A physical therapist will teach you exercises to strengthen your upper body. If the client already has a prosthesis, add the following to the assessment. After below the knee amputation, it is important to prevent the hip from staying in a bent. Pilates exercises for aboveknee amputees this booklet includes exercises adapted for people who have had aboveknee amputations, and can be used for those who have had bilateral both sides amputations. This will help you move between surfaces, such as your bed and wheelchair. So if you are looking to learn the latest surgical procedures or share your latest surgical knowledge, feel free to browse, learn, share and discuss all for free. Grasp the knee of your sound leg and pull it as close to.
Treatment is determined by the assessment findings. This guide is meant as a starting point for new amputees. If flexing the ak prosthesis at the knee is too difficult, do only the seated toe touches to stretch the hamstrings with the prosthesis straight exercise 15. Bridging bend your nonoperative leg and place the bottom of your foot flat on the bed. Upper body strengthening after amputation saint lukes. Above knee amputation aka, or transfemoral amputation is a surgical procedure performed to remove the lower limb above the knee joint when that limb has been severely damaged or diseased. While you are a patient at wakemed, you will learn many important things about caring.
Continuous practice of these exercises is extremely important in the full recovery following an above knee amputation. Amputations can be either planned or emergency procedures. If you are unsure what to do, please do not attempt the exercises, but contact your physiotherapist for advice. Physiotherapy following lower limb amputation protocols and reference material 2006. Amputation is possible in any age group, but the prevalence is highest among people aged 65 years and older. It will have extra work to do now and in the future. All of the exercises should be done slowly and smoothly. Hanger clinic is committed to helping you reach your full potential by providing the most appropriate orthotic and prosthetic technologies to restore your mobility and independence. Rehabilitation after major lower extremity amputation can be divided up. If there is anything you do not understand, please ask any member of the surgical team doctors, nurses, care workers, occupational therapists, and physiotherapists. Increase muscle strength, so you can move more easily on your own.
Trunk strengthening and muscle and coordination exercises for. Contract your gluteus muscles and lift your hips off of the bed. This exercise can also be done by tapping the foot to the side, as shown in the above photos. Above knee amputation below knee amputation midfoot amputation compartment syndrome leg compartment release single incision approach leg compartment release two incision approach. Amputee rehabilitation lynn cunningham, pt, dpt helena lax, md mark nielsen, cp, atc. The exercises and stretches in this handout will help to prepare you to wear a prosthesis properly. If your amputation is above the knee, you will need to do this exercise on your intact leg only since most prosthetic knees will not support your weight if there is too much bend in the knee.
If you have any questions or concerns about any of the information in this booklet, please speak to your physiotherapist. A manual for the rehabilitation of people with limb amputation i. Kerlex roll gauze to secure the dressing and apply gentle compression to the end of the amputation site. The positioning instructions and exercises in this program are designed to help you. Blood vessel disorders such as atherosclerosis, often secondary to diabetes mellitus, account for the greatest percentage of amputations of the lower limb. Problems with your leg veins or arteries, or complications of diabetes may also cause you to need an amputation. Get a printable copy pdf file of the complete article 573k, or click on a page image below to browse page by page. The most frequent level of amputation is the below the knee amputation. If for any reason you are unable to lie on your stomach, there. Therapy should ideally begin prior to the amputation and prepare the affected person for the following steps. The purposes of this case report are to look at a patient with an aboveknee amputation and his preprosthetic rehabilitation regimen and to discuss key elements that should be present in a preprosthetic training program to allow for optimal mobility with a prosthetic limb.
Above knee amputation surgery video general surgery video. Instructions do these exercises with your residual limb the leg that had surgery. Aka above the knee amputation, transfemoral amputation bka below the knee amputation, transtibial amputation residual limb the portion of the leg remaining after an amputation, sometimes referred to as a stump or residuum. After below the knee amputation, it is important to prevent the hip from staying in a bent or flexed position. This requires patients to do both stretching and strengthening exercises to help keep their hip flexible and strong.
This booklet is intended to accompany the exercise programme your physiotherapist has taught you. Ankle exercises move your foot slowly up and down at the ankle. This sheet has been designed to help you remember the exercises that. Apply mongo extra long 6 inch ace wrap around the above knee amputation site, the proximal limb, and the waist in a spica fashion. For example, if you have an above knee amputation, some goals for you to work on are. Exercises for your hip and knee have already been covered in this booklet. They should suggest ideas from which many more exercises may be developed.
In addition, he attended 7 sessions for exercise and alterg walking. You may need an amputation because of an injury, a tumor, or an infection. With our nationwide network, you can expect the same excellent care across the u. Amputee exercises side lying hip abduction modified lay on your side. The following exercises must be done every day to prevent any complications. Adductor stretch sit with your back against a wall or against the head of your bed. Be sure to breathe the entire time you perform this exercise.
At the new york state rehabilitation hospital, the physical. Above knee amputee exercise program it is important that you take an active role in your rehabilitation. Maintain the angle between knee and hip, so that the leg lifts off the floor. Injury and arterial embolisms are the main reasons for emergency amputations.
