knee extensions - subacute care · 2018. 12. 4. · slowly bend your sound knee and push your...

Fiona Stanley Hospital – Above knee amputee exercise program May 2018

Knee extensions – sound limb

Place a bolster or rolled towel under the knee of your

sound limb.

Place _____ kg of velcro weight around your ankle.

Keeping your knee on the bolster, slowly straighten

your leg as much as you can. Hold your leg straight for

_____ secs. Slowly let your foot lower to the bed and

repeat.

Perform exercise ____ times.

Complete _____ sets.

Bilateral bridging

Place a bolster or rolled towel under both thighs.

Flatten your low back against the bed, squeeze your

buttocks and lift your hips as high as you can toward

ceiling. Do not hold your breath.

Hold this position for _____ secs.

Slowly lower and repeat.

Progression: holding your sound limb in the air, use

your residual limb to lift your hips.



*This can also be done using a fit ball instead of

bolster/towel.

Single leg bridging – sound limb

Hold your residual limb in the air, with your sound foot

on the bed with your knee bent. Squeeze your buttocks

and lift your hips as high as you can toward the ceiling.

Do not hold your breath.

Hold this position for _____ secs.





Hip extension – on stomach

Lie on your stomach with the resistance band around

both thighs. Lift your residual limb towards the ceiling.

Keeping your trunk and hips flat on the bed, squeeze

your buttock as you lift your leg towards the ceiling.

Try not to roll and twist your body. Repeat with your

sound limb.

Perform exercise____ times per leg.

Complete ____ sets.

Hip flexor stretch

Lie on your stomach, with rolled towels under each thigh until you feel a stretch at the front of your

hips. A weight can be applied over the back of your pelvis to assist in keeping you flat to the bed.

Stretch in this position for _____ mins.

Side-lying hip abduction – residual limb

Lie on your sound limb side with your hips aligned one

directly on top of the other. Place the resistance band

around your thighs. Slowly lift your top thigh toward

ceiling. Try not to twist. Keep your hips straight and

your leg back as you lift it. Hold for ____ secs.



*Do not let your top hip roll backward as you lift leg.

Side-lying hip abduction – sound limb

Lie on your residual limb side with your hips aligned

one directly on top of the other. Place the resistance

band around your thighs. Slowly lift your top thigh

toward ceiling, keeping your toes pointing forward. Try

not to twist. Keep your hips straight and your leg back

as you lift it. Hold for ____ secs.



* Do not let your top hip roll backward as you lift your

leg.


Sit to stand – sound limb

Stand up tall and slowly sit down again, using your

sound limb. You can assist with your arms if required.

Tips: sit toward the front edge of the chair with your

foot back underneath you. Lean your trunk and

shoulders forward as you rise up.

Perform exercise____ times.

Complete____ sets.

Single leg squats – sound limb

Stand tall and hold something sturdy for balance.

Slowly bend your sound knee and push your bottom

backward. Look ahead and keep your upper body tall

with your chest lifted. Your knee should stay in line with

your toes.

Rise up tall again by pushing through your sound leg.

Try not to let your arms do the work.

Progression: begin with shallow squats and slowly

progress to deeper squats as your strength improves.


Complete____ sets.

Single leg heel raises – sound limb

Stand tall and hold something sturdy for balance. Rise

up onto your toes, lifting your heel from the floor as

high as you can. Keep your knee straight. Try not to let

your arms do the work.


Complete____ sets.


Standing hip extension – residual limb

Find a stable solid object, such as piece of furniture,

veranda post or stair post, and attach the resistance

band to it. Loop the resistance band around your thigh

and face the object.

If this is not possible, tie the resistance band around

both thighs. Keeping your body vertical, squeeze your

buttock and pull your residual limb backwards. Hold for

____ secs. Try not to bend your hips or body.


Complete____ sets.

Standing hip abduction – residual limb

Find a stable solid object, such as piece of furniture,

veranda post or stair post, and attach the resistance

band to it. If this is not possible, tie the resistance band

around both thighs. Standing side-on to the object, pull

your residual limb sideways away from body and

slightly behind. Hold for ____ secs and slowly return to

neutral. Try not to twist or bend your hips or body.


Complete____ sets.

Single leg balance

Standing in the bars, practice balancing on your remaining leg for as long as possible. Try not to

touch the bars with your hands, or just use a finger-tip if required.

Practice your balance for ____ mins.


Seated knee extension – sound limb

Place ____ kg of velcro weight on the ankle of your

sound limb.

Sitting on the side of a bed or table, straighten your leg

and hold for ___ secs with your toe pointing to the

ceiling.


Complete____ sets.

Seated bottom lifts

Using your arms and your sound leg, lift your buttocks

up off the chair as high as you can. Hold for ___ secs.


Progress to not using your leg to help.


Complete____ sets.

Arm strengthening

Sit tall. If sitting on a chair, try to keep your back away

from the back rest.

Exercise 1: bicep curls. Start with your elbows straight

and weights at your side. Keep your elbows locked in

at your sides and bend up, taking the weight to your

shoulder.

Exercise 2: forward punches. Start with the weight

near your shoulder and slowly straighten elbow in front

of you.


Exercise 3: arm raises toward ceiling. Start with the

weight near your shoulder and slowly raise weight

above you while straightening your elbow.

Exercise 4: side arm flys. Start with arms by your side

and hold weight with palm facing downward. Keeping

your elbows straight, raise your arms to the sides until

level with your shoulders.

Exercise 5: tricep raises. Start with your upper arm

raised with elbow bent and near your ear. Keep your

upper arm steady whilst you straighten your elbow,

raising the weight from behind your head toward the

ceiling. Slowly lower the weight.

Exercise 6: chest press. Lie flat on your back with a

weight in each hand. Begin with your elbows on the

bed in line with your shoulders. Straighten elbows,

raising the weights toward the ceiling as shown. Slowly

lower.

Complete ____ sets of each. Perform each exercise ____ times using ____ kg.


Leg press – sound limb

Using your sound limb, push out the leg press plate

and then slowly bring it back. Do not hyperextend your

knee.

Choose the maximum weight at which you can

successfully complete 10 repetitions.


Complete____ sets.

Leg press on reformer – sound limb

Lie on your back with your sound foot on the

reformer plate. Slowly straighten your hip and knee,

and then slowly bend your knee.


Complete____ sets.

Hip extension – in 3 point kneeling

Start on your hands and sound knee, with your hands

under your shoulders and your knee under your hip.

Maintain a neutral spinal position by gently drawing in

your belly button toward your spine. Lift your residual

limb out behind you until it is level with your back. Hold

for ___ secs.

Progression: lift the opposite arm when you lift your

leg.


Complete____ sets.

knee extensions - subacute care · 2018. 12. 4. · slowly bend your sound knee and push your...

Documents