KNEE REPLACEMENTPOST-OP EXERCISE BOOK

This booklet belongs to:

YOU MUST BRING THIS BOOK WITH YOU TO ALL YOUR THERAPY APPOINTMENTS IN THE HOSPITAL

AND TO ALL YOUR OUTPATIENT APPOINTMENTS

You have an appointment to see your surgeon/physiotherapist at the Surgical Assessment Center on:

If you need to change this appointment, please call 306-766-0401

Licence Plate number

2

This booklet will guide you in your physiotherapy journey from after your surgery to your first follow up appointment with your

surgeon and outpatient physiotherapy sessions.

If you have any questions or concerns after discharge please call 766-0432

You will be receiving a phone call from the Surgical Assessment Center 48-72 hours after you are

discharged from hospital to check on your recovery.

3

As part of your recovery, you are expected to complete your prescribed exercises twice a day, practice walking and apply ice as needed to your surgical area. Use this chart to keep track of your activity.

Date Morning Exercises

Ice /Elevation

Afternoon Exercises

Ice / Elevation

Walking As Tolerated

Average Pain Today

0-10

KNEE ROM ON DISCHARGE ________________

(To be filled out by your physiotherapist in hospital)

4

Imm

edia

te P

ost O

p Ex

erci

ses

Circ

ulat

ion

Exer

cise

s • P

ump

your

feet

up

and

dow

n.

• Do

this

10

times

eve

ry h

our t

hat y

ou a

re a

wak

e w

hile

in h

ospi

tal

Ank

le c

ircle

s • D

o an

kle

exer

cise

s in

eac

h di

rect

ion

• Do

this

10

times

eve

ry h

our t

hat y

ou a

re a

wak

e w

hile

in h

ospi

tal

5

Bre

athi

ng E

xerc

ises

• Sit

or li

e do

wn.

• Inh

ale

deep

ly th

roug

h yo

ur n

ose.

• With

out e

xhal

ing,

take

3 s

mal

l “sn

iffs”

to fi

ll yo

ur lu

ngs.

• Hol

d 2

to 5

sec

onds

, the

n ex

hale

. • D

o th

is 1

0 tim

es e

very

hou

r tha

t you

are

aw

ake

whi

le in

hos

pita

l.

Kne

e Sq

ueez

es

• With

you

r leg

s st

raig

ht o

ut in

fron

t of y

ou, s

quee

ze th

e m

uscl

es o

n th

e fro

nt o

f you

r

thi

ghs

and

butto

ck m

uscl

es.

• Hol

d fo

r 3 s

econ

ds. R

elax

. Rep

eat 1

0 tim

es, 3

-4 ti

mes

per

day

.

6

Understanding Your PainThere are several things that contribute to pain and management.

Up to now, you have been experiencing “arthritic pain”, which is often described as a dull aching pain. This pain should cease with surgery. Post operatively, you will be experiencing pain for a different reason

– this is “surgical pain”. This will improve with time.

How to Reduce Pain and Swelling

Ice and Heat • Apply ice for 10-15 minutes to the operated knee, especially after exercise. You can

use ice as needed every 1-2 hours.

• Do not apply heat to your incision area. Talk to your physiotherapist before using

any heat.

Pain Medication • Pain medication should be taken as prescribed in hospital.

• It is important that your pain is controlled so that you can complete your 2 exercise

sessions every day. •Take your pain medication 30-45 minutes before your exercise session.

7

Swelling Control

• You can help control/reduce the swelling in your knee by elevating the leg above the

level of your heart, for 20 minutes, 2-3 times per day.

• Elevate your entire leg by placing pillows underneath the entire operated leg, not just

under the knee.

8

WALKING

Soon after surgery you will begin to walk short distances in your room. It is important to

know your ‘weight bearing status’ when you begin to walk. This means how much

pressure you can put on your operated leg.

YOU MUST CONTINUE USING YOUR WALKER OR CRUTCHES FOR SIX WEEKS AFTER SURGERY

Your surgeon or physiotherapist will instruct you when to start using a cane.

Weight Bearing As Tolerated: Stand up straight as you can. You are allowed to put as much weight as you feel

comfortable with on your operated leg.

