Total Knee Replacement

Week 1

 

• Remove silver lining and post surgical bandages

• Inititation of standing and walking with assistance 

• Active quadraceps activation, gluteal acivation 

• Balance and proprioception exercises barefoot

• Light stretching of Hamstrings, Quadraceps and Gastroc/Soleus (calf muscles)

• Soft tissue mobilization to Hamstrings, Quadraceps and Gastroc/Soleus

• Edema massage

• Example exercises 

  • Single leg stance, short arc quad, gait training, straight leg raises 

 

Weeks 2 - 4

• Active assisted range of motion into flexion and extension 

• Cross friction massage to scars and adhesion tissue 

• Training on proper hip hinging and squating (stand to sit) 

• Step up and step down training 

• Walking without bracing

• Resisted band muscle activation and strengthening

• Stationary bike to tolerance

• Example Exercises 

  • Knee Extension, ball wall squats, bridging, TRX training, Power Plate squat holds

 

Weeks 4 - 6

• Improved range of motion -  minimums - 10°extension and 110° flexion 

• Weighted exercises

• Incorporate full kinetic chain activation / Dynamic exercise

• Stair master / stair climber 

• Introduction of frontal plane movement (lateral movement)

• Example Exercises

  • Lateral step up, single leg squats (assisted), monster walks with resistence, side planks, 

 

Weeks 6 - 8

• Introduce transvere plane motion

• Improve range of motion to 120° flexion 

• Core stablity 

• establish full hip and ankle mobiltiy

• Eliptical training 

• Weighted Leg press 

 

Weeks 8 - 12

• Establish full range of motion - 0° extension, 130° flexion 

• Squats to 90° Knee flexion

• Resisted quad extension - full range

• treadmill training

• TRX training