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    TKR Rehabilitation

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    gursangeet
    The document outlines a 4 stage rehabilitation programme for total knee replacement. Stage 1 focuses on acute recovery from surgery through early mobilization and exercises. Stage 2 continues postoperative care and adds strengthening and range of motion exercises. Stage 3 progresses exercises to more functional activities with a goal of returning to normal activities. Stage 4 continues the programme for full recovery within 1 year post-surgery.

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    TKR Rehabilitation

    Uploaded by

    gursangeet
    66 views1 page
    The document outlines a 4 stage rehabilitation programme for total knee replacement. Stage 1 focuses on acute recovery from surgery through early mobilization and exercises. Stage 2 continues postoperative care and adds strengthening and range of motion exercises. Stage 3 progresses exercises to more functional activities with a goal of returning to normal activities. Stage 4 continues the programme for full recovery within 1 year post-surgery.

    Original Description:

    knee rehabilitation post TKR

    Original Title

    tkr rehabilitation

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    The document outlines a 4 stage rehabilitation programme for total knee replacement. Stage 1 focuses on acute recovery from surgery through early mobilization and exercises. Stage 2 continues postoperative care and adds strengthening and range of motion exercises. Stage 3 progresses exercises to more functional activities with a goal of returning to normal activities. Stage 4 continues the programme for full recovery within 1 year post-surgery.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    66 views1 page

    TKR Rehabilitation

    Uploaded by

    gursangeet
    The document outlines a 4 stage rehabilitation programme for total knee replacement. Stage 1 focuses on acute recovery from surgery through early mobilization and exercises. Stage 2 continues postoperative care and adds strengthening and range of motion exercises. Stage 3 progresses exercises to more functional activities with a goal of returning to normal activities. Stage 4 continues the programme for full recovery within 1 year post-surgery.

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    © All Rights Reserved
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    of 1

    REHABILITATION PROGRAMME FOR TOTAL KNEE REPLACEMENT

    Leo Pinczewski, Justin Roe, Lucy Salmon & Alison Waller, NSOSMC
    Mater Clinic, Suite G02, 3 Gillies St, Wollstonecraft 2065. Australia. Tel +612 9437 5999
    www.nsosmc.com.au

    STAGE AIMS TREATMENT GUIDELINES


    • Strengthening of knee • Low impact exercise eg. Walking, bike,
    Prehabilitation musculature swimming
    • Maintain or improve knee • Range of motion exercises eg lunges,
    range of motion hamstring & calf stretches
    • Familiarisation of • Strengthening exercises eg SLR, IRQ, SQ
    postoperative exercises (see
    Mater booklet)
    Stage 1 • Postoperative pain relief & • Ice, elevation, analgesia, wound dressing
    Acute Recovery Day 1- 5 wound care • Warfarin
    • Swelling reduction • Mobilise full weight bearing as tolerated
    • DVT prophylaxis progressing from a frame to crutches or a
    • Early mobilisation from Day 1 walking stick by day 5
    • Restoration of knee range of • Range of motion exercises eg heel slides,
    motion lunges, active flexion, calf & hamstring
    • Functional muscular recovery stretches

    Stage 2 • Continuation of postoperative • Continuation of warfarin & analgesic regime


    Week 2-6 pain relief, wound care, • Ice and elevation
    swelling reduction & DVT • Removal of sutures by a nurse at 10-14 days
    prophylaxis • Progression of exercises to improve strength,
    • Continuation of strengthening endurance & range of motion
    & range of motion exercises • Gait retraining from walking stick to no aide
    • Gait retraining • Can commence hydrotherapy after 2 weeks
    • Commencement of a walking once wound is well healed
    program • Review with surgeon at 6 weeks with
    radiographs
    • Hydrotherapy after 2 weeks post-operatively
    if wound healed

    Stage 3 • Continuation of exercises as • Progression of walking programme aiming to


    6 weeks – 6 months above and progression to achieve a 45 min brisk walk
    more functional activities • Gradual return activities such as golf and
    • Wean off analgesia tennis
    • Swelling reduction • Replace basic ROM and strengthening
    exercises with functional activities as above
    • Return to driving once comfortable & narcotic
    analgesia eg oxycontin or endone is ceased
    • Continuation of mild analgesia at 6 months
    as required
    • Swelling and warmth in knee resolves mostly
    by 6 months. Antero-lateral numbness
    reduces but persists indefinitely

    Stage 4 • Continuation of above • Review with surgeon at 1 year


    6 months – 1 year postoperatively with radiographs

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