Exercise regimen

After TKR exercise is an important component of recovery and rehabilitation. The day after surgery, the physiotherapist will help you walk with the aid of a walker. You can gradually progress to crutches or a walking stick, until you can walk without pain or a limp. This may be after 6 weeks. 

Standing From A Chair: 

  • Place the operated leg out in front of you
  • Push up with both hands on the arms of the chair
  • Once balanced place hands on the frame
  • Do not use the walker to pull yourself up. 

Sitting Down:

  • Stand close to the chair and feel it against the back of your legs
  • Place operated leg out in front of you
  • Place one hand on the arm of the chair 
  • Lower yourself down 

Stairs:

  • To begin with go up or down the stairs one step at a time
  • Place crutch or stick in one hand and support yourself on the rails
  • Going up you should place the un-operated leg on the step above and then pull up the operated leg and crutch or stick
  • Coming down the stairs you should place your operated leg and crutches or stick on the step below and then bring the un-operated leg down

Kneeling:

  • Once the scar is healed start by kneeling on a soft surface
  • Later you can kneel on a firmer surface

Functional Activity

  • Avoid jarring and twisting activities for 6-8 weeks. 
  • You should avoid getting the wound wet. Use a hand support in the shower and an anti-skid mat. Sit on a stool or chair with the operated leg stretched out onto another chair, while having a bath
  • Wear loose fitting clothes. Pull the clothes over your operated leg first
  • Avoid standing for long periods. Cooking can be done sitting in a chair 

Day 1: The following exercises need to be done regularly throughout the day to prevent blood clots in the calves or chest infections

  • Deep breathing: 
  • Breathe in through the nose
  • Hold for 2-3 seconds
  • Breathe out through the mouth
  • Do 3-4 deep breaths and rest for a short time in between
  • Repeat 10-12 times

To Improve Circulation

  • Point and bend ankles
  • Rotate ankles in clockwise and anticlockwise movements
  • Repeat 20 times

The Following Exercises Are To Be Done 10 Times at Each Sitting And 3-4 Times a Day

Static Quads

  • Sit or lie on your back with legs stretched out 
  • Tense your thigh muscles, then lift your leg about 2” off the ground
  • Hold for slow count of ten
  • Repeat 10 times

Straight Leg Raise

  • Sit or lie on your back with legs stretched out 
  • Tense your thigh muscles, pulling the toes up, then lift your leg about 2” off the ground
  • Hold for slow count of ten
  • Repeat 10 times

Static Hamstrings

  • Sit or lie with your leg straight in front of you. 
  • Pull your heel into the bed by tightening the muscle at the back of your thigh. 
  • Hold for a slow count of 10. 
  • Repeat 10 times. 

Static Gluts 

  • Tense your bottom muscles. 
  • Hold for a count of 10. 
  • Relax. 
  • Repeat 10 times. 

Knee Flexion on the Bed 

  • Sit with your back supported or lie flat. 
  • Bend your knee up towards you and then slowly lower it back down. 
  • Repeat 10 times. 

The Following Exercises can be Started as Soon as You are Able to Sit in the Chair. 

Inner Range Quads 

  • Sit supported or lie on the bed. 
  • Place a rolled up towel wrapped around something solid like a tin under your knee. 
  • Straighten your knee, lifting your heel off the bed. 
  • Hold for a slow count of 10.  
  • Relax and repeat 10 times. 

Full Range Quads 

  • Sitting on the edge of the bed or in a chair. 
  • Pull up the toes of the operated leg, tense the muscles at the front of the thigh and straighten the knee. 
  • Hold for a slow count of 10 then relax. 
  • Repeat 10 times. 

Knee Flexion in Sitting 

  • Sitting on the edge of the bed or in a chair. 
  • With your foot on the floor bend the knee as far as possible. 
  • Hold for 2-3 seconds then relax. 
  • Repeat 10 times. 

Once you can mobilize independently with a frame you will be progressed to crutches or sticks. 

On discharge you will be given a set of exercises tailor made for you

 

© 2016 Columbia Asia

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