Fiona Stanley Hospital · 2018. 12. 4. · Fiona Stanley Hospital – Below knee amputee exercise...

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.



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.


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.



*Don’t let your top hip roll backward as you lift your

leg.


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.



*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.



*This can also be done using a fit ball

instead of bolster/towel.


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.


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.


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.


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.


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.


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.


Complete____ sets.


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.


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.


Complete____ sets.


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.


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.


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.


Complete____ sets.

Fiona Stanley Hospital · 2018. 12. 4. · Fiona Stanley Hospital – Below knee amputee exercise...

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Transcript of Fiona Stanley Hospital · 2018. 12. 4. · Fiona Stanley Hospital – Below knee amputee exercise...