Exercises after knee arthroplasty

Recovery periods after knee replacement

Replacement of the knee joint is not such a simple matter. Your life after prosthetics will never be the same. Rehabilitation after knee arthroplasty - what should it be?

Training after knee replacement

Rehabilitation is the second half of the success of knee replacement


Rehabilitation after knee replacement

To perform an operation to replace the joint is not all.

  • A complex exercise program for the joint
  • will be required. The load on the joint will have to be limited, as well as some types of exercises:
    • for convolution
    • jogging and jumping
  • It will be necessary to abandon many sports( light and heavy athletics, wrestling, mountain and water skis, parachute andetc.)
  • Within a few years after the operation, it will be necessary to observe the doctor

It may seem that after the operation you will have to spare and protect the knee painfully. This is not quite true:

A gentle mode for several days will certainly be, but the first exercises will need to start literally on the second day. And then the load will only increase

.

It takes a long time to develop the joint after the operation, and even more nerves and patience. I'll have to work through overcoming pain. How else?

Rehabilitation is needed to ensure that :

  • No contracture occurs and the prosthesis bends and rotates with the same approximate amplitude as the once healthy joint
  • The risk was not in vain( the operation is always a risk) and the expended funds

What determines the success of the

rehabilitation Halfsuccess depends on the skill and skill of the surgeon, and the second half only on the patient :

  • Will he go through the entire rehabilitation program
  • Will not he relax after a few weeks and even years
  • Will he deal withshould not only be in the rehabilitation center, but also at home

. When the rehabilitation program is performed, the patient is not alone: ​​

  • Patient should not guess:
    • will not dangerous or undesirable exercises that hurt him
    • will not the side complications arise
  • He does not need to produceself-selection of exercises
  • There is no need to purchase mechanical simulators( they should be in the rehabilitation center) Exercises after knee arthroplasty

    Special treadmill in the rehabilitation center

All these issues are solved by leaschy doctor and Rehabilitation.

Surgeons are aware of the main dangers of the early postoperative period:

  • Risk of developing blood clots :

    Risk of thrombosis can be caused by pain, swelling and redness below or above the knee

  • Risk of developing infectious inflammation:

    Elevated temperature, the surges of blood leukocytes can be alarming symptoms of

To prevent postoperative complications, coagulants( blood thinners) and antibiotics

are prescribed. The rehabilitator visits the patient within a few hours afterie the operation and shows the first necessary exercises that it will need to perform.

After the discharge, the question of the rehabilitation center is usually put, however, studies there are not cheap, and therefore many patients decide to be engaged in the rehabilitation themselves.

But if a person does not intend to undergo rehabilitation at all( nowhere in the center or at home), then it is better to abandon the very operation

. Is it possible to independently repair the house

? Probably, yes, because the impossible is really nothing.

But in practice alone and for a long time to restore the joint after prosthetics difficult :

  • There is a lack of purely specific knowledge that orthopedists-traumatologists own
  • . Because of the fear of pain, a barrier arises that reduces the volume and amplitude of
  • movements. The self-pity, the disorganization of the schedule of activities, etc., interfere.

Orthopedics practice mechanotherapy - the method of passive rehabilitation, when movements of the diseased limb are carried out by mechanical simulators that are always in the rehabilitation center

Exercises of the early operational period

These exercises are necessary to prevent thrombosis and muscle atrophy and maintain the functions of the musculoskeletal system

The first two daysafter operation

  1. Exercises for hands

    • Squeeze and unclench fists
    • Bend and unbend arms in elbows
    • Rotation kuvarnishes in both directions
    • Similar rotation with elbows
    • "Box" with separation of the blades from the bed
    • Straight and cross "scissors"
    • Tightening
  2. Exercises for a healthy leg

    The terms of rehabilitation in the endoprosthetics of the knee

    The goals of such exercises are to control thrombosis and muscular atrophy

    • Circumferential motion of the ankle
    • Compression and unclenchingfingers
    • Leg bending in the knee
    • Raising the straight leg
    • Leaning on the heel and elbows, lift the buttocks
    • We start to sit down with the help of the handrail, first without lowering our legs to the floor, and on the secondwe drop them
  3. Exercises for a sick leg

    • Squeeze and unclench fingers
    • Pull the foot on yourself and away from yourself
    • Alternately bend and unbend your legs while lying down and sitting
    • In the sitting position, put the feet on the bench, raise and lower them without taking off the heels

    The gymnastics of the first two days is performed at a slow pace :

    • Several exercises take breaks from three to five minutes
    • Some exercises are combined with the respiratory rhythm

    After it turned out to sit on the bed withlowered legs, you need to learn to stand on crutches or walkers.

