Routine For: Total Knee Arthroplasty (All)
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1 TOTAL KNEE - 1 Ankle Pump TOTAL HIP - 1 Quad Set Bend ankles up and down, alternating feet. Slowly tighten muscles on thigh of straight leg while counting out loud to. with other leg. TOTAL HIP - 2 Gluteal Squeeze TOTAL HIP - 6 Heel Slide Squeeze buttocks muscles as tightly as possible while counting out loud to. Bend knee and pull heel toward buttocks. Hold seconds. Return. with other knee. Page 1 of 9
2 HIP / KNEE - 70 Knee Extension Mobilization: Towel Prop TOTAL HIP - 3 Short Arc Quad With rolled towel under ankle, place pound weight across knee. Hold minutes. times per set. sets per session. Place a large can or rolled towel under leg. Straighten knee and leg. Hold seconds. with other leg. TOTAL KNEE - 3 Hamstring Set TOTAL KNEE - 4 Straight Leg Raise With one leg bent slightly, push heel into bed without bending knee further. Hold seconds. Alternate legs. Bend leg. Keep other leg as straight as possible and tighten muscles on top of thigh. Slowly lift straight leg inches from bed and hold seconds. Lower it, keeping muscles tight seconds. Relax. Page 2 of 9
3 TOTAL HIP - 7 Abduction KNEE - 6 Straight Leg Raise Slide one leg out to side. Keep kneecap pointing up. Gently bring leg back to pillow. with other leg. Bend one leg. Raise other leg inches with knee locked. Exhale and tighten thigh muscles while raising leg. with other leg. HIP - 11 Hip Flexor Stretch TOTAL KNEE - 9 Prone Knee Flexion Lying on back near edge of bed, bend one leg, foot flat. Hang other leg over edge, relaxed, thigh resting entirely on bed for minutes. Advanced Exercise: Bend knee back keeping thigh in contact with bed. Bend knee, bringing heel toward buttocks. Hold seconds, then straighten. Can use the non-operated leg to push the operated leg. Page 3 of 9
4 TOTAL KNEE - 12 Side Leg Lift HIP / KNEE - 7 Self-Mobilization: Knee Extension (Prone) With operated leg on top and bottom leg bent, lift the top leg up toward ceiling. Keep knee pointing straight ahead and leg in line with body. Slowly lower. Use lbs on ankle. Using other leg, gently push leg straight until a stretch is felt. Hold seconds. Relax. times per set. sets per session. TOTAL KNEE - 7 Hamstring Stretch HIP / KNEE - 1 Self-Mobilization: wnward Kneecap Push With thumbs on upper border of kneecap, gently push kneecap toward foot. Hold seconds. Sitting with operated leg straight on bed, and foot of other leg on floor, lean forward toward toes of straight leg. Hold seconds. times per set. sets per session. Page 4 of 9
5 TOTAL KNEE - 18 Tricky Toe-Tap TOTAL KNEE - 17 Range of Motion Sitting with knee bent as far as possible, tap toes Now, try to bend it a bit further and tap toes The goal is to bend knee to 90º. Place foot on smooth surface. Slowly slide foot back as far as possible. Hold seconds. SITTING - 6 Knee Raise TOTAL KNEE - 11 Long Arc Quad Lift knee and then lower it. with other knee. Straighten operated leg and try to hold it seconds. Use lbs on ankle. sessions a day. Page 5 of 9
6 KNEE - 3 Knee Stretch TOTAL KNEE - 16 Wall Push Cross legs at ankles. With front leg, push other leg until stretch is felt. Relax. Recross legs at ankles. Lift front leg with back leg, straightening it. entire exercise with legs switched. sessions per day. Sit in chair with toe against wall. Scoot to edge of chair. Hold seconds. HIP / KNEE - 55 Knee Extension: Resisted (Sitting) HIP / KNEE - 57 Knee Flexion: Resisted (Sitting) Sit with band under foot and looped around ankle of supported leg. Pull unsupported leg back. With band looped around ankle and under other foot, straighten leg with ankle loop. Keep other leg bent to increase resistance. times per set. sets per session. times per set. sets per session. Page 6 of 9
7 GAIT - 1 Toe Up TOTAL HIP (ADVANCED) - 18 Standing Hip Extension Bring leg back as far as possible. Use lbs on ankle. with other leg. Gently rise up on toes, then roll back on heels. TOTAL HIP (ADVANCED) - 17 Standing Hip Adbduction KNEE - 12 Hamstring Strengthening Lift leg out to side, bring back to midline. Use lbs on ankle. with other leg. Holding support, lift heel toward buttocks. Use lbs on ankle. Hold seconds. Page 7 of 9
8 TOTAL KNEE - 14 Partial Knee Bend GAIT - 9 Leg Stand Holding on to stable object, slightly bend knees and slowly straighten. Stand on one leg for seconds. Try not to use support. on other leg. HIP - 10 "I love a Parade" Lift HIP / KNEE - 43 Terminal Knee Extension (Standing) Using a chair if necessary, march in place 4 times in each phase: (1) Foot raised 6" (2) 12" (3) 18" (4) as high as you can. Facing anchor with knee slightly bent and tubing just above knee, gently pull knee back straight. not overextend knee. times per set. sets per session. Page 8 of 9
9 HIP / KNEE - 41 Stretching: Gastroc Stand with foot back, leg straight, forward leg bent. Keeping heel on floor, turned slightly out, lean into wall until stretch is felt in calf. Hold seconds. times per set. sets per session. Page 9 of 9