Partial Weight Bearing: You are allowed to put a maximum of 50% of your body weight through the operated leg.

How much should I be standing/walking? Start with walking short distances in the hospital. Once discharged, gradually increase

your walking in your house, within your tolerance. Prolonged standing can also increase

your pain. An increase in knee pain and swelling, or an increase in night pain may

indicate you have been doing too much.

9

Sit to Stand When rising from a seated position you must place the foot of your operated leg

ahead of the other foot. Put most of the weight through your arms and non-operated

leg as you push up into a standing position.

Walking with your walker: Sequence: 1. Walker 2. Operated Leg 3. Non-operated leg

Keep your head up. Advance the walker about an arm’s length away. Step halfway into

the walker with your operated leg, followed by your non-operated leg. Stand up tall and

straight. Wear good supportive footwear with non-slip soles whenever possible.

10

STAIRSGoing Up 1. Hold the handrail with one hand and a cane or crutch in the other.

2. Step your non-operated leg up first. Then bring your operated leg and the cane or crutch up onto the

step.

Going Down 1. Hold the handrail with one hand and a cane or crutch in the other.

2. Step down with your operated leg, along with your cane or crutch. Then step down with your non- operated leg.

11

My Knee is Getting More Stiff and Sore! What do I do??

****** If you experience the following once discharged home, see your family doctor or walk-in clinic ASAP*****

• Increasing redness and/or increased temperature around your knee

• Increased incision drainage

• Generally feeling unwell Use the diagrams on the following pages to help track how much your knee is bending

and straightening. If you are experiencing an increase in knee stiffness and no increase

in range of motion are you doing the following:

• Doing enough exercises? If your knee is becoming stiffer you should increase the

frequency of exercises you are doing. It is necessary to hold the stretch for 20-30

seconds at the end of your range of motion. It is normal to have pain while doing the

exercises.

• Taking your pain medication as prescribed in the hospital?

• Icing your knee frequently? You should ice your knee for 10-15 minutes, especially

after the exercises. You can ice every 1-2 hours.

• Elevating your leg above the heart level? Ensure you are laying down with your

entire operated leg elevated for 20 minutes, 2-3 times per day.

• Doing too much other activity? Often a sudden increase in activity is the reason for

an increase in knee swelling and stiffness. Take more rest breaks.

• Staying in one position? Be sure to change positions regularly as staying in one

position for too long can increase your stiffness.

12

Estimate your Knee BendSitting in a chair with your body weight evenly distributed on both buttocks and your back

against the chair, bend your operated knee by sliding your heel under the seat. Use the

diagram below to estimate how much your knee is bending. Your goal is to be to at least

position 3 or further by two weeks after your surgery.

If you are having difficulty achieving position 2, consider doing more of your knee

bending exercises on pages 14 and 15.

1

2

34

©Designed By MMS-JP-2014

13

Estimate your Knee Straightening

Lying on your back, attempt to straighten your knee as much as possible. Use the diagrams below to estimate how straight your knee is. Your goal is to achieve position ‘B’ in 4-6 weeks after your surgery.

If you are having difficulty achieving position B, consider doing more of your knee

straightening exercise on page 15 and the knee stretch on page 16.

A

B

©Designed By MMS-JP-2014

©Designed By MMS-JP-2014

14

Post

Op

Kne

e Ex

erci

ses

You

will

beg

in th

ese

exer

cise

s w

hile

in h

ospi

tal a

nd w

ill c

ontin

ue to

do

them

at h

ome

once

dis

char

ged.

Do

only

the

chec

ked

exer

cise

s

q

Seat

ed K

nee

Stra

ight

enin

g/B

endi

ng1.

Sit

in a

cha

ir or

on

your

bed

with

goo

d po

stur

e.

2. P

ull t

he to

es u

p an

d st

raig

hten

you

r kne

e.

3. H

old

for a

cou

nt o

f five

then

slo

wly

low

er y

our f

oot a

nd b

end

your

kne

e as

far b

ack

as y

ou c

an.

4. A

ltern

ate

with

the

othe

r leg

. 5.