  4. Walking on walkers or crutches

    Walking with auxiliary tools is already on the second day of .Walking on crutches is somewhat more difficult, since more physical strength is required. For the elderly it is preferable not to walk on crutches, but on the walker

    It's easier, of course, to see or experiment with crutches before the operation, but the general technique is simple:

    Rehabilitation after knee arthroplasty

    Walking on crutches with the help of an instructor is already on the second day

    • To get up,for the handrail, the other for the handle of a crutch or walker, with the support of a healthy leg

    • Walking on both crutches and walkers is built on the same principle :

      • They serve as additional support for the body:
        We rely on the crutchand armpits, and on the walker with the hands of
      • First we move forward at a distance of a small step both crutches or walkers
      • With a healthy foot we make a step and tighten the sliding foot on the floor with the operated leg
      • The leg should first touch the floor with the heel and then the whole foot
    • with additional support should be short-lived and carried out with the help of the instructor

Two to seven days after the operation

The patient by this time independently sits in the bed, having lowered his legs to the floor, and the course itselft on crutches.

  • Repeat all previous exercises in the supine and sitting position, but more actively and in larger amplitudes

  • Increase the number of repetitions

  • The following exercises are added:

    • retention of the elongated foot
    • retention of the straight leg
    • raised by 20-30 раз with the heel inserted under the heel
    • isometric exercises with tension of buttock muscles and quadriceps femoris
    • tilts and turns of the trunk with outstretched arm
    • imitation of walking
    • exercises in the lying position on the side( on zdofoot joint) with the roller between the legs
  • Starting from the second day, the development of the knee joint with the help of mechanotherapy begins - passive flexion-extension of the knee joint on the mechanical simulator with gradual increase in speed, angle and duration.

    Half a year after knee replacement

    Passive flexion-extension of the knee joint on the mechanical simulator:Exercises begin two days after surgery

Ninth day after surgery

Replacement of knee joint

Exercise in sitting position - swing with foot

Dynamics of exercises for the operated leg in

  • Lying on the side bend and unbend the leg in the ankle
  • Pull the toe up and raise the foot by 10 cm( specialist's help is allowed)
  • We make small flails with a sick leg
  • We add exercises with the emphasis on the handrails standing:
    Swing forward and raising the leg ona small angle

Rehabilitation of the house

Extract usually occurs after two weeks.

Walking on crutches will last an average of six to eight weeks, although some patients refuse them and before

at home you will repeat all those exercises that were done in the hospital in all three positions plus the will be added:

  • abdominal exercises
  • sit-ups
  • risings on tiptoes

It is also necessary to repeat passive mechanotherapy: at home, this can be done with a conventional elastic band.

Recovery after knee replacement

Passive exercises for knee joint with elastic band

Task of home exercises :

  • Do not allow contracture
  • Restore function of knee joint
  • Improve soft tissue trophy of lower leg and hip

Late recovery period

It begins 1.5 months after the operation.

Objectives of the late recovery period - restoration of the functions of the aching limb

Adding exercises with support and load on the injured leg :

  • Makhi standing on the aching leg
  • Walking on bent legs, holding the handrails
  • Exercises "scissors" and "bicycle", etc..

Late rehabilitation period

This period is usually considered to be a period of more than two months after the operation. However, for all its terms.

The tasks of this period are mainly adaptive :

  • The patient learns to walk with a cane
  • Executes exercises with weighting
  • Begins to work on an exercise bike

In the photo below - exercises with thrust for knee joint development:

Bubnovsky exercises after prosthetic knee joint

Exercise with traction for knee joint

How long it takes to recover

Exercises after knee arthroplasty

Follow-up examinations at the doctor after endoprosthetics are performed every year

Actually, the care of the joint will last a lifetime. It is impossible to forget about the prosthesis immediately after the rehabilitation.

