Rehabilitation Training Program
Post-operative-3 days.
This period is mainly for passive activities to promote blood circulation, prevent thrombosis and prevent tissue adhesions.
1.Passive joint mobilizer (CPM) training
Continuous passive movement with a CPM is the main means of early knee function exercise. CPM makes it easier to move the joint, prevents post-operative adhesions, shortens post-operative recovery time, and increases the patient’s confidence in recovery. (Since the machine carries your leg, it is called “passive activity”; on the other hand, if you do the same movement by yourself, without the machine, it is called “active activity”.)
2, quadriceps exercises: tense your thigh muscles, try to straighten the knee joint, hold for 5-10 seconds. Do 10 times in two minutes, rest 1 minute and then do the same exercise until you feel some fatigue in the thigh muscles
3, straight leg raise: straighten and tense the knee joint in bed, slightly lift and hold for 5-10 seconds, slowly lower until you feel some fatigue in your thigh muscles. You can also do this exercise in a sitting position.
4. Flexion and extension of the ankle joint: Rhythmically flex and extend your ankle joint 10 times every hour. Until you have fully recovered.
5.Turn your ankle joint: Turn your ankle joint from inside to outside; 3-4 times a day, 5 repetitions each time.
6. Knee straightening exercise: Place a small pad under your heel to keep your heel out of contact with the bed. Tighten your thigh muscles and straighten your knee, hold for 5-10 seconds until you feel some fatigue in your thigh muscles.
4-14 days after surgery.
The focus during this period is on restoring knee mobility to at least 0° to 90°; secondly, muscle strength restoration exercises.
Knee flexion and extension in bed: Keep your foot sliding on the bed to flex the knee as much as possible. Hold in maximum flexion for 5-10 seconds, then straighten the knee. Repeat several times until you feel some fatigue or your knee is fully flexed.
Seated knee flexion and extension exercise 1: Sit on the side of the bed or chair with your lower leg hanging down. With the base of the healthy foot on the instep of the operated side, slowly flex the knee as far as possible, holding it in maximum flexion for 5-10 seconds. Repeat until you feel some fatigue or until you are able to fully flex your knee.
Seated knee flexion and extension exercise 2: Sit on the side of a bed or chair with your lower leg hanging down. Slowly flex your knee as far as possible until your foot rests on the floor. Then lean your upper body forward to increase the angle of knee flexion and hold for 5-10 seconds. Fully straighten the knee.
Repeat until you feel some fatigue or your knee is fully flexed.
Getting off the ground as soon as possible after surgery will help your recovery, but follow your doctor’s instructions on when to do so.
1. Squatting exercises: squat as far as possible while keeping your heels off the ground, hold for 5-10 seconds and then slowly stand up.
2.Standing position knee flexion exercise: stand smoothly with the help of a walker or crutches, flex your hips and knees as much as possible, then hold for 5-10 seconds and straighten your knee joints. Repeat the exercise until you feel some fatigue.
3. Walking.
The correct way of walking is beneficial to your recovery. You will have to walk with a walker or crutches, and your surgeon or physical therapist will tell you when to put weight on. First stand firmly, place your body weight on the walker or crutches, move the walker or crutches forward, take a step with the affected limb taking care to straighten your knee so that your heel hits the ground first, bend your knee and ankle forward so that your whole foot lands smoothly on the floor, and then take the next step with your forefoot on the ground bending your knee and ankle.
Note: Use your heel to land first, then your entire foot to land smoothly, and finally take the next step with your forefoot. 2-6 weeks post-op (i.e., post-discharge rehabilitation program): The main goal of this period is to build muscle strength and maintain the knee mobility you have gained.
1. Time
Rehab takes time and you should make your rehab program your schedule. Start with 3-5 exercises per session, then gradually increase the frequency of exercises at twice the rate of each session until you can do 15 exercises per session.
until you are able to perform 15 exercises at a time. If you have difficulty performing a particular exercise, don’t force yourself to do it; you can try it again a week later.
2. Whistle
Pay attention to the rhythm of your whistling! You should keep an even whistle and not hold your breath. You can try this exercise to see how it feels, when you squat – whistle, when you stand – inhale. You can of course also inhale when squatting and whistle when standing. Find a method that works best for you. Whenever you finish an exercise and before the next one starts, do 3 deep whistles in this way.
3. Keep away from pain
In the course of all exercises, you should feel relaxed and not feel pain. You should give up the exercise you do not feel good. If you feel pain in your knee, apply a local cold compress with ice. Elevate your legs as often as possible. Don’t get frustrated, you can rest quietly, even for several days. When you start again, start with simple exercises and gradually increase the intensity.