Sta

rt w

ith 1

0 re

petit

ions

. Gra

dual

ly p

rogr

ess

to 3

0 re

petit

ions

on

each

leg,

2 ti

mes

per

day

.

q

Kne

e Sq

ueez

es

1. L

ie o

n yo

ur b

ack

with

you

r leg

s st

raig

ht. Y

ou c

an p

lace

a s

mal

l rol

l und

er y

our k

nees

.

2. P

ull y

our t

oes

up, p

ush

the

back

s of

you

r kne

es d

own

tight

enin

g yo

ur th

igh

mus

cles

.

G

ently

squ

eeze

you

r but

tock

mus

cles

as

wel

l.

3. H

old

for a

cou

nt o

f 5, t

hen

rela

x.

4. S

tart

with

10

repe

titio

ns. G

radu

ally

pro

gres

s to

30

repe

titio

ns, 2

tim

es p

er d

ay.

15

q

Kne

e B

endi

ng

1. L

ie o

n yo

ur b

ack.

2. K

eep

your

toes

poi

nted

tow

ards

the

ceili

ng a

s yo

u sl

ide

the

heel

of y

our o

pera

ted

leg

to

war

ds y

our b

utto

cks.

3. H

old

for fi

ve s

econ

ds th

en s

low

ly s

lide

your

foot

bac

k to

the

star

ting

posi

tion.

4. Y

ou m

ay u

se a

stra

p ar

ound

you

r foo

t to

help

you

r kne

e be

nd fu

rther

.

5. A

ltern

ate

with

the

othe

r leg

.

6. S

tart

with

10

repe

titio

ns. G

radu

ally

pro

gres

s to

30

repe

titio

ns o

n ea

ch le

g, 2

tim

es p

er d

ay.

q

Kne

e St

raig

hten

ing

1. L

ie o

n yo

ur b

ack

with

a ro

ll un

der y

our k

nees

. Th

e ro

ll sh

ould

be

abou

t 6-8

inch

es in

d

iam

eter

– a

cof

fee

can

wor

ks w

ell.

2. P

ull y

our t

oes

up a

nd li

ft yo

ur h

eel o

ff th

e be

d, s

traig

hten

ing

your

ope

rate

d kn

ee.

K

eep

the

back

of y

our k

nee

on th

e ro

ll.

3. H

old

for a

cou

nt o

f 5, t

hen

slow

ly lo

wer

the

foot

.

4. A

ltern

ate

with

the

othe

r leg

.

5. S

tart

with

10

repe

titio

ns. G

radu

ally

pro

gres

s to

30

repe

titio

ns, 2

tim

es p

er d

ay.

16

q

Stra

ight

Leg

Rai

se

1. L

ie o

n yo

ur b

ack

with

you

r ope

rate

d le

g st

raig

ht a

nd y

our o

ther

kne

e be

nt.

2. P

ull y

our t

oes

up, t

ight

en y

our t

high

mus

cle

and

lift t

he o

pera

ted

leg

off t

he b

ed,

ke

epin

g th

e le

g st

raig

ht.

Lift

the

leg

4-6

inch

es o

ff th

e be

d.

3. H

old

for a

cou

nt o

f 5, t

hen

slow

ly lo

wer

the

leg.

4. S

tart

with

10

repe

titio

ns.

Gra

dual

ly p

rogr

ess

to 3

0 re

petit

ions

, 2 ti

mes

per

day

.

q

Kne

e St

retc

h1.

Lie

on

your

bac

k w

ith a

roll

unde

r you

r ank

les.

The

roll

shou

ld b

e bi

g en

ough

so

that

the

back

of y

our c

alf d

oes

not t

ouch

the

bed.

2. K

eep

your

kne

e an

d fo

ot p

oint

ed to

war

ds th

e ce

iling

.

3. L

et th

e ba

ck o

f you

r kne

e re

lax,

hel

ping

to s

traig

hten

the

knee

.

4. H

old

this

pos

ition

for 5

min

utes

. Do

this

twic

e a

day.

17

DO NOT

progress to the following exercises

until directed by your physiotherapist

q

Stra

ight

Leg

Rai

se

1. L

ie o

n yo

ur b

ack

with

you

r ope

rate

d le

g st

raig

ht a

nd y

our o

ther

kne

e be

nt.

