Post Surgery Exercise Treatment Plan for Knee Injury Post Surgery Edwine Thevenin Nova Southeastern...
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Post Surgery Exercise Treatment Plan for Knee Injury Post Surgery Edwine Thevenin Nova Southeastern University Exsc 4901 Dr. Silver Atlantic Rehab Center
Post Surgery Exercise Treatment Plan for Knee Injury Post
Surgery Edwine Thevenin Nova Southeastern University Exsc 4901 Dr.
Silver Atlantic Rehab Center
Slide 2
Recumbent Bike Pedal forward for 5 minutes, pedal backwards for
5 minutes. Go at own pace and resistance. Adjust the seat so that
patient is seating straight. Patients with lower back problems
should have a pillow or a soft medicine ball between the seat and
lower mid back
Slide 3
Leg Press Set weight of machine. Sitting in the machine, put
feet up onto plate positioning them so that your knees are directly
over ankles and knees are bent to 90 degrees. Push plate forward
until knees are straight but not locked. Slowly return to previous
position. Repeat10 Times Complete3 Sets Patients with lower back
problems should have a pillow or a soft medicine ball between the
seat and lower mid back
Slide 4
Knee Extension Set all adjustments, including weight. Start
with the knees in a flexed position. Push up with equal force with
both legs until knee is in full extension. Come back down in a slow
controlled movement. (Aggravated knees should extend to about 45)
Repeat10 Times Hold3 Seconds Complete3 Sets
Slide 5
Seated Hamstring Curl Knee Extension machine needed for this
exercise. Set all adjustments, including weight. Start with the
knees in a flexed position. Push up with equal force with both legs
until knee is in full extension. Come back down in a slow
controlled movement. Repeat10 Times Hold3 Seconds Complete3
Sets
Slide 6
Precautions * A bar can be used to maintain balance or by
lifting one of the handles of the free motion machine to hold on to
when doing certain exercises. Such as balancing on the bosu,
hydrants, and step up exercises.
Slide 7
STANDING TERMINAL KNEE EXTENSION Place the theracord on your
affected leg, slightly above the crease in the back of the knee.
Keep the majority of your weight (85%) on your affected side and
bend your knee slightly without allowing your heel to come off the
floor or your hips to sway forward. Straighten your knee against
the resistance of the band, contracting the muscles in your leg and
completely straightening your knee with toes remaining on the
floor. Repeat10 Times Hold3 Seconds Complete3 Sets
Slide 8
Standing Hip Abduction Start Position: Standing with support
for balance if needed. Brace your core and begin to raise your leg
to the side, slowly control to start position, repeat. Hip
abduction can be done with Repeat10 Times Hold3 Seconds Complete3
Sets
Slide 9
Modified Hip Abduction While sitting with good posture, tie
theraband around knees and pull apart. Slowly resume starting
position. This position is great for patient with back issue. While
standing, raise your leg out to the side. Keep your knee straight
and maintain your toes pointed forward the entire time. Use your
arms for support if needed for balance and safety.
Slide 10
Standing Hip Extension While standing in front of machine
attached the cord to the ankle extend leg behind you. (Advanced
patients should squeeze their glut and keep trunk straight.) Keep
your knee with cord attached straight the entire time. Do not
hyperextend your knee on your stance leg/keep slightly bent.
Progression: If you do not feel muscle fatigue by the end of your
last set, increase resistance while maintaining proper form. Try
not to bend forward at the waist when your extend your leg.
Repeat10 Times Hold3 Seconds Complete3 Sets
Slide 11
Modified Hip Extension Lie on your stomach. Lift one leg into
the air keeping the knee straight. Both hips should stay on the
mat. Lower leg down slowly. While standing, move your leg back as
shown. Use your arms for support if needed for balance and
safety.
Slide 12
Hip Flexion Hold onto sturdy surface for balance support if
needed. Brace your core, raise one leg forward and slowly return to
start position. Repeat10 Times Hold3 Seconds Complete3 Sets Sit in
a chair with your feet on the floor. Lean shoulders and trunk
backwards. Lift one knee up and then lower it slowly, keeping the
hip from bending more than 90 degrees.
