Camp Exercises Before Surgery: We encourage you to do 20 repetitions twice daily of exercises #1-7. Be sure to do these exercises on both legs. If any exercise causes sharp or shooting pain, do not do that particular exercise. It is normal to feel achy afterward; you are exercising muscles you are not used to using. After Surgery: You will continue to do the first seven exercises. Your physical therapist will be adding more exercises as you progress. Please note: Be sure to do these exercises in bed or a recliner chair (do not do them on the floor). Exercises for Knees Exercise #1: Ankle Pumps Move ankle up and down. Repeat 20 times. Exercise #2: Quad Set (Thigh Squeezes) Sitting in recliner, press knee into chair, tightening muscle on top of thigh. Hold 5 seconds. DO NOT hold your breath. Repeat 20 times. Exercise #3: Gluteal Sets (Butt Squeezes) Squeeze bottom together. Hold 5 seconds. DO NOT hold your breath. Repeat 20 times. Joint Camp Patient Education Handbook • Camp Exercises 19 Exercise #4: Hip Abduction and Adduction (Slide Heels Out and In) Sitting in recliner, slide leg out to side. Keep toes pointed up and knees straight. Bring legs back to starting point. Repeat 20 times. Exercise #5: Heel Slides (Slide Heels Up and Down) Sitting in recliner, slide heel toward bottom. Repeat 20 times. Exercise #6: Short Arc Quads Sitting in recliner, put towel roll under knee. Lift foot, straightening knee. DO NOT raise thigh off roll. Repeat 20 times. 20 Joint Camp Patient Education Handbook • Camp Exercises Exercise #7: Straight Leg Raises Sit with back against chair. Bend good knee up. Straighten knee and lift leg off chair. Repeat 20 times. Exercise #8: Seated Knee Flexion Sitting in a recliner or straight-back chair, try to gently stretch and bend the knee as far as possible. Hold 5 seconds, keeping hips on chair. Repeat 20 times. Exercise #9: Extension Stretch Prop foot of operated leg on coffee can or towel roll. Work up to 20 minutes. Range of Motion of the Knee After knee replacement surgery, physical therapy and you will work to obtain maximum range of motion (typically 0 to 120 degrees). Knee Flexion Knee flexion is the ability to bend the knee. Your goal is to bend your knee to 120 degrees within 6 weeks of surgery. Knee Extension Knee extension is the ability to straighten the knee. The goal is to be able to fully straighten your knee to zero degrees within 6 weeks of surgery. After 6 weeks, your knee stabilizes and you are typically only able to bend or straighten your knee to whatever motion you have at that time. It is very important to work on both flexion and extension of the knee. 0o 155o 45o 90o Joint Camp Patient Education Handbook • Camp Exercises 21 Exercises for Hips Exercise #1: Ankle Pumps Move ankle up and down. Repeat 20 times. Exercise #2: Quad Set Sitting in recliner, press knee into chair, tightening muscle on top of thigh. Hold 5 seconds. DO NOT hold your breath. Repeat 20 times. Exercise #3: Gluteal Sets (Butt Squeezes) Squeeze bottom together. Hold 5 seconds. DO NOT hold your breath. Repeat 20 times. 22 Joint Camp Patient Education Handbook • Camp Exercises Exercise #4: Hip Abduction and Adduction (Slide Heels Out and In) Sitting in recliner, slide leg out to side. Keep toes pointed up and knees straight. Bring legs back to starting point. Repeat 20 times. Exercise #5: Heel Slides (Slide Heels Up and Down) Sitting in recliner, slide heel toward bottom. CAUTION: DO NOT bend hip beyond a 90 degree angle! Repeat 20 times. Exercise #6: Short Arc Quads Sitting in recliner, put towel roll under knee. Lift foot, straightening knee. DO NOT raise thigh off roll. Repeat 20 times. Exercise #7: Long Arc Quads Sit with back against chair. Straighten knee. Repeat 20 times. Joint Camp Patient Education Handbook • Camp Exercises 23 Standing Exercises – Your therapist will advise you when to start the following exercises. Typically, these are started 4 weeks after surgery. Exercise #1: Standing Heel Raises Standing, hold onto firm surface. Raise up on toes. Repeat 20 times. Exercise #2: Ankle Dorsiflexion – Plantarflexion (Toe Raises) Standing, hold onto firm surface. Go back on heels and then return to flat feet. Exercise #3: Standing Knee Flexion Standing, hold onto firm surface. Bend knee of involved leg up behind you. Straighten to full stand. Repeat 20 times. 24 Joint Camp Patient Education Handbook • Camp Exercises Exercise #4: Standing Hip Extension Stand upright and hold onto firm surface. Bring leg back as far as possible. Keep knee straight. DO NOT lean forward. Repeat 20 times. Exercise #5: Hip Flexion with straight leg Standing, hold onto firm surface. Raise operated leg forward with knee straight. Exercise #6: Hip Flexion Standing, march in place. DO NOT go past 90 degrees. Joint Camp Patient Education Handbook • Camp Exercises 25 Advanced Hip Exercises – Your therapist will advise you when to start the following exercises. Typically, these are started 6 weeks after surgery. Exercise #1: Mini Wall Squat With feet shoulder width apart and back to wall, slide down wall until knees at 30 to 45 degrees of bend. Return to an upright position. CAUTION: You should not bend your knees enough to cause pain. Exercise #2: Single Leg Step-up With foot of involved leg on step, straighten that leg. Return. How high you can go will depend on your strength. Start low. You may exercise your good leg as well. Exercise #3: Side-lying Hip Abduction Lying on side, tighten muscle on front of thigh and then lift leg 8-10 inches away from the floor. 26 Joint Camp Patient Education Handbook • Camp Exercises
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