2. P

ull y

our t

oes

up, t

ight

en y

our t

high

mus

cle

and

lift t

he o

pera

ted

leg

off t

he b

ed,

ke

epin

g th

e le

g st

raig

ht.

Lift

the

leg

4-6

inch

es o

ff th

e be

d.

3. H

old

for a

cou

nt o

f 5, t

hen

slow

ly lo

wer

the

leg.

4. S

tart

with

10

repe

titio

ns.

Gra

dual

ly p

rogr

ess

to 3

0 re

petit

ions

, 2 ti

mes

per

day

.

q

Kne

e St

retc

h1.

Lie

on

your

bac

k w

ith a

roll

unde

r you

r ank

les.

The

roll

shou

ld b

e bi

g en

ough

so

that

the

back

of y

our c

alf d

oes

not t

ouch

the

bed.

2. K

eep

your

kne

e an

d fo

ot p

oint

ed to

war

ds th

e ce

iling

.

3. L

et th

e ba

ck o

f you

r kne

e re

lax,

hel

ping

to s

traig

hten

the

knee

.

4. H

old

this

pos

ition

for 5

min

utes

. Do

this

twic

e a

day.

18

Stan

ding

Exe

rcis

esq

Squa

t

1. S

tand

tall

with

goo

d po

stur

e, fe

et s

houl

der w

idth

apa

rt

2. U

sing

cha

ir or

cou

nter

for b

alan

ce, i

nitia

te s

quat

by

bend

ing

at th

e hi

p

3. S

quat

as

low

as

is c

omfo

rtabl

e fo

r you

4. D

o no

t let

you

r kne

es c

ome

over

you

r toe

s –

stic

k yo

ur h

ips

back

as

if

y

ou w

ere

sitti

ng in

a c

hair.

5. H

old

the

squa

t pos

ition

for a

cou

nt o

f 5 th

en re

turn

to s

tand

ing.

6. D

o___

_set

s of

___

____

___r

epet

ition

s.

q

Stan

ding

Kne

e Fl

exio

n

1. U

se c

hair

or c

ount

er fo

r sup

port

2. B

end

your

ope

rate

d kn

ee, b

ringi

ng y

our h

eel t

owar

ds y

our b

utto

cks

3. K

eep

your

trun

k up

right

, do

not b

end

forw

ard

4. H

old

knee

ben

d po

sitio

n fo

r a c

ount

of 5

5. D

o __

____

__ s

ets

of _

____

____

_ re

petit

ions

.

q

Pro

gres

s ex

erci

se b

y us

ing

an a

nkle

wei

ght o

r res

ista

nce

band

.

19

q

Stan

ding

Hip

Abd

uctio

n

1. U

se a

cha

ir or

cou

nter

for s

uppo

rt.

2. K

eepi

ng y

our t

oes

poin

ted

forw

ard,

lift

one

leg

out

to th

e si

de.

3. K

eep

your

trun

k up

right

– d

o no

t lea

n ov

er.

4. H

old

the

leg

lift f

or a

cou

nt o

f five

, the

n re

turn

to th

e st

artin

g po

sitio

n.

5. D

o __

___

sets

of _

____

repe

titio

ns o

n ea

ch le

g.

q

Pro

gres

sion

: A

dd a

resi

stan

ce b

and

or a

nkle

wei

ght

q

Bal

ance

1. U

se a

cha

ir or

cou

nter

for s

uppo

rt

2. L

ift o

ne le

g of

f the

floo

r, m

aint

aini

ng y

our b

alan

ce.

3. T

ry to

hol

d th

e po

sitio

n fo

r 5 s

econ

ds to

sta

rt, w

ork

up to

hol

ding

the

posi

tion

for 3

0 se

cond

s.

4. D

o __

____

repe

titio

ns o

n ea

ch le

g.

20

q

Cal

f Rai

se1.

Use

a c

hair

or c

ount

er fo

r sup

port

as n

eede

d.

2. R

ise

up o

nto

your

tip

toes

, lift

ing

your

hee

ls o

ff th

e gr

ound

.

3. S

tay

on y

our t

oes

for a

cou

nt o

f 5, t

hen

low

er th

e he

els.