  • Six months after the operation, it is necessary to conduct a follow-up inspection of the knee from the surgeon
  • Then to visit the
  • physician every year. For several years, you need to practice the active active exercises
  • . Then you can simply perform daily gymnastics, maintaining your normal weight.
  • . After 10 years after surgery,a thorough examination, since the prosthesis resource could come to an end

Video: Rehabilitation after knee replacement

If you have an endoprosthetics operation plannedknee joint, see the full methodology of the Federal Center for Traumatology, Orthopedics and Endoprosthetics:

  • How is the preparation for operation
  • The full complex of exercises after knee replacement in different rehabilitation periods

ZaSpiny.ru

Rehabilitation after knee replacement

Knee joint endoprosthesis Replacement of knee joint with endoprosthesis -a very complicated operation in the technical plan, conducted by orthopedic surgeons of the highest class. But nevertheless, whatever the skill of the doctors and the quality of the artificial implant, the patient necessarily needs a rehabilitation period. Restorative procedures are needed to ensure that in the future correctly, excluding traumatic risks, to ensure the optimal motor activity of the operated leg.

The main objectives of

Rehabilitation after knee replacement for the patient is as follows:

  1. to independently rise from the bed and lie down on it;
  2. master the safe seat posture;
  3. stand with the help of improvised tools;
  4. selection of crutches, walking on them;
  5. do daily special physical exercises.

Important:
To achieve the fastest recovery, and the tissues around the endoprosthesis quickly heal, do not ignore the advice of the attending physician and physiotherapist.
Pay attention to such moments:

  • control the pain. Pain syndrome should be prevented when the first signs of anesthetics appear. If the pain is increasing, tell the doctor definitely;
  • observe the edema of the knee joint. A small puffiness around the operated site is normal. After a certain period of time such a symptom will gradually be eliminated. Removing puffiness and relieving pain is helped by orthopedic rollers or pillows placed under the foot;
  • take care of your lungs. Do breathing exercises several times a day. Since after the operation the patient spends most of the time lying down, the lungs are in a squeezed position. Therefore, the circulatory system is not saturated with oxygen. This can lead to poor wound healing or to pneumonia.
Locking orthosis

The first days after the operation

If there are no complications, you can sit in bed. The ascent should be started gradually and very slowly. Raising themselves, rest on the elbows first, then on the palms of both hands. On the second day you can lower your legs from the bed. Sit down in two ways:

  1. grasp the operated limb with his hands and parallel with the healthy to lower it to the floor;
  2. lean his hands on the bed, bring a second leg under the foot of the sick leg and slide down with progressive movements.

Important: : To eliminate the risk of blood clots in the vessels, an elastic bandage should be applied to both legs. The best way is to purchase special stockings.
On the second or third day the patient is allowed to stand near the bed. It's very difficult to make the very first climb. As a rule, such manipulations are performed only with the attending physician or specialist in rehabilitation, as dizziness and instability may arise. To be afraid of unpleasant sensations it is not necessary. The sooner you overcome them, the sooner you will start walking.

How to get up?

There are a number of rules that must be adhered to in the strictest order:

  1. If the right leg is operated, it is necessary to get up in the opposite direction, and vice versa.
  2. Before you lower your aching leg, keep it all the time in the straightened position.
  3. Before lifting, the operated limb should first be straightened and, relying on a healthy one, should be raised with crutches.
  4. The surface of the floor must be dry and not slippery.

Special nuances:
The first few days you can not step on the aching leg, it can only touch the floor. In the future, physical activity gradually increases.

Walking distance

Movement restrictions are strictly individual. Here it is necessary to take into account the patient's age, general health, clinical indices, degree of puffiness.
If the edema in the knee endoprosthesis area after walking is pronounced, the load should be reduced.

