In order to achieve satisfactory rehabilitation results, patients should have a clear understanding of their condition so that they can better cooperate with their physician to ensure the smooth implementation of the rehabilitation program. Before using the exercises in this program, you should read all the contents carefully and obtain your doctor’s permission before implementing the program.
1. The methods and data provided in this plan are based on general practice, and the specific implementation should be done under the guidance of a doctor depending on your condition and surgery.
2.The pain that exists in the functional exercises is unavoidable. If the pain can subside to the original level within half an hour after the exercise stops, it will not cause damage to the tissue and should be tolerated.
3, muscle strength exercises should be concentrated until the muscle has a sense of soreness and fatigue, and then proceed to the next group after sufficient rest. The number of exercises, time, load depending on their own situation, and should be practiced at the same time the healthy side. The improvement of muscle strength is a key factor for joint stability, and must be practiced carefully.
4, in addition to the surgical limb brake protection, the rest of the body parts (such as the upper limb, waist and abdomen, the healthy side of the leg, etc.) should be practiced as much as possible to ensure physical quality, improve the overall level of circulation and metabolism, and promote the recovery of the surgical local.
5.Early joint mobility (flexion and extension) exercises should be performed under the guidance of a rehabilitation physician, not independently, to avoid danger.
6.Ice packs should be applied for 15-20 minutes immediately after the mobility exercises. If the joint swelling, pain and fever are obvious during or after the exercise, ice can be applied again 2-3 times a day.
The meniscus body, anterior and posterior horn injury stitches are not fully weight-bearing on the affected limb for 6 weeks after surgery (partial weight-bearing is allowed with the doctor’s permission), and no flexion exercises are performed within 1 week after surgery, passive flexion exercises are within 0-90 degrees for 4 weeks, and no active flexion exercises are performed for 4 weeks.
Protection period – 1 day to 4 weeks after surgery
(i) On the day of surgery and 1 day after surgery.
Immediately after surgery, apply pressure bandage, elevate the affected limb and immobilize it with a straight splint; after anesthesia subsides, begin to try to.
1. Ankle pump – forceful, slow, full-range flexion and extension of the ankle joint for 5 minutes/group, 1 group/hour. (Important for promoting circulation, decreasing swelling, and preventing deep vein thrombosis)
2, quadriceps (anterior thigh muscle group) isometric exercises – that is, thigh muscle tensing and relaxation. Do as many as possible without increasing pain. (Greater than 500 times/day)
3, N cord muscle (posterior thigh muscle group) isometric exercise – the affected leg force down the padded pillow, so that the posterior thigh muscle tensing and relaxation requirements as above, more than 500 times / day
(ii) 2 days after surgery.
1.Start to try straight leg lift – straight leg lift after knee extension until heel is 15M from the bed, hold until exhaustion. 10 times/group, 2-3 groups/day
2.Start leg raising exercises in all directions, 30 times/group, 2-4 groups/day, with 30 seconds rest between groups.
(iii) 1 week after surgery.
1 Continue and strengthen the above strength exercises
(iv) 2-4 weeks after surgery.
1.Continue and strengthen the above strength exercises.
2.Start “kicking” exercises to strengthen the legs. 30 times/group, 30 seconds rest between groups, 4 groups in a row, 2-3 times/day.
3.Increase the passive knee flexion angle by about 10° every week (60° for one week, 70° for two weeks, 80° for three weeks, 90° for four weeks).