4. D

o __

___

sets

of _

____

repe

titio

ns.

q

Cal

f Str

etch

1. S

tand

in fr

ont o

f a w

all w

ith y

our s

trong

leg

forw

ard

and

your

ope

rate

d le

g ba

ck

2. L

ean

forw

ards

ben

ding

the

front

kne

e. K

eep

the

oper

ated

kne

e as

stra

ight

as

you

c

an w

ith th

e he

el o

n th

e gr

ound

. 3.

You

sho

uld

feel

a s

tretc

h in

the

back

of t

he o

pera

ted

leg.

4. H

old

for _

___

seco

nds.

Rep

eat _

____

tim

es.

21

q

Step

Up

1. S

tand

in fr

ont o

f a s

tep.

2. P

lace

the

non-

oper

ated

leg

on th

e st

ep, t

hen

brin

g th

e op

erat

ed le

g on

to th

e st

ep.

3. S

tep

back

war

ds o

ff th

e st

ep, b

ringi

ng th

e op

erat

ed le

g do

wn

first

, fol

low

ed b

y th

e

n

on-o

pera

ted

leg.

4.

Do

____

_ se

ts o

f ___

____

repe

titio

ns.

q

Pro

gres

sion

: B

ring

the

oper

ated

leg

up fi

rst,

follo

wed

by

the

non-

oper

ated

leg.

S

tep

back

war

ds b

ringi

ng th

e no

n-op

erat

ed le

g do

wn

first

.

q

Late

ral S

tep

Up

1. S

tand

sid

eway

s ne

xt to

a s

tep

with

the

oper

ated

leg

on th

e bo

ttom

ste

p.

2. S

tep

up b

y st

raig

hten

ing

the

knee

of t

he o

pera

ted

leg.

3. S

low

ly lo

wer

the

non-

oper

ated

leg

back

to th

e flo

or b

y be

ndin

g th

e op

erat

ed k

nee.

4. D

o __

____

__ s

ets

of _

____

_ re

petit

ions

.

q

Pro

gres

sion

: P

lace

a re

sist

ance

ban

d ar

ound

the

knee

of t

he o

pera

ted

leg.

22

q

Cha

ir Sq

uat

1. S

tand

in fr

ont o

f a c

hair

2. L

ower

into

a s

quat

by

bend

ing

at th

e hi

p. D

o no

t let

you

r kne

es c

ome

over

you

r toe

s

3. L

ower

dow

n un

til y

our b

utto

cks

just

touc

h th

e ch

air t

hen

retu

rn to

the

star

ting

posi

tion.

4. D

o __

____

sets

of _

____

__ re

petit

ions

Seat

ed E

xerc

ises

q

Seat

ed F

oot S

lides

1. S

it in

a c

hair

with

goo

d po

stur

e

2. S

lide

the

foot

of t

he o

pera

ted

leg

back

und

erne

ath

the

chai

r, be

ndin

g th

e kn

ee.

3. D

o no

t let

you

r hip

com

e of

f the

sea

t of t

he c

hair.

4. Y

ou m

ay p

lace

a to

wel

or g

arba

ge b

ag u

nder

you

r foo

t to

help

it s

lide

easi

er.

5. D

o __

____

__ s

ets

of _

____

___

repe

titio

ns

23

q

Seat

ed F

oot S

lides

with

Ove

rpre

ssur

e

1. S

it in

a c

hair

with

goo

d po

stur

e.

2. S

lide

the

foot

of t

he o

pera

ted

leg

back

und

erne

ath

the

chai

r, be

ndin

g th

e kn

ee.

3. A

pply

ove

rpre

ssur

e to

the

mov

emen

t by

plac

ing

the

foot

of t

he n

on-o

pera

ted

leg

o

ver t

he a

nkle

of t

he o

pera

ted

leg.

4. H

old

for a

cou

nt o

f 10

then

retu

rn to

the

star

ting

posi

tion.

5. D

o __

___

set

s of

___

____

repe

titio

ns

q

Res

iste

d K

nee

Flex

ion

1. S

it in

a c

hair

with

goo

d po

stur

e.