Complex of daily exercises

Therapeutic exercises help restore muscle tone, improve the mobility of the endoprosthesis and the joint of a healthy leg. They must be performed at home every day for a minimum of two months.
Basic exercises of exercise therapy:

Joint development
  • flexion and extension movements of the ankle joint( 5-7 approaches);
  • strain and hold in this position the muscles of the thigh( a few seconds);
  • to lift alternately straightened legs, try to keep them in a tone( 2-3 seconds);
  • bend and unbend knees. The angle of flexion of the operated leg should not exceed 90 degrees;
  • in standing position, straightened leg should be withdrawn only to the side or back.

What is contraindicated in the rehabilitation period

  1. To make sharp, jumplike, rotational movements with the foot.
  2. Do dance, big, small tennis, volleyball, basketball, football and other sports.
  3. Only one knee can not be rotated. Turn left-right must be done completely by the whole body, otherwise there is a risk of dislocation of the implant.
  4. If possible, limit descent and climb stairs. Do not allow the abutment of the operated limb.
  5. Contraindicated sitting in deep soft armchairs, on low sofas. Only sitting on a hard chair is allowed. Knees do not reduce together, do not toss one leg to the other. Keep them at a distance of shoulder width.
  6. Not only during rehabilitation, but also during the entire period of wearing the endoprosthesis, weight lifting should not exceed more than 3 kg.
  7. If scheduled or emergency surgery is indicated by the dentist, ophthalmologist, etc., the medical team should be informed about the inserted implant.

Additional recommendations of

Two months after endoprosthetics, a control X-ray is taken and, according to indications, short walking sessions without improvised means become possible. During the entire rehabilitation period, specialists monitor each patient: they give advice on correcting the gait, the correct distribution of muscular load, and much more. When the patient stops using the cane, it is useful to visit the swimming pool once a week, to practice swimming, to hold regular massage courses twice a year.

LechenieSpiny.ru

Endoprosthetics of the knee joint. Operation, rehabilitation, recovery, lfk

Endoprosthesis of the knee joint is an operation that allows to restore the normal functionality of the limb by replacing the bearing surfaces of the knee joint. Replacement can be carried out either partially or completely. The essence of the operation is to ensure continuous movement of the knee by replacing the injured surfaces with metal and plastic structures in the form of a normal joint.

Pathological changes that deform the joint:

  • of a different etiology of arthrosis;
  • autoimmune processes, due to which antibodies affect the cartilaginous tissue;
  • cancers of various stages;
  • infectious diseases such as psoriasis;
  • post-traumatic complications;
  • metabolic disorder.

In such cases, endoprosthetics of the knee will be the most effective method of removing joint defects. Among all the above reasons, the most frequent is any etiology of arthrosis, which entails functional disorders.

In the last stage of arthrosis, in most cases, endoprosthetics are performed!

What is arthrosis?

Osteoarthritis of the knee joint is damage to the articular cartilage, in other words, a smooth, smooth inner surface. Gonarthrosis is often used. The main symptoms are: pain, decrease in the amplitude of movements, stiffness.

Etiology is a whole lot. This is arthritis( inflammatory disease), and osteonecrosis, which can also occur for various reasons. In any case, before the appointment of an operation in the presence of pathological changes, the doctor determines the indications and contraindications for endoprosthetics of the knee joint.

Even people who lead an exceptionally healthy lifestyle can not be immune from this kind of trouble.

Types of arthroplasty

Several types of joint replacement can be distinguished:

  • total knee arthroplasty - replacement of all articular surfaces;
  • single-implant arthroplasty of the knee joint - provides a prosthesis only on one side, if the functionality of the second half is not broken.

The specialist determines which one is needed, only after a thorough examination. Assign X-ray studies, allowing to see the degree of damage to the articular cartilage. Then the most suitable endoprosthesis of the knee joint is selected.

Given the level of modern medicine, the likelihood of any error is virtually eliminated. This allows us to fearlessly agree to surgery and successfully continue to lead an active, painless lifestyle.

Contraindications

There are a number of contraindications for the operation. Namely:

  • active form of tuberculosis;
  • if there is an infection of the subcutaneous tissue or skin in the knee area;
  • the presence of various inflammatory processes that are caused by both specific and non-specific flora;
  • bone ankylosis.

Any of the above contraindications can be detected exclusively by the doctor in charge. In no case should you set yourself a diagnosis and give up the opportunity to move freely and painlessly!

