UNI KNEE ARTHROPLASTY
PHYSICAL TRAINING AFTER KNEE PROSTHESIS
Rehabilitation goals are to improve ambulation, enhance range of motion, develop
muscle strength, provide emotional support and control pain.
Outcome variation exists despite excellent surgical technique, refined implants, and uncomplicated
postsurgical recovery. In addition to perioperative surgical care, presurgical variation in patient
risks factors and variation in pré and post-TKA rehabilitation exercises and activity may also
contribute to varied functionnal return.
The loss of muscle quadriceps strength is an important determinant of disability in patients before
and after TKA.
The reduction in voluntary activation of the muscle is considered to be among the mechanisms involved
in the decline in muscle strength. These voluntary activation deficits are at least in part
reversible after TKA . Effectiveness of physical therapy and rehabilitation is focused on increasing
muscle strength after surgery.
Therefore, the improvement of exercise therapy and muscle strength within the first 3 months
after surgery is an important outcome measure in the effectiveness of TKA.
A recommended daily exercise shedule at home after TKA surgery is an important component of knee function.
TRAINING AFTER OPERATION
- walk : 20 mn walk twice a day when the knee is nor too painfull, even with crutches.
- fitness and aerobic exercices alone or in group : twice a week
- home exercices : stretching and reinforcement of muscles, ankle pump, active contractions,
active assisted knee flexion : do this twice a day.
Put an Ice Pack after the exercice or coming back home.
Two rules : NO PAIN - NO SWELLING
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OTHERS
>> Pre-operative rehabilitation
Last updated : 9/12/2007
