Regular manual treatment should be conducted to the patella and all incisions so they remain mobile. Proposed rehab protocol for total knee replacement. Total knee replacement home exercise program phase i, page 3 x16588 122019 aahc total knee replacement. Do the exercises selected by your physical therapist in. To get the best results from your surgery, it is important that you do your exercises consistently and correctly. Recovering from a partial or total knee replacement and returning to a more active lifestyle will take time. If you have or can borrow a stationary bike, it is the very best exercise you can do for your knee after surgery. These rehabilitation guidelines are presented in a criterion based progression. Total knee replacement manual and therapyrehab protocol dr. Total knee arthroplasty protocol the following protocol should be used as a guideline for rehabilitation progression, but may need to be altered pending the nature and extent of the surgical procedure, healing restraints or patient tolerance. Table of contents introduction 2 the complete care program 3 specialty care coordinator preoperative total joint education class overview of total knee replacement 4 overview of total hip replacement 5.
Knee implants consist of 1 a metal piece attached to the end of your thigh bone, 2 a metal and plastic or allplastic piece attached to the top of. Your leg muscles may feel weak after knee replacement surgery because you did not use them much with your knee problems. If you are having any problems with the exercises, please call sports medicine north at 9788186350. This will help you move easier and get back to doing the activities you enjoy. Do both ankles at the same time or alternating feet. Total knee replacement preop exercises ankle pumps lying on your back or sitting, bend and straighten your ankles briskly. Total knee arthroplasty protocol center for sports. Early highintensity rehabilitation following total knee. Total knee replacement manual and therapyrehab protocol. Patients who have had a prior patellectomy or failed total knee replacement may require modifications in regards to the progression of weight bearing and knee motion as discussion. An important factor in deciding whether to have total knee replacement surgery is understanding what the procedure can and cannot do.
Rehabilitation guidelines for total knee replacement 4 p a g e phase iv continued suggested therapeutic exercises continue with progression of exercises for eccentric quad control integrate return to golf, tennis, hiking, cardiovascular program advance balance and proprioception cardiovascular exercises bike riding. The exercise program will take approximately 30 minutes to complete and should be done two times per day. Make sure you check with the surgeon before you start using any protocol. 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. Total knee replacement rehabilitation exercises ankle pumps 1 slowly bend the foot up and down at the ankle. Patient will be weight bearing as tolerated with a rolling walking or other piece of medical equipment.
General time frames are given for reference to the average, but individual patients will progress at different rates depending on their age, comorbidities, presurgical range of. Is able to demonstrate the beginning exercises to be performed while in the. Contact your health care provider if you believe you have a health problem. Now let us come to the actual protocol of doing all the exercises we just discussed. Please refer to the before during and after hip and knee replacement. Total knee replacement home exercise program phase i. General time frames are given for reference to the average, but individual patients will progress at different rates depending on. It is important to consistently perform the exercise prescribed by your physical therapist in. Put the bike in a spot that will be easy for you to access. Short leg splint two weeks followed by cam boot for one. Total knee replacement exercise guide orthoinfo aaos. Total knee arthroplasty protocolbrigham and womens hospital phase i.
A total knee replacement is a surgical operation aiming to replace a wornout joint. Postoperative instructions for total knee replacements. Early exercises should focus on recruitment proper. Total knee arthroplasty has become the standard of care for patients with endstage knee oa and is the most frequently performed orthopedic procedure in the united states. Post operative total knee replacement protocol brian white, md. No patient with a total ankle replacement should be doing work that causes impact to the joint. Ankle exercises point your feet up and down in a pumping motion. Outpatient rehabilitation guidelines for total knee arthroplasty. Doing the exercises in this handout will strengthen the muscles that support your knee to help you recover from knee replacement surgery. Initiate gentle strengthening exercises with the primary goal of activating the quadriceps.