4.Reclining exercises
Exercise I:
Tense your entire body. Shoulder joints to your front lower direction to reach hard, calves or heels pressed firmly on the couch, just like you do when walking, alternately sliding forward and backward direction. If you want to go faster, you can slowly speed up the movement, while continuing to tense your body and do deep breaths.
Exercise two:
Tighten your whole body. Point your toes up and press your heels down on the back of the other foot. Now straighten the knee and lift the lower leg on the following side, tense the entire lower leg and hold for 7 seconds. Then slowly lower it. Make sure to practice each limb for at least 30 seconds, doing three deep breaths in between. Repeat the action to practice the other side of the limb.
5.Sitting exercises
Exercise one.
Full body tense. Slowly lift your heels at the same time until your toes hit the ground, then put them back until your heels hit the ground. Feel the floor under your feet?
Yes! You can gradually increase the speed.
Exercise two.
Tense your whole body. Alternate the above movements, with one foot on the toe and one foot on the heel, alternating.
You’re doing great!
Exercise three.
Full-body tensing. Pull both feet in turn toward the hips. Let the whole foot slide on the floor. You must press hard on the floor and have the feeling of tense muscles.
Exercise four.
Tense your entire body. Extend one leg forward. Hook your toes and let your leg straighten out completely. Pull the leg back so that the palm of the foot is completely on the floor. Do the same movement and practice the other leg
Exercise five.
Tense your entire body. If you feel relaxed about exercise four, now practice extending one leg a short distance off the ground. Hold for 7 seconds and slowly lower the leg so that the heel lands on the ground. Then land on the balls of your feet and slowly pull your leg back. Do the same movement and practice the other leg
Exercise six.
Full body tense. Now please combine exercise three and exercise four. Pull one leg as far as possible in the direction of the hip, and extend the other leg as far forward as possible. Hold the last movement for 7 seconds each time you do it.
Exercise seven.
You’re doing great! Now hold one leg with both hands and gently, with moderate force, slowly massage the calf from the bottom up. Relax the muscles at the back of the calf. Don’t forget the other leg! Now do you feel more comfortable with your legs? If you feel comfortable, you can do this exercise a few more times a day!
6.Standing exercise
You can stand with your back against the wall. Spread your legs apart, the same width as your pelvis. The heels are seven centimeters from the wall. The buttocks (tailbone), shoulder joints and the backs of the hands are pressed against the wall. If you cannot safely stand alone, you should use a cane. You can also lean your back against a table, writing desk or other object so that you can use support to avoid falling if necessary. Keep your whole body tense, your chest up, your shoulders back, and your upper legs against the wall at all times. Keep your hips close to the wall, your abdomen relaxed, the soles of your feet close to the floor, and your knees slightly bent with your toes facing out. Keep this tense state for seven seconds, then slowly release.
Exercise one.
Tense your entire body. Alternately lift the heels and toes of both feet and keep the knees and hips straight. When you are sure of your safety, transfer the weight from one leg to the other and gradually increase the frequency.
Exercise two.
Tense your entire body. Squat down as far as possible, keeping your heels off the ground. Hold this position for 7 seconds, then slowly stand up. If you find it very difficult to flex your knee when you do it, don’t squat too low when you practice. Whatever is comfortable for you.
Rehab Notes.
1. Avoid falling
2. Avoid excessive weight bearing and repeated flexion and extension of the knee joint under weight.
3. Avoid strenuous competitive sports
4. Maintain body weight to avoid osteoporosis
5. Avoid strenuous jumping, rapid turning and stopping
Post-operative precautions
Artificial joint surgery has reached a safe and reliable level after nearly fifty years of development. Modern artificial joints have reached the wear-resistant, durable, into the body will not occur rejection. Patients who used to walk with a limp can move freely after surgery and even forget about its existence. However, the polyethylene in the artificial joint still has the problem of wear and tear, so the patient should not be overly active after the surgery, and should wear soft-soled shoes with low heels, take appropriate field walks, outings and indoor work, but should not climb too much, go up and down stairs, run, and preferably use exercises that do not increase the load on the joint, such as swimming, tai chi and gymnastics. If you have a cold and cough, sore throat and toothache, diarrhea and frequent painful urination, you should seek medical advice and take medication under the guidance of a doctor to avoid joint infection. If you need to perform invasive operations such as tooth extraction, explain to your physician and take oral antibiotics three days in advance to prevent disastrous consequences of joint infection.