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Monday, June 20, 2016

Physiotherapy and Above Knee Amputee Exercise Program

Knee Amputation Exercise

Bismillahirahmanirahim, for my sharing this afternoon is more on understanding what is the suitable exercise that can be done after amputation operation.It is important that you take an active role in your rehabilitation. The following exercises must be done every day to prevent any complications. After an above the knee amputation, it is important to prevent the hip from staying in a bent or flexed position. To prevent this from happening you need to do the following:



  • Frequently change the position of your hip. Do not sit in a chair for long periods. 
  • Lie on your stomach for 20 minutes, 2 or 3 times a day. Do not place a pillow under your stomach.
  • Do not put your amputated leg on a pillow when lying down, unless otherwise told to do so. Do not place a pillow under your hips, knees or between your thighs.

  • Do not hang your stump over the side of the bed.

What is the suitable exercise to do and make sure Do only these exercises checked by your therapist. Do each exercise 3 times a day.

Stretching exercises:

Do not bounce back and forth when doing stretching exercises.
  • Hamstring Stretch: 

Lie on your back. Bring your non-amputated limb toward your chest. Put your arm around your thigh and pull even closer. Hold for 20 seconds. Bring your non-amputated knee toward your chest. Straighten your leg until you feel a stretch in the back of your thigh.  
  • Hip Flexor Stretch
Lie on your back. Bring your non-amputated leg up to your chest and hold it with your arms. Have someone push your amputated limb down to the bed and hold it for a count of 20. Relax and repeat. When your leg can easily lie on the bed, scoot to the side and dangle your amputated limb over the side of the bed. Repeat the above exercise.


  • Alternative Stretch
Lie on your stomach. Place a rolled towel under your amputated limb. Lie in this position for 20 minutes. As you stretch the hip flexor muscle, you may increase the size of the towel roll.  


  • Adductor Stretch 
Sit with your back against a wall or against the head of your bed. Put your amputated limb out to the side and bend the other leg slightly. Push on the thigh so you feel a stretch in your inner thigh. Make sure that both buttocks remain on the floor. Do not lift one up in the air.

Strengthening exercises 
  • Hip Extension 
Lie on your stomach. Lift your amputated limb up behind you towards the ceiling. Hold and then return to the starting position. Repeat 10 times.

  • Hip Extension on Side
Lie on your side. Push your amputated leg straight back behind you. Hold and then return to the starting position. Repeat  10 times. 



  • Hip Extension on Back 
Lie on your back. Place a rolled towel under the end of your amputated limb. Push down into the towel, and lift your hips off the floor. Repeat 10 times. 

  •  Hip Abduction 
Lie on your back. Fasten a belt or theraband around your thighs as low as it is comfortable. Try to pull your legs apart by pushing outward against the belt or theraband. Push for a count of 5. Relax. Repeat 10 times.
  • Hip Abduction on Side 
Lie on your side and lift your top leg toward the ceiling. Keep your knee pointed forward. Return to the starting position. Repeat 10 times. Repeat this exercise with the other leg on top. 




  • Hip Adduction
Lie on your back. Place a rolled towel or pillow between your legs as low as is comfortable. Squeeze the towel between your legs for a count of 5. Relax. Repeat 10 times.

  • Alternative Hip Adduction Exercise  
Lie on your side. Bring your top leg forward and let your foot rest on the floor in front of you. Lift your bottom leg toward the ceiling. Return to the starting position. Repeat 10 times.

  • Pelvic Tilt
 Lie on your back. Bend your knee so the foot of your non-amputated leg is resting flat on the floor. Place your hands in the small of your back. Push your low back into your hands. Hold for a count of 5. Relax. Repeat 10 times.

  • Partial Sit-up
 Lie on your back. Bend your hips so the foot of your non-amputated leg is resting flat on the floor. Rest your hands on your thighs. Slowly curl up until your head and shoulder blades are off the floor. Look up to the ceiling as you do this exercise. Repeat 10 times.

This exercise is more guideline and also give you some idea to do on that , the exercise is important to make sure the operation leg will get back their strength and also to improve in their mobility.
wallahuaklam.












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