Introducing
Your new presentation assistant.
Refine, enhance, and tailor your content, source relevant images, and edit visuals quicker than ever before.
Trending searches
The aims of this presentation are:
Hartlepool and North Tees-
Both follow a protocol designed by the Royal National Orthopaedic Hospital.
Includes-
University of Wisconsin Hospital and Clinics-
Designed a protocol with emphasis on ROM, strength and functional status.
No mention of functional
exercises other than STS.
Unsure of emphasis placed
on patient centred goals.
Topics of research include- ROM, strength, balance and function.
Range of Motion-
The first 3 weeks after surgery are the most important to prevent the development of scar tissue within the knee joint. Active and passive stretches are the best ways to avoid long term complications with your joint replacement (4)
Strength-
Lower extremity
strength has a major
role in knee joint shock absorption during weight bearing activities, particularly the quadriceps (5)
According to NICE guidelines a patient should be considered for TKR or UKR surgery if they have moderate to severe knee pain which is not managed adequately.
Topics covered in research- types of exercises, home exercises programme vs supervised physiotherapy programme, pre-surgical education, progressive resistance exercises and balance strategies.
Better Quality of Life!
Balance/proprioception
Specialised training exercises help your muscles "learn" to respond to changes in your world, such as uneven or rocky ground.
Several studies have suggested that an effective way to improve physical performance is to focus on a combination of balance/proprioception and functional exercises (6,7)
Function
The goal of knee replacement surgery is to return you to normal functional activities as soon as possible (4)
Patients’ expectations after joint replacement seem to be quantified simply: no pain and free function (8)
Rehabilitation doesn't start after surgery, it starts before!
American Physical Therapist Association (3)-
• The better physical shape you are in before TKR surgery, the better your results will be (especially in the short term).
• One of the major benefits SRH has is the knee school which patients attend before surgery.
Strength-
The focus of this protocol was to provide optimum post operative rehabilitation to each TKR patient.
Key principle throughout the process was to remain patient centred and remain consicous of the practitioner/patients goals.
Early achievement of patient full potential ROM, strength and regaining previous mobility level was seen as the initial goals.
As the rehabilitation process continues goals shift towards more weight bearing/functional activities.
Week 1-6
Goals
Exercises
(9, 10)
an unstable surface
functional outcome measures to assess progress
throughout treatment e.g. Timed up and go (12)
Week 6 onwards
Goals
heavy manual labour, high impact or agility
sports such as football, tennis etc.
Exercises