Physiotherapy exercises following total knee replacement. For cardiovascular fitness elliptical, walking outside or on a track, aquatic exercise, cycle. More than 90% of people who have total knee replacement surgery experience a dramatic reduction of knee pain and a significant improvement in the ability to perform common activities of daily living. Receives any necessary therapy to assure maximized rom and good functional strength. Outpatient rehabilitation guidelines for total knee. Your home exercise program will include activities to help reduce swelling and increase your knee motion and strength. The intent of this physical therapy protocol is to provide the clinician with a guideline of the postoperative rehabilitation course. The following exercises are to be performed 10x each, at least 2x daily. 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. The purpose of your hip precautions is to allow for the best healing and the most successful. Is able to demonstrate the beginning exercises to be performed while in the hospital. Total knee arthroplasty protocol brigham and womens.
You should only exercise within the limits of pain. It is not intended to replace the advice of your health care provider. Perform 2 sets of 10 repetitions, 12 times per day. Home exercise program following knee surgery during your hospitalization, you have had knee surgery. Guidelines for rehabilitation of total knee replacements what is a total knee replacement. Maintain hip and knee rom increase hip, knee and core strength precautions nonweight bearing nwb. No treadmill walking due to compression on the new joint. During stage i, continue with rice rest, ice, compression, and elevation.
The most common form of damage seen is osteoarthritis. 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. Allina healths patient education department experts. Total knee arthroplasty protocol brigham and womens hospital. If you keep your knees straight during the exercise, you will stretch your calf muscles. Perform throughout the day, 10 per hour while awake. Please refer to the before during and after hip and knee replacement surgery a patients guide for further information. Total knee replacement rehab protocol the stone clinic.
Total knee replacement exercise booklet sunnybrook hospital. Knee total knee arthroplasty brigham and womens hospital. Rehabilitation protocol this rehabilitation protocol was developed for patients who have had a cemented total knee arthroplasty. Bridge exercise starting position lie on your back with your knees bent to prepare for the bridge exercise. Also, obtain a copy of the operative report from the surgeon. Typically, your surgeon recommends that you adhere to these. Tighten the muscles on the front of your thigh and push the back of your knee down into the bed. The rehabilitation protocol starts the very next day of 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. Exercise guide for hip replacement surgery please bring this guide to the hospital and to all physiotherapy appointments. The following exercises are to be performed 10x each, at least 2x daily 1x in the morning, 1x in the afternoon. This rehabilitation protocol was developed for patients who have had a cemented total knee arthroplasty. Repeat 10 times every hour to help prevent blood clot formation and pump swelling away from the leg. If you are having any problems with the exercises, please call sports. Exercise guide for knee replacement surgery please bring this guide to the hospital.
Total knee arthroplasty tka is an elective operative procedure to treat an arthritic knee. If you have too much pain in your knee to exercise, or if any of the exercises cause more pain or swelling in your knee, stop. Rehabilitation guidelines following total ankle arthroplasty. Rom range of motion this defines the amount of mobility in your knee prom passive range of motion mobility exercises remain completely passive without the use of muscles to move your knee aarom acitve assisted or partner. Exercise guide for knee replacement surgery vancouver. In order to get the best function possible from your knee, it is important that you perform the exercise program described below. Exercise guide for knee replacement surgery please bring this guide to the hospital and to all physiotherapy appointments. Simply follow the exercises in realtime to complete your rehabilitation exercises after your total knee replacement. A patients guide to total joint replacement and complete care. Recovering from a partial or total knee replacement and.
See a list of forms and worksheets for total knee replacement. This procedure replaces your damaged knee joint with an artificial knee implant. Knee implants consist of 1 a metal piece attached to the end of your thigh bone, 2 a metal and plastic or. The information presented is intended for general information and educational purposes. Each case can be very different depending on the goals of. This needs to be with a useful, nonantalgic gait pattern. A walking or water exercise program increases endurance, flexibility. Perform exercises one 1 and two 2 fifteen 15 times every hour. The goal of the following exercises is to regain range of motion while limiting pain and inflammation. Ankle pumps gently point toes up towards your nose and down towards the surface. Allina healths patient education department, knee replacement, fifth edition, orthoah90140. Total knee exercises why should i exercise my knee. Make sure that your patient has a follow up appointment for a wound check. Single knee to chest at 6 weeks total hip arthroplasty protocol page 3 of 3.
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