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Above Knee Amputation Exc.pdf

Above Knee Amputation Exc.pdf

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physiotherapy management for above knee amputation
physiotherapy management for above knee amputation

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Published by: Senthilkumar Thiyagarajan on Jan 06, 2011
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03/17/2012

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* * * *
 
Learn more about your health care.
© Copyright 2006 - July 16, 2010. The Ohio State University Medical Center, Rehabilitation Services - Uponrequest all patient education handouts are available in other formats for people with special hearing, vision andlanguage needs, call (614) 293-3191.
 
Above Knee Amputee ExerciseProgram
It is important that you take an active role in your rehabilitation.The following exercises must be done every day to prevent anycomplications.After an above the knee amputation, it is important to preventthe hip from staying in a bent or flexed position. To prevent thisfrom happening you need to do the following:
·
Frequently change the position of your hip. Do
not
sit in a chairfor longperiods.
·
Lie on your stomach for 20 minutes, 2 or 3 times a day. Do
not
place apillow under your stomach.
 ·
Do
not
put your amputated leg on a pillowwhen lying down, unless otherwise told to do so. Do
not
place apillow under your hips, knees or between your thighs.
 ·
Do
not
hang your stump over the side of thebed.
 
Page 2
 
Stretching exercises:
Do
not
bounce back and forthwhen doing stretching exercises.*
 
Hamstring Stretch:
 
Lie on your back. Bring your non-amputated limb toward yourchest. Put your arm around your thigh and pull even closer. Holdfor 20 seconds. Bring your non-amputated knee toward yourchest. Straighten your leg until you feel a stretch in the back of your thigh.
 
*
 
Hip Flexor Stretch
Lie on your back. Bring your non-amputated leg up to your chestand hold it with your arms. Have someone push your amputatedlimb down to the bed and hold it for a count of 20. Relax andrepeat. When your leg can easily lie on the bed, scoot to the sideand dangle your amputated limb over the side of the bed. Repeatthe above exercise.
 
*
 
Alternative Stretch
Lie on your stomach. Place a rolled towel under your amputatedlimb. Lie in this position for 20 minutes. As you stretch the hipflexor muscle, you may increase the size of the towel roll.
 
Do only these exercises checked by your therapist. Doeach exercise _____ times a day.
Page 3
 
*
 
Adductor Stretch
Sit with your back against a wall or against the head of your bed.Put your amputated limb out to the side and bend the other legslightly. Push on the thigh so you feel a stretch in your innerthigh. Make sure that both buttocks remain on the floor. Do
not
lift one up in the air.
 
Strengthening exercises
*
 
Hip Extension
Lie on your stomach. Lift your amputated limb up behind youtowards the ceiling. Hold and then return to the starting position.Repeat _____ times.
 
*
 
Hip Extension on Side
Lie on your side. Push your amputated leg straight back behindyou. Hold and then return to the starting position. Repeat _____times.
 
 
Page 4
 
*
 
Hip Extension on Back
Lie on your back. Place a rolled towel under the end of youramputated limb. Push down into the towel, and lift your hips off the floor. Repeat ______ times.*
 
Hip Abduction
Lie on your back. Fasten a belt or theraband around your thighsas low as it is comfortable. Try to pull your legs apart by pushingoutward against the belt or theraband. Push for a count of 5.Relax. Repeat _____ times.
 
*
 
Hip Abduction on Side
Lie on your side and lift your top leg toward the ceiling. Keepyour knee pointed forward. Return to the starting position.Repeat _____ times. Repeat this exercise with the other leg ontop.
 
Page 5
 
*
 
Hip Adduction
Lie on your back. Place a rolled towel or pillow between your legsas low as is comfortable. Squeeze the towel between your legs fora count of 5. Relax. Repeat _______ times.
 

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