Sunshine Clinic of Physiotherapy

PROTOCOL FOR TKR

0 POD - Deep breathing exercise, - Static Quadriceps exercise, - Active ankle and toe movements. DAY 1 - Deep breathing exercise, - Static Quadriceps exercise, - Active ankle and toe movements, - Active knee ROM exs in supine and high sitting, - Active hip ROM exs in supine, - SLR (Active), - Knee Extn exs in high sitting, - High sitting in chair, - ADL training, - Full weight bearing with brace and walker support. DAY 2 - Exercise followed by previous session with, - Hamstring stretching exs in supine, - Qdrill exs in Long sitting / supine and high sitting, - CPM if needed, - ADL training, - Full weight bearing with brace and walker support.

DAY 3 - Exercise followed by previous session with, - CPM if needed, - ADL training, - Full weight bearing with brace and walker support.

DAY 4 - Exercise followed by previous session with, - CPM if needed, - ADL training, - Full weight bearing without brace (if knee joint was stable) and walker Support.

DAY 5 - Exercise followed by previous session with, - CPM if needed, - ADL training, - Staircase training with rail and Physical Therapist support, - Full weight bearing without brace (if knee joint was stable) and without walker support (if patient was comfortable).

DAY 6 & 7 - Exercise followed by previous session with, - CPM if needed, - ADL training, - Staircase training with rail and Physical Therapist support, - Full weight bearing without walker and brace support. DAY 8 to 8 weeks - Exercise followed by previous session with, - CPM if needed, ADL training, - Staircase training with rail and Physical Therapist / Attenders support, - Full weight bearing without walker and brace support.

Dos and Donts - Do exercise 3 to 4 times a day, - Continue exercise lifelong at least once a day, - Use western toilet, - Consult your orthopedician for your regular review, - Consult your physical therapist for your exercise program and doughts, - Avoid Indian toilet, - Avoid cross leg sitting and floor activities (lying on the floor) for min 6 months after surgery,

Physical therapy exercise protocol for TKR constructed by, DR.M.P.Parthiban.M.P.T(ortho)., and Team, Sunshine clinic of Physiotherapy, Contact 9345122177, www.sunshineclinic.in www.sunshinephysioclinic.drnet.in, e-mail id. parthimp@yahoo.com.