Risks of the

procedure According to statistics, 1 patient out of 10 has complications after

operation. Such operations have been popular for more than 30 years. In addition to the fact that after the endoprosthesis of the joint the pains go away, there are risks, as in any other operation. Any of the reactions may occur, leading to the need for immediate intervention or removal of the implant itself. According to statistics, 9 out of 10 have no complications during the operation or after it, which makes it more and more popular. Do not forget that medicine does not stand still, but with each passing day it improves its quality. This helps avoid complications after knee arthroplasty. Very serious complications, such as a heart attack, are very rare, we can say that these are isolated cases. Various infections occur a little more often.

The likelihood of complications further increases some chronic diseases. Allergic reactions to a foreign body were noted, i.e.implant material. Even the mood of the patient plays a significant role in the further recovery.

Postoperative period

Rehabilitation after surgery for knee arthroplasty can be called almost the most difficult moment. It is very important to preserve and not break the integrity of the new joint. To do this, you need to learn how to get out of bed correctly, sit down, walk, etc.

If there were no complications during the endoprosthesis of the knee joint, then after the day you can sit down in bed. The next day, carefully allowed to lower his legs down. This is done in the opposite direction from the operated leg. In stages, the unoperated is assigned, and the second is already being pulled by it. At the same time, moderate dilution should be observed. It is important to remember, no matter what movement is necessary to make, the bandages are necessarily bandaged with an elastic bandage, or special stockings are worn that prevent the development of varicose veins.

An important condition for rehabilitation after knee arthroplasty is a special gymnastics session. Do not overdo it, because you can achieve the above edema. An important task is to restore the muscle tone and the previous volume of movements.

What exercises should I perform after my knee arthroplasty?

Exercise No. 1 It is necessary to deflect with a slight stress of the foot on and away from yourself. This is for calf muscles. Do not exceed 5 times per hour. The rest of the classes are added to the second day, whereas this exercise can be done at least immediately after awakening from anesthesia.

Exercise # 2 Focuses on restoring the hip muscles after the knee joint arthroplasty. It is necessary to press the back side of the knee to the bed and try to stay in this position for 5 seconds.

Exercise # 3 Gradually you need to pull your hip toward you. At the same time, the heel slides on the bed so that a bend occurs in the knee joint. The angle of the fold should not be more than 90 degrees. Then smoothly it is necessary to return to the initial position. At first you can help yourself with a tow or towel.

All the above listed exercises, LFK, after endoprosthetics of the knee joint, it is recommended to do at least 10-15 times per day on each leg.

Further predictions of

As a rule, limb development after knee replacement is quite easy. Doctors also note that many patients want to engage in some kind of sport. However, due to the fact that the joint is artificial, it is recommended to avoid those active activities that force you to lift weights. Under the ban were such sports as running, riding, weightlifting, jumping, etc. It should avoid sudden strokes on the operated leg.

On the Internet there is a lot of videos about knee arthroplasty, which are created specifically for people who have experienced the problem of arthrosis. Do not be afraid to take care of your well-being!

It is also advisable to read

7sustavov.ru

Knee joint rehabilitation after endoprosthetics in the hospital and at home

The operation of knee replacement can be considered successful only if the rehabilitation of the knee after endoprosthetics is performed competently and comprehensively. The need for prosthetics often leads to serious injuries, as well as degenerative-atrophic changes in the joints, in which the diseased limb almost completely loses its mobility.

Rehabilitation after knee replacement is a complex and lengthy process.

When the affected knee joint changes to an artificial prosthesis, the patient has a real chance of a full recovery.

The main goals of the rehabilitation period due to the replacement of the knee joint should be to restore the patient's ability to stand up and move independently. A similar recovery period should follow the procedure of arthroscopy or the receipt of any trauma.

The first days of the rehabilitation period

When carrying out the prosthesis, the patient is usually discharged home on the fifth or sixth day. Even before this, the patient is allowed to try to sit in bed, leaning on his hands, and then get up. It is necessary to load the operated leg very gradually. If there are no complications, then it is allowed to get up somewhere on the second day after a prosthetic knee, but it must be done correctly:

  • getting out of bed, it is necessary to lean on a healthy leg;
  • before standing up the operated leg should be pulled forward and kept straight;
  • needs to check whether the floor is slippery;
  • must use crutches for support and movement.

