it is up to you but it seems like a good idea to keep up. Weekbyweek rehab protocol for total knee replacement. To get the best results from your surgery, it is important that you do your exercises consistently and correctly. Perform exercises one 1 and two 2 fifteen 15 times every hour. During stage i, continue with rice rest, ice, compression, and elevation. This illustrated guide includes exercises and activities designed to restore muscle strength and mobility to your knee following total knee replacement. Do not lift any weights with your legs, hang weights on your knee, or do resistive exercises bike. 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. 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. 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. Continue to manage your pain and swelling with the tips on pages 57. 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.