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Fiona Stanley Hospital – Below knee amputee exercise program May 2018
Knee extensions – residual limb
Place a bolster or rolled towel under the knee of your
residual limb.
Keeping your knee on the bolster, slowly straighten
your residual limb as much as you can. Hold it straight
for _____ secs. Let it slowly bend and repeat.
Progression: use a resistance band.
Perform exercise ____ times.
Complete _____ sets.
Knee extensions – sound limb
Place a bolster or rolled towel under the knee of your
sound limb.
Place _____ kg of velcro weight around your ankle.
Keeping your knee on the bolster, slowly straighten
your knee as much as you can. Hold it straight for
_____ secs. Slowly lower your foot to the bed and
repeat.
Perform exercise ____ times.
Complete _____ sets.
Hip flexor stretch
Lie on your stomach, with rolled towels under each thigh until you feel a stretch at the front of
your hips. A weight can be applied over the back of your pelvis to assist in keeping you flat to
the bed.
Stretch in this position for _____ mins.
Fiona Stanley Hospital – Below knee amputee exercise program May 2018
Hip extension – on stomach
Lie on your stomach with the resistance band
around both thighs. Without twisting your hips or
back, squeeze your buttock and lift your leg as high
as you can toward the ceiling. Slowly lower. Repeat
exercise with your sound limb.
Perform exercise____ times per leg.
Complete ____ sets.
Side-lying hip abduction – sound limb
Lie on your side with your hips aligned, one directly
on top of the other. Place the resistance band
around your thighs.
Slowly lift your top thigh toward ceiling, keeping toes
pointing forward. Keep your leg back as you lift it.
Hold for ____ secs.
Perform exercise ____ times.
Complete _____ sets.
*Don’t let your top hip roll backward as you lift your
leg.
Fiona Stanley Hospital – Below knee amputee exercise program May 2018
Side-lying hip abduction – residual limb
Lie on your side with your hips aligned, one directly
on top of the other. Place the resistance band
around your thighs. Slowly lift your top thigh toward
the ceiling, keeping your knee pointing forward.
Keep your leg back as you lift it. Hold for ____ secs.
Perform exercise ____ times.
Complete _____ sets.
*Don’t let your top hip roll backward as you lift your
leg.
Bilateral bridging
Place a bolster or rolled towel under both knees.
Flatten your lower back against the bed, squeeze
your buttocks and lift your hips as high as you can
toward the ceiling. Do not hold your breath.
Hold this position for _____ secs.
Slowly lower and repeat.
Progression: holding your sound limb in the air, use
your residual limb to lift your hips.
Perform exercise ____ times.
Complete _____ sets.
*This can also be done using a fit ball
instead of bolster/towel.
Fiona Stanley Hospital – Below knee amputee exercise program May 2018
Sit-ups
Lie on your back with your knees over a bolster or
rolled towel. Start by gently tightening your lower
abdominals.
With your lower abdominals pulled in, lift your chest
and shoulders off the bed towards your knees. Try
not to hold your breath. Breathe out as you come
up.
Progression: bring the opposite shoulder toward
your knee.
Perform _____ times straight and _____ times
diagonally.
Sit to stand
Stand up tall and slowly sit down again, using your
sound leg. You can assist with your arms if
required.
Tips: sit toward the front edge of the chair with your
foot back underneath you. Lean your trunk and
shoulders forward as you rise up.
Perform exercise____ times.
Complete____ sets.
Fiona Stanley Hospital – Below knee amputee exercise program May 2018
Single leg squats
Stand tall and hold something sturdy for balance.
Slowly bend your knee and push your bottom
backward. Look ahead and keep your upper body
tall with your chest lifted. Your knee should stay in
line with your toes.
Rise up tall again by pushing through your leg. Try
not to let your arms do the work.
Progression: begin with shallow squats and slowly
progress to deeper squats as your strength
improves.
Perform exercise____ times.
Complete____ sets.
Single leg heel raises
Stand tall and hold something sturdy for balance.
Rise up onto your toes, lifting your heel from the
floor as high as you can. Keep your knee straight.
Try not to let your arms do the work.
Perform exercise____ times.
Complete____ sets.
Single leg balance
Standing in the bars, practice balancing on your remaining leg for as long as possible. Try not
to touch the bars with your hands, or just use a finger-tip if required.
Practice your balance for ____ mins.
Fiona Stanley Hospital – Below knee amputee exercise program May 2018
Standing hip extension
Find a stable solid object, such as piece of furniture,
veranda post or stair post, and attach the resistance
band to it. Loop the resistance band around your
thigh and face the object.
If this is not possible, tie the resistance band around
both thighs. Keeping your body vertical, squeeze
your buttock and pull your residual limb backwards.
Hold for ____ secs. Try not to bend your hips or
body.
Perform exercise____ times.
Complete____ sets.
Standing hip abduction
Find a stable solid object, such as piece of furniture,
veranda post or stair post, and attach the resistance
band to it. If this is not possible, tie the resistance
band around both thighs. Standing side-on to the
object, pull your residual limb sideways away from
body and slightly behind. Hold for ____ secs and
slowly return to neutral. Try not to twist or bend
your hips or body.
Perform exercise____ times.
Complete____ sets.
Fiona Stanley Hospital – Below knee amputee exercise program May 2018
Seated bottom lifts
Using your arms and your sound leg, lift your
buttocks up off the chair as high as you can. Hold
for ___ secs. Slowly lower and repeat.
Perform exercise____ times.
Complete____ sets.
Seated knee extension – sound limb
Place velcro weight on the ankle of your sound limb.
Sitting on the side of a bed or table, straighten your
knee and hold for ___ secs with your toe pointing
towards the ceiling. Slowly lower and repeat.
Perform exercise____ times.
Complete____ sets.
Fiona Stanley Hospital – Below knee amputee exercise program May 2018
Arm strengthening
Sit tall. If sitting on a chair, try to keep your back away from the back rest.
Exercise 1: bicep curls. Start with your
elbows straight and weights at your side.
Keep your elbows locked in at your sides
and bend up, taking the weight to your
shoulder.
Exercise 4: side arm flys. Start with arms by your
side and hold weight with palm facing downward.
Keeping your elbows straight, raise your arms to
the sides until level with your shoulders.
Exercise 2: forward punches. Start with
the weight near your shoulder and slowly
straighten elbow in front of you.
Exercise 5: tricep raises. Start with your upper
arm raised with elbow near your ear. Keep your
upper arm steady whilst you straighten your
elbow, raising the weight from behind your head
toward the ceiling. Slowly lower the weight.
Exercise 3: arm raises toward ceiling.
Start with the weight near your shoulder
and slowly raise weight above you while
straightening your elbow.
Exercise 6: chest press. Lie flat on your back
with a weight in each hand. Begin with your
elbows on the bed in line with your shoulders.
Straighten elbows, raising the weights toward the
ceiling as shown. Slowly lower.
Perform each exercise ____ times using ____ kg. Complete ____ sets of each.
Fiona Stanley Hospital – Below knee amputee exercise program May 2018
Leg press – sound limb
Using your sound leg, push the leg press plate out
and then slowly bring it back. Do not hyperextend
your knee.
Choose the maximal weight at which you can
successfully complete 10 repetitions.
Perform exercise____ times.
Complete____ sets.
*This is generally not tolerated well until residual
limb has matured.
Leg press on reformer – sound limb
Lie on your back with your sound foot on the
reformer plate. Slowly straighten your hip and knee,
and then slowly bend your knee.
Perform exercise____ times.
Complete____ sets.