In the course of knee replacement, effective rehabilitation can be carried out in specialized medical centers equipped with special simulators. The program of restoration is developed by the doctor, considering all features of the patient.

The first days of the recovery period after endoprosthetics should be aimed at developing an artificial knee joint and located around the muscles. With the help of crutches the patient learns to walk correctly. Physiotherapeutic procedures, massage and physiotherapy exercises are also required.

As a physiotherapeutic treatment after endoprosthetics, electrophoresis, light therapy, microwave and laser therapy, etc. are usually prescribed.

Approximately during the first month of rehabilitation you can try to move without crutches. If necessary, the doctor will help correct the gait. Teach you to evenly distribute the body weight. By the end of the third month the patient will walk completely by himself. Thus, the operation of endoprosthetics allows to completely replace the diseased joint and return the person to a normal life.

For rehabilitation after operation, the daily exercise complex

is used. Daily exercise complex

For those people who underwent endoprosthetics, restoration must necessarily include a set of physical exercises aimed at developing the limb and its mobility. The procedure for prosthetics is a serious surgical intervention, and the result after it should be maximum three to four times a day to perform the following physical exercises:

  1. perform flexion and extension movements in the ankle - it is necessary to begin with five repetitions, gradually bringing the number of repetitions to twenty;
  2. strain the front of the thigh for a few seconds;
  3. strain the back of the thigh for a few seconds;
  4. strain the buttock muscles;
  5. raise and lower the straight leg;
  6. bend and unbend knees;
  7. to withdraw a straight raised at an angle of 45 degrees leg to the side;
  8. retract and straighten the leg raised 45 degrees.

Physical activity is gradually beginning to increase after about four months from the beginning of rehabilitation. The complex of exercises can be supplemented and complicated. For example, at this stage of recovery, walking, short cycling, and swimming can be allowed.

Useful recommendations in the rehabilitation period of

So, in order to make the procedure of prosthetics really useful and greatly facilitate the life of the patient, during the rehabilitation period it is necessary: ​​

  • to comply with all medical recommendations;
  • regularly perform the prescribed gymnastics, because it is the regularity of the exercises that determines the usefulness of the established endoprosthesis;
  • engage in training of the lungs and breathing, so that sufficient oxygen enters the bloodstream, which facilitates the rapid regeneration of tissues as a result of trauma or surgery;
  • to control painful sensations - pain should not become an obstacle to performing therapeutic gymnastics. If necessary, you can take painkillers;
  • apply cold compresses to reduce swelling in the knee area;
  • is always fully rest and does not overload your own body.

What can not be done

Throughout the recovery period as a result of endoprosthetics, it is strongly discouraged:

  1. to perform movements that can cause new trauma;
  2. to run, weightlifting, contact sports, aerobics, tennis;
  3. perform jumps;
  4. twist knee - if it is necessary to perform a turn, then it should be done by the whole body in order to avoid damaging the implant;
  5. to stand on your knees or carry the center of gravity to them;
  6. to carry weights - from lifting weights will have to be abandoned not only during the rehabilitation period, but for the entire period of wearing the endoprosthesis.

A set of therapeutic exercises should be developed by a rehab physician

If it becomes necessary to perform any even the most minimal surgical interventions, for example, for dental treatment, it is necessary to inform the doctor that an operation of endoprosthetics has been performed some time ago.

Rehabilitation after arthroscopy in the hospital and at home

Arthroscopy of the knee joint is a medical and diagnostic procedure, which is a full-fledged surgical intervention and requires appropriate rehabilitation, as well as the procedure of endoprosthetics. Most often, arthroscopy is tolerated by patients relatively easily, but the recovery period must necessarily include hospital treatment for the first few days and subsequent rehabilitation at home.

In the hospital immediately after the completion of arthroscopy( during the first day), the patient is once administered antibiotics. Also, the rehabilitation period in the hospital as a result of arthroscopy includes:

  • wearing a special elastic bandage or compression jersey;
  • cryotherapy;
  • fixing of the operated joint with the help of an orthodontic bandage;
  • analgesic therapy;
  • lymph drainage massage performed by hand;
  • therapeutic exercise.

