PUBLISHED SCIENTIFIC WORKS
PHYSICAL TRAINING BEFORE 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 when compared with control subjects and may result in decreased effectiveness of physical
therapy and rehabilitation that is focused on increasing muscle strength after surgery.
Therefore, the improvement of exercise therapy and muscle strength before surgery and within the first
month after surgery is an important outcome measure in the effectiveness of TKA.
A recommended daily exercise shedule at home before and after TKA surgery is an important component of knee function.
TRAINING BEFORE 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
Put an Ice Pack after the exercice or coming back home.
Two rules : NO PAIN - NO SWELLING
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EACH EXERCICE 5 Ŕ 10 TIMES AT MAXIMUM, TWICE A DAY
BICYCLE 10 MN TWICE A DAY
OTHERS
>> Post-operative rehabilitation
Last updated : 9/12/2007
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Alain CAZENAVE (MD) | |
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