2. A

ttach

a re

sist

ance

ban

d to

the

ankl

e of

you

r ope

rate

d le

g an

d to

som

ethi

ng s

olid

in

fr

ont o

f you

, suc

h as

a ta

ble

leg.

3. S

tarti

ng w

ith th

e kn

ee o

f the

ope

rate

d le

g st

raig

ht, b

end

your

kne

e pu

lling

you

r foo

t

u

nder

neat

h th

e ch

air.

4. H

old

for a

cou

nt o

f 5, t

hen

retu

rn to

the

star

ting

posi

tion.

5. D

o __

____

_ se

ts o

f ___

____

_ re

petit

ions

24

q

Res

iste

d Se

ated

Kne

e Ex

tens

ion

1. S

it in

a c

hair

with

goo

d po

stur

e.

2. A

ttach

a re

sist

ance

ban

d to

the

ankl

e of

you

r ope

rate

d le

g an

d to

the

leg

of

th

e ch

air.

You

can

als

o us

e an

ank

le w

eigh

t.

3. S

low

ly s

traig

hten

the

knee

. H

old

for a

cou

nt o

f 5 th

en re

turn

to th

e st

artin

g po

sitio

n.

4. D

o __

____

___

sets

of _

____

___

repe

titio

ns

q

Seat

ed H

amst

ring

Stre

tch

1. S

it on

the

edge

of a

cha

ir w

ith g

ood

post

ure.

2. P

ut y

our o

pera

ted

leg

out i

n fro

nt o

f you

, kee

ping

the

knee

as

stra

ight

as

poss

ible

.

3. L

ean

forw

ard

from

the

hips

, kee

ping

you

r che

st u

p un

til y

ou fe

el a

stre

tch

in th

e ba

ck

o

f the

ope

rate

d le

g.

4. H

old

for _

____

_sec

onds

. R

epea

t ___

____

___t

imes

.

25

BED

EXE

RC

ISES

q

Pron

e K

nee

Ben

d 1.

Lie

on

your

sto

mac

h. Y

ou c

an p

lace

a fo

lded

tow

el u

nder

you

r ope

rate

d kn

ee fo

r com

fort.

2. B

end

the

knee

of t

he o

pera

ted

leg,

brin

ging

you

r hee

l tow

ards

you

r but

tock

s.

3. H

old

for a

cou

nt o

f 5 th

en re

turn

to th

e st

artin

g po

sitio

n.

4. Y

ou m

ay a

lso

use

the

non-

oper

ated

leg

to a

pply

ove

rpre

ssur

e to

incr

ease

the

knee

ben

ding

.

5. D

o __

____

sets

of _

____

___r

epet

ition

s

q

Pron

e K

nee

Stra

ight

enin

g1.

Lie

on

your

sto

mac

h w

ith y

our f

eet h

angi

ng o

ver t

he e

dge

of th

e be

d.

2. P

lace

a fo

lded

tow

el u

nder

you

r ope

rate

d kn

ee.

3. P

ut a

wei

ght o

n yo

ur a

nkle

, or u

se y

our o

ther

foot

to p

ut d

ownw

ards

pre

ssur

e on

the

a

nkle

of t

he o

pera

ted

leg.

4. H

old

for _

____

____

__ m

inut

es.

Rep

eat _

____

____

_tim

es.

q

Res

iste

d Se

ated

Kne

e Ex

tens

ion

1. S

it in

a c

hair

with

goo

d po

stur

e.

2. A

ttach

a re

sist

ance

ban

d to

the

ankl

e of

you

r ope

rate

d le

g an

d to

the

leg

of

th

e ch

air.

You

can

als

o us

e an

ank

le w

eigh

t.

3. S

low

ly s

traig

hten

the

knee

. H

old

for a

cou

nt o

f 5 th

en re

turn

to th

e st

artin

g po

sitio

n.

4. D

o __

____

___

sets

of _

____

___

repe

titio

ns

q

Seat

ed H

amst

ring

Stre

tch

1. S

it on

the

edge

of a

cha

ir w

ith g

ood

post

ure.

2. P

ut y

our o

pera

ted

leg

out i

n fro

nt o

f you

, kee

ping

the

knee

as

stra

ight

as

poss

ible

.