At home, you must follow the doctor's recommendations clearly, keep your feet in a raised position. Bandages imposed on the operated area require regular replacement, for this you will have to visit a doctor. In order to avoid complications from the performed arthroscopy, anti-inflammatory and vascular drugs are prescribed. The motor load and therapeutic exercises due to arthroscopy are controlled by the attending physician.

In the rehabilitation period, it is good to do knee massage

Recovery after injury

Injuries( as well as knee joint prosthesis) require that rehabilitation be performed correctly, even if the treatment was performed conservatively. Traditionally, the recovery period due to trauma includes:

  1. physiotherapy procedures - UHF therapy, magnetotherapy, electrophoresis, muscle electrostimulation and laser therapy;
  2. curative gymnastics;
  3. regular massage and manual therapy;
  4. rapid recovery of the motor function of the damaged limb is also facilitated by spa treatment.

Thus, recovery is an important stage on the way to recovery and return to a normal rhythm of life after trauma.

vashekoleno.ru

Rehabilitation after hip arthroplasty: motor mode

After completion of the operation to establish an endoprosthesis in the hip joint, a course of restoring the normal functioning of the joint, as well as the muscles adjacent to it, is required. In this case, the duration and effectiveness of the rehabilitation course depends on many factors. Rehabilitation after hip arthroplasty is carried out according to different schemes. Therefore, it is necessary to apply an individual approach to each individual patient.

Much depends on the age of the patient, on his general condition and physical development of the muscles. Accordingly, the older the patient, and also, the more he is physically weakened, the longer the rehabilitation process will take place.

Also of great importance is also how much time passed between the trauma and the operation. In the event that a rather long period has passed, most likely, the muscles managed to significantly atrophy, since the damaged joint could not function fully.

A similar situation may occur with arthrosis. If the operation was carried out in a timely manner, when, despite the pain, the person could still move independently, and the muscles had to work, but to the critical point the matter has not yet reached, then the recovery process will be a little faster and more successful.

But it also happens that a person suffers pain for years, hoping that everything will pass by himself. To the doctor, he turns, when the pain becomes quite unbearable, and a person can not simply walk.

In such cases, the muscles have time to atrophy. Accordingly, the process of postoperative rehabilitation will take longer and more difficult. Considering all such factors, it is possible to draw up a general rehabilitation program that is applicable to all patients. This program is based on certain principles and goals, and an individual approach to each individual patient is also applied.

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On how to outline the cause and eliminate the attack of acute pain in the back, you will learn from our article.

The rehabilitation process can be broken down into several periods or phases.

Zero phase

This phase of rehabilitation begins a few hours after the operation. First, it is necessary to restore blood circulation. This is required for the normal functioning of the limb and preventing the formation of blood clots in the blood vessels.

As soon as the action of anesthesia passes, it is necessary to do the following exercises( remember that all exercises must be performed by both legs, not just the patient):

  • Movement of the foot foot up and down, the so-called "foot pump".Exercise should be repeated several times every 10-15 minutes, as soon as the sensitivity of the foot returns. Do the exercise during the entire rehabilitation period.
  • Rotate the ankle to the right, then to the left 5 times. It should be remembered that rotation should be performed only at the expense of this joint. The knee does not participate in this exercise.
  • Work of the anterior muscle of the thigh( four-headed muscle).It is necessary to strain the front of the thigh, straightening. You can pull the socks forward. At first, there will be no full leg straightening, there may be pain. But it is necessary to try, and eventually the exercise begins to work out. Keep the muscles of the front of the thigh in tension takes 5-10 seconds. Repeat the exercise for 10 approaches for both( !) Legs.
  • Bend the knee, moving the heel towards the buttocks. The heel should be pressed against the surface. The knee should not rotate to the other leg. The hip joint should not bend more than 90 degrees. Repeat exercise 10 times.
  • Squeeze the buttocks and hold in tension for 5-7 seconds. Repeat the exercise should be at least 10 times.
  • In the lying position, move the elongated leg sideways to the maximum possible distance, then return it to its original position. In postoperative days, this exercise is likely to fail, but over time it begins to work out. Repeat exercise 10 times.
  • Raise the straightened leg up a few centimeters. As in the previous case, this exercise can not be performed first. Repeat the exercise 10 times.