10 CHART COPY Routine For: TOTAL KNEE - 1 Ankle Pump TOTAL HIP - 1 Quad Set TOTAL HIP - 2 Gluteal Squeeze Bend ankles up and down, alternating feet. Slowly tighten muscles on thigh of straight leg while counting out loud to. with other leg. Squeeze buttocks muscles as tightly as possible while counting out loud to. TOTAL HIP - 6 Heel Slide HIP / KNEE - 70 Knee Extension Mobilization: Towel Prop TOTAL HIP - 3 Short Arc Quad Bend knee and pull heel toward buttocks. Hold seconds. Return. with other knee. With rolled towel under ankle, place pound weight across knee. Hold minutes. times per set. sets per session. Place a large can or rolled towel under leg. Straighten knee and leg. Hold seconds. with other leg. TOTAL KNEE - 3 Hamstring Set TOTAL KNEE - 4 Straight Leg Raise TOTAL HIP - 7 Abduction With one leg bent slightly, push heel into bed without bending knee further. Hold seconds. Alternate legs. Bend leg. Keep other leg as straight as possible and tighten muscles on top of thigh. Slowly lift straight leg inches from bed and hold seconds. Lower it, keeping muscles tight seconds. Relax. Slide one leg out to side. Keep kneecap pointing up. Gently bring leg back to pillow. with other leg. KNEE - 6 Straight Leg Raise HIP - 11 Hip Flexor Stretch TOTAL KNEE - 9 Prone Knee Flexion Bend one leg. Raise other leg inches with knee locked. Exhale and tighten thigh muscles while raising leg. with other leg. Lying on back near edge of bed, bend one leg, foot flat. Hang other leg over edge, relaxed, thigh resting entirely on bed for minutes. Advanced Exercise: Bend knee back keeping thigh in contact with bed. Bend knee, bringing heel toward buttocks. Hold seconds, then straighten. Can use the non-operated leg to push the operated leg. Page 1 of 3
11 CHART COPY Routine For: TOTAL KNEE - 12 Side Leg Lift HIP / KNEE - 7 Self-Mobilization: Knee Extension (Prone) TOTAL KNEE - 7 Hamstring Stretch With operated leg on top and bottom leg bent, lift the top leg up toward ceiling. Keep knee pointing straight ahead and leg in line with body. Slowly lower. Use lbs on ankle. Using other leg, gently push leg straight until a stretch is felt. Hold seconds. Relax. times per set. sets per session. Sitting with operated leg straight on bed, and foot of other leg on floor, lean forward toward toes of straight leg. Hold seconds. HIP / KNEE - 1 Self-Mobilization: wnward Kneecap Push With thumbs on upper border of kneecap, gently push kneecap toward foot. Hold seconds. TOTAL KNEE - 18 Tricky Toe-Tap Sitting with knee bent as far as possible, tap toes Now, try to bend it a bit further and tap toes The goal is to bend knee to 90º. TOTAL KNEE - 17 Range of Motion times per set. sets per session. Place foot on smooth surface. Slowly slide foot back as far as possible. Hold seconds. SITTING - 6 Knee Raise TOTAL KNEE - 11 Long Arc Quad KNEE - 3 Knee Stretch Lift knee and then lower it. with other knee. Cross legs at ankles. With front leg, push other leg until stretch is felt. Relax. Recross legs at ankles. Lift front leg with back leg, straightening it. entire exercise with legs switched. Straighten operated leg and try to hold it seconds. Use lbs on ankle. sessions a day. per day. sessions TOTAL KNEE - 16 Wall Push HIP / KNEE - 55 Knee Extension: Resisted (Sitting) HIP / KNEE - 57 Knee Flexion: Resisted (Sitting) Sit with band under foot and looped around ankle of supported leg. Pull unsupported leg back. Sit in chair with toe against wall. Scoot to edge of chair. Hold seconds. With band looped around ankle and under other foot, straighten leg with ankle loop. Keep other leg bent to increase resistance. times per set. sets per session. times per set. sets per session. Page 2 of 3
12 CHART COPY Routine For: GAIT - 1 Toe Up TOTAL HIP (ADVANCED) - 18 Standing Hip Extension TOTAL HIP (ADVANCED) - 17 Standing Hip Adbduction Bring leg back as far as possible. Use lbs on ankle. with other leg. Lift leg out to side, bring back to midline. Use lbs on ankle. with other leg. Gently rise up on toes, then roll back on heels. KNEE - 12 Hamstring Strengthening TOTAL KNEE - 14 Partial Knee Bend GAIT - 9 Leg Stand Holding support, lift heel toward buttocks. Use lbs on ankle. Hold seconds. Holding on to stable object, slightly bend knees and slowly straighten. Stand on one leg for seconds. Try not to use support. on other leg. HIP - 10 "I love a Parade" Lift HIP / KNEE - 43 Terminal Knee Extension (Standing) HIP / KNEE - 41 Stretching: Gastroc Using a chair if necessary, march in place 4 times in each phase: (1) Foot raised 6" (2) 12" (3) 18" (4) as high as you can. Facing anchor with knee slightly bent and tubing just above knee, gently pull knee back straight. not overextend knee. Stand with foot back, leg straight, forward leg bent. Keeping heel on floor, turned slightly out, lean into wall until stretch is felt in calf. Hold seconds. times per set. sets per session. times per set. sets per session. COMMENTS: Patient Name/Number: Clinician Name/Signature: Date: Page 3 of 3
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