Physiotherapy post knee replacement
Post-knee replacement physiotherapy plays a vital role in recovery. The rehabilitation process typically involves a series of milestones and exercises designed to restore strength, flexibility, and mobility. Here’s a general overview of the milestones and exercises commonly recommended after knee replacement surgery:
1. Immediate Post-Operative Phase (Days 1-7)
Milestones:
Initiate movement of the knee joint.
Begin weight-bearing with the help of a walker or crutches.
Control pain and swelling.
Exercises:
Ankle Pumps: Flex and point your toes to improve circulation.
Quad Sets: Tighten the thigh muscles (quadriceps) by pressing the knee down into the bed, holding for 5-10 seconds.
Heel Slides: Slowly slide your heel towards your buttocks, bending your knee, then straighten it back out.
Glute Squeezes: Squeeze your buttocks muscles to strengthen them.
2. Early Rehabilitation Phase (Weeks 1-3)
Milestones:
Increase knee range of motion (ROM) to 90 degrees.
Progress from using crutches or a walker to walking with a cane.
Begin to reduce swelling and pain.
Exercises:
Seated Knee Flexion: Sit on a chair, and bend your knee as far as possible, using your hands to help if necessary.
Straight Leg Raises: While lying down, keep the leg straight and lift it to about 12 inches off the bed.
Hamstring Curls: Bend your knee while standing, bringing your heel towards your buttocks.
Stationary Cycling: Use a stationary bike with minimal resistance to improve ROM and strength.
3. Mid-Rehabilitation Phase (Weeks 4-6)
Milestones:
Achieve 110-120 degrees of knee flexion.
Transition to full weight-bearing without assistive devices.
Improve strength and functional mobility.
Exercises:
Step-Ups: Step up and down on a low step to improve strength and balance.
Mini Squats: Perform shallow squats, ensuring your knees do not go past your toes.
Leg Press (Low Resistance): Use a leg press machine with light weights to build quadriceps strength.
Heel Raises: Stand on your toes, lifting your heels off the ground, then slowly lower them.
4. Late Rehabilitation Phase (Weeks 7-12)
Milestones:
Achieve near-normal knee ROM.
Regain full strength in the knee and surrounding muscles.
Return to normal daily activities.
Exercises:
Lunges: Perform forward or backward lunges to enhance strength and flexibility.
Balance Exercises: Practice standing on one leg, using a balance board, or walking on uneven surfaces.
Resistance Band Workouts: Use resistance bands for leg extensions, hamstring curls, and side leg raises.
Swimming or Aquatic Therapy: Engage in low-impact exercises in the pool to improve strength and endurance.
5. Long-Term Rehabilitation (Months 3-6 and Beyond)
Milestones:
Return to recreational activities, such as golf, swimming, or cycling.
Achieve full functional mobility and strength.
Maintain overall knee health and prevent future injuries.
Exercises:
Advanced Strength Training: Increase resistance and intensity in exercises like leg presses, squats, and lunges.
Cardiovascular Training: Incorporate activities like cycling, swimming, or brisk walking to improve overall fitness.
Sport-Specific Drills: Gradually return to sport-specific exercises, focusing on technique and endurance.
Yoga or Pilates: Engage in flexibility and core-strengthening exercises to support knee function.
These milestones and exercises are general guidelines. The specific timeline and exercises may vary depending on individual progress, overall health, and the recommendations of your physiotherapist or surgeon. If you require any assistance with your rehab our expert physiotherapist will be able to assist.