Rehabilitation - knee replacement surgery

2-week rehabilitation stay
workout with patient 6 days a week, from Monday to Saturday
each patient receives a brochure on safe handling of their implants

1st day at the rehabilitation centre

Pre-surgery procedures
• learning how to exercise following surgery
• adjustment of crutches
• learning to walk with a walker
• posture changing exercises, patients learn to walk on their own
Interview and exercises, duration: 30 minutes - 1 hour

2nd day at the rehabilitation centre

Post-surgery procedures
Thrombosis prevention
• exercises preventing thrombosis
Exercises for the leg operated on
• isometric exercises for thigh quadriceps and hamstrings
• isometric exercises of gluteal muscles
• active exercises of the ankle
• control of complete extension of the knee joint

Physiotherapy:
• morning workout
• exercises – 2 times a day for 30 minutes
• cryotherapy – 3 times a day for 20 minutes
Additionally, breathing exercises and fitness to strengthen the entire body.

3rd day at the rehabilitation centre

Objectives
• patients learn to move on their own (to the bed, chair, etc.), and to walk using crutches
• prevention of risks related to a long complete mobility recovery (e.g. thrombophlebitis, pneumonia, bedsores)
• straightening the knee joint to 0°
• bending the knee joint to 40°
• reduction of swelling

Putting weight on the operated leg
• 2 crutches, weight bearing within tolerance limits
Continuous Passive Motion (CPM)
• 0-40° within tolerance limits
Thrombosis prevention
• prevention exercises
Exercises for the operated leg
• active ankle exercises
• passive stretching 
• lifting a straight leg
• isometric exercises of the quadriceps

Physiotherapy:
• morning workout
• exercises – 2 times a day for 30 minutes
• continuous passive motion (CPM) – 3 times a day for 30 minutes
• learning to walk– 2 times a day for 30 minutes
• cryotherapy – 3 times a day for 20 minutes
Additionally, breathing exercises and fitness to strengthen the entire body.

4th – 7th day at the rehabilitation centre

Objectives
• patients learn to move on their own (onto the bed, chair, etc.), and to walk using crutches
• stair climbing
• prevention of risks related to a long complete mobility recovery (e.g. thrombophlebitis, pneumonia, bedsores)
• straightening the knee joint to 0°
• bending the knee joint to 90°
• reduction of swelling

Putting weight on the operated leg:
• weight bearing within tolerance limits
Continuous Passive Motion (CPM)
• 0-90° within tolerance limits
Exercises for the operated leg
• continuation of all exercises done so far
• active and supportive knee joint exercises within the range of 0-90°
• active exercises of the hip joint

Walking training
• continued safe walking training
• stair climbing
Physiotherapy:
• morning workout
• exercises – 2 times a day for 30 minutes
• continuous passive motion (CPM) – 4 times a day for 30 minutes
• learning to walk– 2 times a day for 30 minutes
• cryotherapy – 3 times a day for 20 minutes.
• kinesiotaping
Additionally, breathing exercises and fitness to strengthen the entire body.

8th – 14th day at the rehabilitation centre

Objectives
• increasing the range of motion, strength and endurance of muscles
• establishing a proper walking pattern
• reduction of swelling
• general improvement of health
Placing weight on operated leg
• weight bearing using crutches, within tolerance limits
Continuous Passive Motion (CPM)
• 0-100° within tolerance limits

Exercises for the operated leg
• continuation of all exercises done so far
• active and supportive knee joint exercises within the range of 0-100 °
• mobilization of kneecap
• contracting of back thigh muscles
• stretching of back thigh muscles, calf triceps, thigh quadriceps
• stimulation of knee joint mobility (using cycling)
• exercises in closed kinematic chain
• improvement of proprioception

Physiotherapy:
• morning workout
• exercises – 2 times a day for 30 minutes
• continuous passive motion (CPM) – 4 times a day for 30 minutes
• learning to walk– 2 times a day for 30 minutes
• cryotherapy – 3 time a day for 20 minutes.
• kinesiotaping