Exercise information The exercises may cause some discomfort or soreness, but avoid the exercises that cause sharp pain. Even a few weeks of exercises prior to your can improve the tone and strength of your muscles, helping you to get a jumpstart on your recovery. Perform exercises 2-3 times per day starting at 5-15 repetitions each time. If it feels too easy, do more repetitions. If it feels too difficult, do fewer repetitions. Try to increase the number of repetitions you do each day. If your hip or knee pain prevents you from performing these exercises; don t be overly concerned. Your therapist will adapt exercises to your personal needs. PATIENT POINT Your exercise program will be tailored to you., perform only those exercises marked in your book. It is important to participate in a home exercise program. The exercises marked like the example below are the only ones you should perform after. Your therapist will have you mark your book at the Joint Class. These exercises may also be discussed and marked in your book while in the hospital. Perform only those exercises marked in your book. E-1
Knee exercises Armchair push-ups Position: Sitting in chair Place hands on armrests Straighten arms, raising bottom off chair if possible Feet should be flat on floor Ankle pumps Position: Lying down Gently move your ankles up and down Move through full range of motions E-2
Quad sets Position: Lying down Tighten muscles on top of thigh and push knee as straight as possible Hold 5 seconds and keep breathing Straight leg raises Position: Lying down with opposite leg bent Bend opposite leg and place foot flat on bed Tighten muscles on front of thigh on operative side Lift leg 8 10 inches from surface, keeping knee as straight as possible Slowly lower operated leg back down E-3
Terminal knee extension Position: Lying down Use rolled towel or blanket under knee Straighten knee by tightening muscles on top of the thigh Heel slides Position: Lying Down Slide heel of operated leg toward buttocks until a gentle stretch is felt Hold 5 seconds Slide heel back down bed until knee is as straight as possible Place sheet around heel as needed E-4
Quad sets Position: Sitting Place foot on another chair or ottoman Tighten muscles on top of thigh and push knee as straight as possible Sitting straight leg raises Position: Sitting in chair Slide forward as far as possible in chair Start with knee straight, tighten muscles in front of thigh, lift leg 8-10 inches from surface keeping knee straight as possible Slowly lower operated leg back down Allow muscle to completely relax before next repetition E-5
Knee extension Position: Sitting on chair or edge of bed Straighten operated knee as much as possible, then lower slowly Knee flexion Position: Sitting in chair Sliding foot of operated leg on floor, bend knee as much as possible Gently push operated leg farther back with other foot until stretch is felt Hold 5 seconds, then release and slide foot forward As pain decreases, hold stretch up to a minute E-6
Hip Exercises Armchair push-ups Position: Sitting in chair Place hands on armrests Straighten arms, raising bottom off chair if possible Feet should be flat on floor Ankle pumps Position: Lying Down or sitting Gently move your ankles up and down Move through full range of motions E-7
Gluteal sets Position: Lying Down Squeeze buttocks together Hold for 5 seconds Quad sets Position: Lying Down Push back of knee against bed or floor Hold for 5 seconds E-8
Hamstring sets Position: Lying Down Dig heel into bed or floor Hold for 5 seconds Hip flexion Position: Lying down Lift operated leg up, bending knee as you lift Return to starting position May use sheet or towel to assist if needed E-9
Straight leg raises Position: Lying down with opposite leg bent Bend opposite leg and place foot flat on bed Tighten muscles on front of thigh on operative side Lift leg 8 10 inches from surface, keeping knee as straight as possible Slowly lower operated leg back down Supine hip abduction Position: Lying down Slide operated leg out to side and then return Keep knee straight and toes pointed toward ceiling E-10
Standing Hip Abduction Position: Standing Lift operated leg to the side while holding onto a walker or sturdy object Keep knee straight and toes pointed forward Return to starting position Equipment You may need to buy some of the items listed below. These items are seldom covered by insurance. you purchase or borrow any item, you should go over this list with your therapist: Tub chair or bench Hand held shower for bathing Elevated toilet seat Long handled shoe horn Long handled sponge for bathing Reacher to pick up objects Sock aid Consider installing safety bars in or/ around shower, bath and toilet E-11
Occupational Therapy Department 1406 Sixth Avenue North Adaptive Equipment Vendor List St. Cloud, MN 56303 Phone: 320-251-2700/ Toll Free: 800-835-6652 Occupational Therapy Extension: #54130 Fax: 320-255-5773 The following is a list of vendors that has been compiled for your convenience as a resource to begin your search for the recommended ASSISTIVE DEVICES to allow greater safety and independence at home. Your therapist has recommended the CIRCLED items below. Please feel free to research your own resources in your community Vendors In the St. Cloud Area Reliable Medical Supply 440 Great Oak Drive Waite Park 320-259-5900 Goodwill/Easter Seals 50 S 2 nd Ave Waite Park 320-654-9527 Call for Availability (Max. 2 month loan) St. Cloud Hospital Drive Thru Pharmacy 320-255-5670 M-F 9am-5:30p Sat 9a-noon/Sun Closed Commode/ Raised Toilet Seat Toilet Aid Reacher or Dressing Stick Elastic Laces Long Shoe Horn Sock Aid: Rigid or Soft Long Handle Sponge Bath Chairs or Extended Bath Benches X X X X X Alliance Medical 800-548-0981 (To Order) Apria (To Order) 1501 Northway Drive St Cloud 320-252-0655 Freedom Medical Contact : Steven Peschel 5801 Ridgewood Rd #3 320-258-4055 612-220-5629 NuMotion 65 3 rd St NE; Waite Park 320-259-7700 or 877-882-7700 X X X X X X X X Walgreens Drug Store Sauk Rapids 320-253-3402 X X X X X Care Med Supply 1000 S. Benton Drive, Suite #418; Sauk Rapids 320-281-6058 X E-12
Vendors Outside the Commode/ Raised Toilet Seat Toilet Aid Reacher / Dressing Stick Elastic Laces Long Shoe Horn Sock Aid: Rigid or Soft Long Handle Sponge Bath Chairs or Extended Bath Benches St. Cloud Area Cold Spring State Bank 401 Main St, Cold Spring, MN 56320 (320) 685-8655 X X X X Goodwill Willmar 100 19 th Ave SW 320-214-9239 X X X X X Lin Care Little Falls 211 1 st St SE 320-632-3661 X X X X Specialty Home Medical 7938 College Drive Suite 100 Baxter 218-828-4710 X Brainerd Medical Supply 206 W Washington St 218-829-2100 Reliable Medical Supply 1630 Anderson Ave Suite #200 Buffalo 763-684-1778 Rice Home Medical 1033 19 th Ave SW Willmar 320-235-8434 Rice Home Medical 105 6 th Ave; Madison 320-598-7303 Rice Home Medical 115 18 th Ave W Alexandria 320-762-6036 NuMotion 502 SE 10 th St Grand Rapids 218-326-1833 X Foley Medical Supply 20 2 nd Ave W 320-968-7797 X X X X X X X Arensons s Annandale Pharmacy 43 Oak Ave N 320-274-5415 X X X X X X X X E-13