These exercises work by activating core muscles which help to improve stability at the trunk. Place pillow under sound leg to prevent toes digging into the bed. This standard of care applies to any patient after a lower extremity le amputation, including transfemoral above knee amputation or aka, transtibial below knee amputation or bka, transmetatarsal amputation tma, and toe amputations. For this level of amputation, participating in a physical therapy program is absolutely imperative. A person with an above knee amputation may benefit from a flexible brim socket in stretching on the prosthetic side with the leg extended. Image result for amputation cat cam exercises above knee, live healthy healthy ways to live naturally pilates exercises for above knee amputees. Exercises for above kneeamputees physiotherapy department leaflet no. Try aiming to do up to 10 of each exercise, up to twice a day.
Be sure to keep your body flat on the ground throughout the exercise and do not arch your back. Woodburn mb chb, md frcsg gen, benjamin lindsey mb bs, frcse, in comprehensive vascular and endovascular surgery second edition, 2009. These are core exercises that can be completed following a belowknee or aboveknee amputation. Physiotherapy exercises following transfemoral above knee amputation produced by p. Make sure your body is a straight line with your legs fully extended over the roll. Hold your hips off the ground for a count of transfemoral above knee exercise manual. Physiotherapy exercises following transtibial below knee amputation produced by p.
This standard of care is intended to serve as a guide for clinical decisionmaking for physical therapy management of this patient population. You may begin working with the physical therapist before or after your. Physiotherapy inter regional prosthetic audit group introduction this sheet has been designed to help you remember the exercises that you have been taught by your physiotherapist. Keeping your knee bent, lift your leg off the ground. The indications for an aboveknee amputation include doubtful prospect of healing at the transtibial level, low likelihood of mobilization, and fixed flexion deformity at the knee.
Appropriate exercises prior to the amputation ensure that the muscles are strengthened and help prevent contractures. In a transfemoral or aboveknee amputation, the limb is severed through the thigh bone. Lie on your stomach and bend your knee backwards as far as possible, keeping the thigh of your nonamputated leg on the bed. These are core exercises that can be completed following a below knee or above knee amputation. The activities and exercises will be supervised by your therapist. Only lift your leg as high as you can without raising your hip of the ground. Mensch physiotherapy department, henderson general hospital, hamilton, ontario. Amputations through the knee joint or just above the knee joint grittistokes amputation can also sometimes be performed. Therapy starts with easy exercises for gradual, continuous strengthening of the muscles. Tighten your buttocks while lifting your hips off the bed. Feb 03, 2020 what do i need to know about an above the knee amputation. Do these exercises with your residual limb the leg that had surgery. Aboveknee amputation aka, or transfemoral amputation is a surgical procedure performed to remove the lower limb above the knee joint when that limb has been severely damaged or diseased. Physiotherapy inter regional prosthetic audit group, london, united kingdom introduction this sheet has been designed to help you remember the exercises that you have been taught by your physiotherapist.
Abstract physiotherapeutic treatment considerations specific to the throughknee amputee are presented. Pilates exercises for aboveknee amputees guys and st thomas. You will feel a stretch at the front of your thigh and hip. Physiotherapy exercises following transtibial below knee. This booklet includes exercises adapted for people who have had aboveknee amputations, and can be used for those who have had bilateral both sides. The patient was seen for a total of 11 physical therapy sessions for the above described treatment, 1on1 with the physical therapist.
The gauze is wrapped in an angled fashion to avoid proximal constriction of the limb. The physiotherapy programme includes postoperative exercises. When you have a strong core, it gives you a good foundation from which to. Below knee amputee exercise program stage one it is important that you take an active role in your rehabilitation. Above the knee amputation is surgery to remove your leg above your knee cap. Along with our peer visitor program, we offer plenty of services and support for those who will soon be undergoing amputation or already have. Exercises for your sound limb after an amputation it is important to maintain the strength of your sound limb. Once your shoulder blades come away from the back of the chair, you dont need to go any further forward. Lie on your back with knees bent, thighs close your chest. At the latest, therapeutic measures should be carried out immediately after the operation in addition to the usual preventive treatment. Below knee amputee home exercise program it is important that you take an active role in your rehabilitation.
While the exercises contained in this manual are a comprehensive guide to treating a patient with the. Core strengthening after lower limb amputation chair exercises you can do these with your hands across your chest as shown above or with your hands together like the basic situp. Congenital amputation accounts for up to 3 % of reported limb loss. This booklet includes useful exercises for people who have had above knee amputations, as well as for those who have had bilateral amputations, below knee amputations and nonamputees. For example, functional status has been improved in patients with considerable knee instability secondary to burn trauma by performing transtibial rather than above knee amputation, stabilizing the knee with prosthetic components, and allowing knee stability to improve over time with the formation of scar tissue. Full text is available as a scanned copy of the original print version. Surgery theater, with more than 12,000 educational surgery videos, is the worlds first online social medical video sharing for all health care professionals. As you recover from amputation, youll need to keep your upper body strong. The following exercises must be done every day to prevent complications. Pilates exercises for above knee amputees this booklet includes exercises adapted for people who have had above knee amputations, and can be used for those who have had bilateral both sides amputations. At end, push buttocks back into the starting position. Physical therapy and aboveknee amputation preprosthetic. Following these guidelines will help maximize your level of function.