3. L

ean

forw

ard

from

the

hips

, kee

ping

you

r che

st u

p un

til y

ou fe

el a

stre

tch

in th

e ba

ck

o

f the

ope

rate

d le

g.

4. H

old

for _

____

_sec

onds

. R

epea

t ___

____

___t

imes

.

26

q

Brid

ge

1. L

ay o

n yo

ur b

ack

with

you

r kne

es b

ent a

nd y

our a

rms

at y

our s

ides

. 2.

Tig

hten

you

r abd

omin

al m

uscl

es th

en li

ft yo

ur h

ips

off t

he fl

oor b

y sq

ueez

ing

your

thig

h

a

nd b

utto

ck m

uscl

es.

3. H

old

the

brid

ge fo

r a c

ount

of 5

then

slo

wly

low

er y

our h

ips.

4. D

o __

__ s

ets

of _

____

repe

titio

ns.

q

Side

lyin

g H

ip A

bduc

tion

1. L

ay o

n yo

ur n

on-o

pera

ted

side

with

the

botto

m k

nee

bent

for s

uppo

rt.

2. K

eepi

ng y

our t

oes

poin

ted

forw

ard,

lift

the

top

leg.

3. K

eep

your

pel

vis

rolle

d sl

ight

ly fo

rwar

d –

do n

ot le

t you

r hip

s ro

ll ba

ck.

4. H

old

the

leg

lift f

or a

cou

nt o

f 5, t

hen

slow

ly lo

wer

the

top

leg

to th

e st

artin

g po

sitio

n.

5. D

o __

___

sets

of _

____

____

repe

titio

n.

27

q

Stat

iona

ry C

yclin

g1.

You

can

use

an

uprig

ht o

r rec

umbe

nt b

ike

2. T

he s

eat p

ositi

on is

ver

y im

porta

nt:

adju

st th

e se

at p

ositi

on s

o th

at th

ere

is ju

st a

s

light

ben

d in

you

r kne

e w

hen

the

peda

l is

furth

est a

way

from

you

.

3. T

o w

ork

on ra

nge

of m

otio

n in

the

knee

– d

o no

t put

any

tens

ion/

resi

stan

ce o

n th

e

p

edal

s. F

ocus

on

stra

ight

enin

g an

d be

ndin

g th

e kn

ee a

s yo

u pe

dal.

If y

ou c

an’t

m

ake

a fu

ll pe

dal r

evol

utio

n at

firs

t, go

as

far a

s yo

u ca

n in

one

dire

ctio

n th

en

re

vers

e. A

im fo

r 5 m

inut

es

4. T

o w

ork

on le

g st

reng

th –

add

resi

stan

ce to

the

peda

ls.

You

shou

ld s

till b

e ab

le to

c

omfo

rtabl

y pe

dal.

Sta

rt w

ith 5

min

utes

and

gra

dual

ly w

ork

up to

20

min

utes

of c

yclin

g.

28

Resuming an Active Lifestyle

Activities allowed during the first 6 weeks after surgery:

• Walking with your walking aid – gradually increase your distance• Swimming – your incision must be well-healed before you swim to avoid infection. No whip kick• Stationary Cycling – do not start cycling until you have talked to your physiotherapist

Activities allowed at 6-8 weeks after surgery:

• Golfing – start at the driving range• Gardening – raised garden beds and long handled tools recommended to avoid excessive knee bending• Kneeling – use a pillow or knee pads for comfort• Driving – discuss with your surgeon when you can begin driving

Activities allowed at approximately 12 weeks after surgery

• Cycling on a regular bike – raise the seat to prevent excessive knee bending• Gentle dancing• Low impact aerobics Discuss higher impact/risk activities, such as skiing, skating and tennis, with your surgeon. High impact activities such as jogging, basketball or racquetball should never be done following your surgery, unless specifically approved by your surgeon.

General Fitness

You can return to the activities you used to do before your surgery, following the guidelines above. Remember to start slowly as you will have been less active since your surgery. Start with a few minutes of activity and gradually progress.

Low impact activities are best, such as swimming, biking and walking. Talk to your physiotherapist about any specific questions you have.

29

NOTES

30

NOTES

31

NOTES

32

CEAC #### MMS-5902-14-ddh

September 2014