First phase of

The next phase of rehabilitation after endoprosthetics begins on the 2nd day after the operation. At this time, the patient will be able to get up and move gently on crutches, leaning against the injured leg, but not at full strength. Over time, this load will increase.

The purpose of the 1st phase of rehabilitation is to restore the person's ability to move independently, including on the stairs( at first, of course, using crutches).

When moving, it is important to follow certain rules, namely:

  • To prevent dislocation, it is necessary to bend the leg in the hip joint by no more than 90 degrees. It is forbidden to cross your legs, squat and toss your foot on your leg, when such an opportunity will appear due to the subsidence of pain.
  • In order to avoid similar actions in a dream, it is necessary to lay cushions between the legs.
  • You can sit down only on such chairs, where the knees will not rise above the level of the navel, that is, the hip joint will not bend over 90 degrees.
  • In the position lying on the back, the legs should be slightly apart, as in the sitting position.
  • Do not bend below the navel, when dressing shoes or other activities while sitting, lying or standing. Always remember about 90 degrees!

Phase 1 exercises:

  1. In standing position, lift the elbow parallel to the ground. Hold the foot in this position for 5 seconds, then lower it. Several approaches are required for this exercise.
  2. In the standing position, straighten the leg and slowly pull back( the back can be held in the lower back).Hold the limb in this position for 5 seconds, then lower it. Repeat the exercise several times.
  3. Standing elongated leg to the side. Hold the limb for 5 seconds, then lower it. Repeat the exercise several times.
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The second phase of

This phase of rehabilitation after hip arthroplasty begins about a week after the operation, includes exercises whose task is tomoving the patient on the stairs. They are carried out only with the supervision and assistance of a doctor, so here we will not touch on these exercises, since it is necessary to guide the attending physician, which is based on the patient's condition, as well as some other factors.

Video: "Hip Endoprosthetics: Exercises"

The third phase of

The third phase of rehabilitation begins 4-8 weeks after the operation, depending on the physical condition and age of the patient.

In this phase, it is necessary to master the movement without crutches, but still with the help of a cane.

For the successful implementation of the third phase, the following exercises will help:

  • The elastic band is attached to the front around the ankle, and the other end to the secure support. In the standing position, move the leg forward, then return it to its initial position. Repeat several times for each leg. This exercise should be done 10 times a day, in the morning, in the afternoon and in the evening.
  • The exercise described above is performed exactly the same way, only the elastic band is attached to the back of the ankle. In the standing position, take the leg back, then return it to its initial position. Repeat several times for each leg. This exercise should be done 10 times a day, in the morning, in the afternoon and in the evening.
  • Elastic band fastened to the side of the ankle. Take the straightened leg to the side, return the limb to its initial position. Repeat the exercise several times. Perform 10 sets per day.
  • The exercises on the exercise bike perfectly strengthen the muscles of the legs and develop the mobility of the joints. It is important to adjust the seat so that the legs are as straight as possible and hardly reach the pedals at the lowest point. First you should practice 10-15 minutes 2 times a day. Over time, the load should be increased and dealt with for 30 minutes 3-4 times a week, or more often.
  • It is important to conduct exercises for balance training. To do this, you must stand on one leg, leaning your hand against the wall, and rise up on your toe. Perform 10 repetitions per foot.
  • Walking on the treadmill in the opposite direction. The foot rolls from the fingers to the heel. When the entire foot is placed on the treadmill, the knee is fully straightened. The speed of the track should be 1-2 km / h.

Video: "Rehabilitation after hip arthroplasty: support and movement"

So, after completing the entire rehabilitation course after hip arthroplasty, as a result of the exercises, a person should completely return the opportunity to walk normally without the help of a cane. In this case, the hip joint restores its functions. This usually occurs 7-8 weeks after the operation. It should be remembered that in order to prevent injuries in the future, you must constantly maintain your body in good physical shape, and after completing the rehabilitation course, you must perform all the above exercises.

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