Slide 13
Standing Hip Adduction Repeat10 Times Hold3 Seconds Complete3
Sets Adjust weights on machine to accommodate the resistance
needed. With the cord around your leg stand straight up and move
your leg from the side back towards your body against the
resistance of the cord. Place leg over the handle while hands are
holding onto the bars. Slowly bring legs in toward the body *Use
when patient has progressed in their treatment program and is
capable of doing so
Slide 14
Modified Hip Adduction Sit on edge of seat with upright
posture. Put pillow between knees. While maintaining proper posture
squeeze pillow with knees and hold for 5 seconds. Relax 5 seconds
and repeat. *Great for patient who recent had surgery ELASTIC BAND
HIP ADDUCTION Start by standing with your target leg out to the
side, as shown, with an elastic band attached. Next, slowly draw
your leg inward towards the other side.
Slide 15
Forward Step Dip With one foot planted on step and other foot
in front of step slowly lower planted leg until unplanted foot
touches the floor, then raise back up. Repeat10 Times Hold3 Seconds
Complete3 Sets If using a foam, position it near a wall These are
great for older patients who has no Balance/stability
Slide 16
Wall Squats With a ball up against the wall, bring it into the
small of your back. Keeping your back pushed against the ball,
bring your feet a step out away from the wall. Feet hip distance
apart and pointed straight forward. Bend at your knees, pushing
your buttock back towards the ball and lowering yourself downward.
Push back upward, straightening your knees. Repeat. Repeat 15 Times
Hold 3-5 Seconds Complete 2 Sets
Slide 17
Advanced half wall squats Stand with your back against a wall
with your feet in front of you and shoulder width apart. Keep your
weight in your heels as your slide your back down the wall until
your knees are at a 90 degree ankle. Lift one leg out in front of
you keeping your hips level and core tightened. *These can be done
with athletes who have progressed in their treatment program or
adults who are capable of doing this exercise
Slide 18
DOUBLE LEG BALANCE Maintain your balance while standing on top
of an inverted Bosu Ball with both legs Repeat5 Time Hold10-15
Seconds Complete5 Set
Slide 19
Alternating Leg Extension (Quadruped) Begin on hands and knees
with knees directly under your hips and hands directly under your
shoulders. Keep your abdominals tight and engaged throughout this
exercise. Raise one leg straight back as pictured without letting
your hips drop to one side and without losing your abdominal
contraction. Hold for 3 seconds, then return to the start position
and repeat with the opposite leg. This is one repetition. Repeat10
Times Hold3 Seconds Complete3 Sets
Slide 20
Hydrants While maintaining balance on one leg, lift the other
leg without rotating hip out. * Use a surface to maintain balance
or a bar Repeat10 Times Hold3-5 Seconds Complete3 Sets
Slide 21
SUPINE HIP ABDUCTION - ELASTIC BAND CLAMS Lie down on your back
with your knees bent. Place an elastic band around your knees and
then draw your knees apart. Repeat10 Time Hold2 Seconds Complete3
Set
Slide 22
While lying on your side with your knees bent and an elastic
band wrapped around your knees, draw up the top knee while keeping
contact of your feet together as shown. Do not let your pelvis roll
back during the lifting movement. Repeat10 Time Hold1 Second
Complete3 Set ELASTIC BAND - SIDELYING CLAM
Slide 23
QUAD SET WITH TOWEL UNDER HEEL While lying or sitting with a
small towel roll under your ankle, tighten your top thigh muscle to
press the back of your knee downward towards the ground. Repeat15
Time Hold3 Second Complete2 Set
Slide 24
Supine Hamstring Stretch (with straight legs) Lie on your back
and hook a strap/towel/leash around your foot. Keeping the opposite
leg straight and flat on table, lift the affected leg towards the
ceiling while maintaining a straight knee. You should feel a
stretch along the back of the thigh and knee. Repeat 20 Times Hold
5 Seconds Complete 2 Sets
Slide 25
Knee Towel Stretch While pushing down on thigh above knee cap
with opposite hand, pull on towel or belt to lift heel from floor.
Keep thigh flat Repeat20 Times Hold2 Seconds Complete2 Sets
Slide 26
HEEL SLIDES - LONG SIT WITH TOWEL While in a sitting position,
hook a towel around your foot and pull your knee into a bend
position and towards your buttock. Repeat15 Time Hold3-5 Seconds
Complete2 Set
Slide 27
ICE APPLICATION & ELEVATION Use of ice is very important
for swelling and pain control. Ice can be applied whenever needed
up to 20 minutes at a time. Lie down with involved leg propped
above heart level with support under knee, calf, and ankle.