Femoral ISKD Rolling Pin Technique I

This exercise is performed independently while sitting up.With the opposite hand, grasp the calf of the leg that contains the ISKD.Briskly roll the leg in and out 45° in each direction, as shown.

© 2004 RIAO

45° 45°

Exercise 1

Femoral ISKD Rolling Pin Technique II

This exercise is performed independently while sitting up. With the opposite hand, grasp the ankle of the leg that contains the ISKD. Briskly roll the leg in and out 45° in each direction, as shown.

© 2004 RIAO

45° 45°

Exercise 2

Femoral ISKD Rolling Pin Technique III

This exercise is performed independently while sitting up.Firmly grasp the upper portion of the thigh above the osteotomy site.With the opposite hand, grasp the calf of the leg that contains the ISKD.Briskly roll the leg in and out 45° in each direction, as shown.

© 2004 RIAO

45° 45°

Exercise 3

This exercise is performed with help from a caregiver while the patient is sitting up.The patient steadies the hip on the ISKD side by grasping the thigh with both hands above the osteotomy site.With one hand, the caregiver grasps the top of the foot on the ISKD side; with the other hand, the caregiver grasps the heel of the foot.The caregiver raises the leg and pulls slightly.

The caregiver rotates the foot and ankle together as a unit, 45° in each direction, as shown.

Femoral ISKD Exercise 4: Steering Wheel Technique

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© 2004 RIAO

Femoral ISKD Steering Wheel Technique

Exercise 4

Femoral ISKD Golf Club Technique

This exercise is performed with help from a caregiver while the patient is sitting up.The patient steadies the hip on the ISKD side by firmly grasping the thigh with both hands above the osteotomy site.With both hands, the caregiver grasps just above the ankle on the ISKD side.The caregiver raises the leg and applies gentle traction, or pulls the leg slightly.

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45°

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The caregiver rotates the leg 45° in each direction, as shown.

© 2004 RIAO

Exercise 5

Femoral ISKD Swing the Door Technique

Next, the caregiver rotates the leg 45° in each direction, keeping the lower half of the leg horizontal and the upper half vertical, as shown.

The caregiver uses this technique while the patient is lying flat on his or her back.The caregiver stands next to the leg that contains the ISKD.The caregiver bends the hip and the knee to 90° positions.The caregiver then grasps the top of the knee with one hand and places the other hand under the ankle.

45° 45°

© 2004 RIAO

Exercise 6

The caregiver uses this technique while the patient is lying flat on his or her back.The caregiver stands next to the leg that contains the ISKD.The caregiver bends the hip and the knee to 90° positions.The caregiver then grasps the thigh, just under the knee, with both hands and rests the patient’s calf on his or her forearm.

Next, the caregiver rotates the leg 45° in each direction, as shown, keeping the lower half of the leg horizontal and the upper half vertical.

© 2004 RIAO

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45°

Femoral ISKD Rock the Baby Technique

Exercise 7

The caregiver uses this technique while the patient is lying flat on his or her stomach. The patient’s legs should be spread apart slightly.With one hand, the caregiver applies pressure to the buttock on the ISKD side to steady the hip.With the other hand, the caregiver grasps the ankle and bends the knee to a 90° position.

45° 45°The caregiver then rotates the leg 45° in each direction without shifting the thigh, as shown.

Femoral ISKD Pendulum Technique I

© 2004 RIAO

Exercise 8

The caregiver uses this technique while the patient is lying flat on his or her stomach.With one hand, the caregiver steadies the thigh that contains the ISKD by firmly grasping or pushing down on the thigh above the osteotomy site. With the other hand, the caregiver grasps the ankle and bends the knee to a 90° position.

45° 45°

The caregiver then rotates the leg 45° in each direction without shifting the thigh, as shown.

Femoral ISKD Pendulum Technique II

© 2004 RIAO

Exercise 9

This exercise is performed independently while lying face down on a bed. Fully extend both arms and legs.Hook both feet over the end of the bed.Briskly roll the hips 45° in each direction.

Femoral ISKD Rock and Roll Technique

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45°

© 2004 RIAO

Exercise 10

Femoral ISKD Pendulum Technique III

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45°

This exercise is performed with help from a caregiver while the patient is seated.The patient grasps the thigh with both hands above the osteotomy site.With one hand, the caregiver grasps the knee on the ISKD side.With the other hand, the caregiver grasps the ankle on the same side.

The caregiver then rotates the leg 45° in each direction without shifting the thigh, as shown.

© 2004 RIAO

Exercise 11

Femoral ISKD Standing with Crutches Technique

This exercise is performed with help from a caregiver while the patient is standing with crutches.The patient needs to be careful not to put more weight on the leg that contains the ISKD, than the surgeon has allowed.The caregiver steadies the upper leg on the ISKD side by firmly grasping the leg just above the knee.

© 2004 RIAO

Exercise 12

The patient then briskly rotates his or her hips 45° degrees in each direction.

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Tibial ISKD Rolling Pin Technique

This exercise is performed independently while sitting up.With the opposite hand, grasp the calf of the leg that contains the ISKD.Briskly roll the foot in and out 45° in each direction, as shown.

© 2004 RIAO

45° 45°

Exercise 13

This exercise is performed with help from a caregiver while the patient is sitting up.The patient steadies the leg on the ISKD side by grasping the leg with both hands just below the knee.With one hand, the caregiver grasps the top of the foot on the ISKD side; with the other hand, the caregiver grasps the heel of the foot.The caregiver raises the leg and pulls slightly.

The caregiver rotates the foot and ankle together as a unit, 45° in each direction, as shown.

Femoral ISKD Exercise 4: Steering Wheel Technique

45°45°

45° 45°

© 2004 RIAO

Tibial ISKD Steering Wheel Technique

Exercise 14

Tibial ISKD Golf Club Technique

This exercise is performed with help from a caregiver while the patient is sitting up.The patient steadies the leg on the ISKD side by firmly grasping the leg with both hands just below the knee.With both hands, the caregiver grasps just above the ankle on the ISKD side.The caregiver raises the leg and pulls slightly.

45°

45°

45° 45°

The caregiver rotates the leg 45° in each direction, as shown.

© 2004 RIAO

Exercise 15

Tibial ISKD Ankle Wiggle Technique I

This exercise is performed independently while sitting up.Lift the leg that contains the ISKD and rest it on the knee of the other leg, as shown.With one hand, grasp the leg that contains the ISKD just below the knee.With the other hand, grasp the bottom of the foot, as shown.Briskly rotate the lower portion of the leg 45° in each direction.

© 2004 RIAO

45° 45°

Exercise 16

Tibial ISKD Ankle Wiggle Technique II

This exercise is performed independently while sitting up with legs extended.Place the leg that contains the ISKD on the knee of the other leg.With one hand, grasp the leg that contains the ISKD just below the knee.With the other hand, grasp the bottom of the foot, as shown.Briskly rotate the lower portion of the leg 45° in each direction.

© 2004 RIAO

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45°

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Exercise 17

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Tibial ISKD Ankle Wiggle Technique III

This exercise is performed independently while sitting up.With both hands, grasp the leg that contains the ISKD just above the knee.Briskly rotate the lower portion of the leg 45° in each direction, as shown.

© 2004 RIAO

45° 45°

Exercise 18

The caregiver then rotates the foot 45° in each direction.

The caregiver uses this technique while the patient is lying face down on a bed. The caregiver stands next to the leg that contains the ISKD.With both hands, the caregiver grasps the ankle and bends the knee to a 90° position.

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45°

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© 2004 RIAO

Tibial ISKD Washing Machine Technique

Exercise 19