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Learning Unit

Physical Therapy: Knee rehabilitation

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Learning session

Case study

Case study Resolution

Presentation

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Self-evaluation

Summary

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presentation

Physical Therapy: Knee Post Surgery Exercises

Please keep in mind that these exercises should be performed under the guidance and supervision of a qualified physical therapist or healthcare professional, as the specific exercises and their timing can vary depending on the type of knee surgery you've had and your individual needs.

Exercises that can be used are:1. Quadriceps Sets (quad sets) 2. Straight leg raises 3. Heel slides 4. Ankle pumps 5. Seated knee extension 6. Wall slides 7. Walking and gait training

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presentation

Introduction

Post-surgery knee rehabilitation is a critical component of recovery for individuals who have undergone knee surgery, whether it's for a torn ligament, meniscus repair, joint replacement, or another knee-related issue. This process is designed to restore strength, flexibility, and function to the knee joint while minimizing pain and complications. A structured program of exercises, under the guidance of a qualified physical therapist, plays a pivotal role in this journey. These exercises help improve muscle strength, joint mobility, and overall stability, enabling patients to regain their ability to walk, climb stairs, and engage in daily activities.

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Goals

The primary goals of post-surgery knee exercises are to reduce pain, improve joint mobility, strengthen the muscles surrounding the knee, enhance overall stability, and ultimately restore functional capabilities.

By achieving these objectives, individuals can regain the ability to walk, climb stairs, and engage in daily activities with minimal discomfort. Additionally, these exercises aim to prevent complications such as muscle atrophy, joint stiffness, and the development of scar tissue. Ultimately, successful post-surgery knee rehabilitation contributes to a quicker and more complete recovery, allowing individuals to return to their normal lives with improved knee function and reduced risk of future issues.

presentation

Evaluation criteria

Pain Management: Assess whether the exercises help in reducing pain and discomfort associated with the knee surgery. Effective rehabilitation should gradually decrease pain levels as the patient progresses through the program.

Functional Improvement: Evaluate whether the exercises contribute to improved knee joint mobility, range of motion, and functional capabilities. Patients should regain the ability to perform daily activities, such as walking, climbing stairs, and bending the knee.

Muscle Strength and Stability: Examine whether the exercises effectively strengthen the muscles around the knee joint. Improved muscle strength and stability are crucial for supporting the knee and preventing future injuries or complications.

Adherence and Compliance: Consider how well the patient is able to adhere to the rehabilitation program. High patient compliance with the prescribed exercises is essential for achieving positive outcomes.

Presentation

Use medication

Follow instructions

Surgeon recommendations

Immediate Post-Operative Care

Manage swell, use ice

Pain management

Reduce medication

Conceptual map of the unit

Weight baring exercises

medium and advanced exercises

Strength and mobility development

Gait training

repet daily activities

long-term rehabilitation

Use weights during activities

case study

Sarah, a 45-year-old avid runner, recently underwent arthroscopic knee surgery to repair a torn meniscus. She had been experiencing persistent knee pain, swelling, and limited mobility before the surgery.

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Activities on the case

Sarah's surgeon performed arthroscopic surgery to remove the damaged portion of the meniscus and recommended a comprehensive rehabilitation plan.

She was referred to a skilled physical therapist for post-surgery knee rehabilitation.

Learning sessions

Setting SMART Goals for Knee Rehabilitation

Importance of Early Mobilization in Knee Rehabilitation

learning session / 01

Session

The Importance of Early Mobilization in Knee Rehabilitation

Early mobilization plays a critical role in knee rehabilitation, as it helps prevent complications such as muscle atrophy and joint stiffness. During this session, we will discuss the benefits of early mobilization, including improved blood circulation, faster recovery, and reduced post-surgery complications. Participants will learn a range of early mobilization exercises that can be safely performed after knee surgery or injury. The session will include practical demonstrations and guidance on how to gradually progress from basic mobility exercises to more advanced activities

learning session / 02

Session

Setting SMART Goals for Knee Rehabilitation

Setting Specific, Measurable, Achievable, Relevant, and Time-bound (SMART) goals is essential in knee rehabilitation to track progress and maintain motivation. In this session, we will explore the concept of SMART goal setting and its application to knee rehabilitation. Participants will learn how to identify specific rehabilitation goals related to their individual circumstances, whether it's regaining full knee range of motion, achieving muscle strength milestones, or returning to specific activities. Practical exercises will guide participants in creating their own SMART goals for their knee rehabilitation journey, ensuring a clear path to recovery.

case study resolution

Sarah, a 45-year-old avid runner, had undergone arthroscopic knee surgery to repair a torn meniscus. We previously discussed her treatment plan and initial recovery journey.

Months 6-12: Sarah continued to diligently follow her rehabilitation plan, including regular sessions with her physical therapist. She also incorporated strength training exercises into her routine to further improve knee stability and prevent future injuries. Month 12 and Beyond: By the end of the first year after surgery, Sarah had made significant progress. She had not only resumed her regular running routine but had also participated in several local races. Her knee was stronger and more stable than it had been in years.

summary

key ideas

Secondary ideas:

Exercise Variety: Within knee surgery rehabilitation, various exercises were introduced, each serving a specific purpose in the recovery process. These exercises range from early mobilization activities to more advanced strength-building movements. Individualized Rehabilitation: The importance of tailoring rehabilitation programs to each patient's unique needs and surgical procedure was highlighted. Knee rehabilitation is not one-size-fits-all, and personalized plans are crucial. Patient-Provider Communication: Effective communication between patients and healthcare providers emerged as a recurring theme. Clear communication ensures that patients understand their rehabilitation plans and can voice any concerns or challenges they encounter. Long-Term Commitment: The case study of Sarah underscored the need for sustained commitment to knee health. Successful recovery often extends beyond the initial rehabilitation period, requiring ongoing maintenance and lifestyle adjustments.

Knee Surgery Rehabilitation Essentials: We explored essential exercises and introduced the concept of knee surgery rehabilitation, emphasizing its crucial role in restoring knee function and minimizing post-surgery discomfort.

Evaluation Criteria: We discussed four critical criteria for evaluating the success of knee rehabilitation programs, including pain management, functional improvement, muscle strength, and patient adherence. These criteria provide a holistic framework for assessing recovery progress.

Learning Sessions: We generated two learning session points related to knee rehabilitation, covering topics such as active listening skills in healthcare and setting SMART goals for effective recovery. These sessions aim to provide practical guidance and education for individuals involved in the rehabilitation process.

Case Study: Sarah's Recovery: We presented a case study featuring Sarah, a dedicated runner who underwent knee surgery. Sarah's journey highlighted the importance of comprehensive care, patient commitment, and long-term maintenance in achieving a successful recovery and improved quality of life.

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Self-evaluation

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Start

Areas for Improvement

Strengths

Realistic Timeframe

Diversity in Recovery Experiences

Comprehensive Recovery Plan

Incorporate Challenges

Patient's Commitment

Clinical Data and Specifics

For more information

Bibliography

Life After Knee Replacement: A Guide to Success with Surgery, Recovery, and Rehabilitation

Troy A. Miles, 8 july, 2017

Knee Replacement Sks Marya , R. Thukral , Christopher S. Mow (Foreword), 1 June 2011

Total Knee Replacement and Rehabilitation: The Knee Owner's Manual

Brugioni, M.D. Daniel J.; Falkel Ph.D. P.T., Jeff Published by Hunter House, 2004

Links to resources of interest

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