lr-def-uk-boekje - Actifit

REHABI LITATIONPROTOCOLAFTER IMPLANTATION OF

It is very important to follow the programme set out in this leaflet with ereerde aprofessional physiotherapist, in order to guarantee proper rehabilitation onder ofthe operated knee.We are taking into account the following aspects:1week WEEKAANSTREPEN TICK WHENNACOMPLETED:INVULLING:RANGE OF MOTION- 0º - 30º.- Knee may be bent up to 30º with full extension.- Manually or with CPM machine.SIGN WHENCOMPLETED:RANGE OF MOTIONDAG DAY 1BRACINGEXERCISESWALKING REHABILITATIONDAG DAY 2DAG DAY 3DAG DAY 4DAG DAY 5DAG DAy 6DAG DAy 7BRACING- 0º - 30º Daytime. 0º sleeping.- Brace locked in day at 30º flexion.- Sleeping locked at 0º extension.EXERCISES- Isometric Quadriceps- Mobilisation of the Patella.- Heel Slides.- Quad sets (straight leg raising).- Anti-equinus foot exercises.- Achilles Tendon Stretching.SIGN WHENCOMPLETED:SIGN WHENCOMPLETED:WALKING REHABILITATION- Non-weight bearing.SIGN WHENCOMPLETED:

week2RANGE OF MOTION- 0º - 30º.- Knee may be bent up to 30º with full extension.- Manually or with CPM machine.SIGN TEKEN WHENNACOMPLETED: LLING:week WEEK3RANGE OF MOTION- 0º - 60º.- Flexion progressively increased to 60º.SIGN WHENCOMPLETED:TICK WHENCOMPLETED:AANSTREPEN TICK WHENNACOMPLETED:INVULLING:DAy 1 DAG DAy 1DAy 2 DAG DAy 2BRACINGSIGN TEKEN WHENNADAy 3COMPLETED: LLING:DAG DAy 3- 0º - 30º Daytime.- Brace locked in day at 30º flexion.- Sleeping locked at 30º extension.DAy 4 DAG DAy 4BRACING- 0º - 60º Daytime.- Brace locked in day at 60º flexion.- Sleeping locked at 30º extension.SIGN WHENCOMPLETED:DAy 5 DAG DAy 5EXERCISESSIGN TEKEN WHENNACOMPLETED: LLING:DAy 6 - Isometric QuadricepsDAG DAy 6- Mobilisation of the Patella.- Heel Slides.- Quad sets (straight leg raising).- Anti-equinus foot exercises.- Achilles Tendon Stretching.DAy 7 DAG DAy 7EXERCISES- Isometric Quadriceps- Mobilisation of the Patella.- Heel Slides.- Quad sets (straight leg raising).- Anti-equinus foot exercises.- Achilles Tendon Stretching.SIGN WHENCOMPLETED:WALKING REHABILITATION- Non-weight bearing.SIGN TEKEN WHENNACOMPLETED: LLING:WALKING REHABILITATION- Non-weight bearing.SIGN WHENCOMPLETED:

4TEKEN NALLING:WEEK5AANSTREPEN NAINVULLING:DAG 1TEKEN NALLING:DAG 2DAG 3TEKEN NALLING:DAG 4DAG 5DAG 6DAG 7TEKEN NALLING:

week6RANGE OF MOTION- 90º and more- Progressive increase in flexion until a fullrange of motion is achieved.SIGN TEKEN WHENNACOMPLETED: LLING:week WEEK7RANGE OF MOTION- 90º and more.- Progressive increase in flexion until a fullrange of motion is achieved.SIGN WHENCOMPLETED:TICK WHENCOMPLETED:AANSTREPEN TICK WHENNACOMPLETED:INVULLING:DAy 1 DAG DAy 1DAy 2 DAG DAy 2BRACINGSIGN TEKEN WHENNACOMPLETED: LLING:DAy 3 DAG DAy 3- 0º - 90º Daytime.- Brace locked in day at 90º flexion.DAy 4 DAG DAy 4EXERCISESSIGN TEKEN WHENNADAy 5 COMPLETED: LLING:DAG DAy 5- Exercises as outlined in weeks 1 - 4 plus:- Partial wall sits under 90º.DAy 6 DAG DAy 6BRACING- Brace unlocked during the day.EXERCISES- Exercises as outlined in weeks 1 - 4 plus:- Partial wall sits under 90º.SIGN WHENCOMPLETED:SIGN WHENCOMPLETED:DAy 7 DAG DAy 7WALKING REHABILITATION- Progressive increase of load on operated leg.- 30KG loading for patient weighting 60KG,45KG for patient weighing 90KG.- Gradual increase in loading up to 100% loadat 9 weeks.SIGN TEKEN WHENNACOMPLETED: LLING:WALKING REHABILITATION- Progressive increase of load on operated leg.- 40KG loading for patient weighting 60KG,60KG for patient weighing 90KG.- Gradual increase in loading up to 100% loadat 9 weeks.SIGN WHENCOMPLETED:

8TEKEN NALLING:WEEK9AANSTREPEN NAINVULLING:DAG 1DAG 2TEKEN NALLING:DAG 3DAG 4TEKEN NALLING:DAG 5DAG 6DAG 7TEKEN NALLING:

weekRANGE OF MOTIONNo increased action required.week WEEKRANGE OF MOTIONNo increased action required.TICK WHENCOMPLETED:AANSTREPEN TICK WHENNACOMPLETED:INVULLING:DAy 1 DAG DAy 1BRACING- Brace unlocked during the day.DAy 2TEKEN NADAG SIGN WHENDAy 2COMPLETED: LLING:DAy 3 DAG DAy 3BRACING- Brace unlocked during the day.SIGN WHENCOMPLETED:EXERCISES- Exercises as outlined in weeks 5 - 8 plus:- Increase closed hamstring exercises.DAy 4 DAG DAy 4SIGN TEKEN WHENNACOMPLETED: LLING:DAy 5 DAG DAy 5- Lunges between 0º - 90º.- Proprioception exercises.- Dynamic quadriceps exercises.- Home trainer.DAy 6 DAG DAy 6DAy 7 DAG DAy 7EXERCISES- Exercises as outlined in weeks 5 - 8 plus:- Increase closed hamstring exercises.- Lunges between 0º - 90º.- Proprioception exercises.- Dynamic quadriceps exercises.- Home trainer.SIGN WHENCOMPLETED:WALKING REHABILITATION- Full weight bearing.SIGN TEKEN WHENNACOMPLETED: LLING:WALKING REHABILITATION- Full weight bearing.SIGN WHENCOMPLETED:

weekRANGE OF MOTIONNo increased action required.WEEK weekRANGE OF MOTIONNo increased action required.TICK WHENCOMPLETED:AANSTREPEN TICK WHENNACOMPLETED:INVULLING:DAy 1 DAG DAy 1BRACING- Brace unlocked during the day.DAy 2 DAG DAy 2SIGN TEKEN WHENNACOMPLETED: LLING:DAy 3 DAG DAy 3BRACINGNo increased action required.DAy 4 DAG DAy 4SIGN TEKEN WHENNACOMPLETED: LLING:EXERCISES- Exercises as outlined in weeks 5 - 8 plus:- Increase closed hamstring exercises.- Lunges between 0º - 90º.- Proprioception exercises.DAy 5 DAG DAy 5DAy 6 DAG DAy 6- Dynamic quadriceps exercises.- Home trainer.DAy 7 DAG DAy 7EXERCISES- Exercises as outlined in weeks 5 - 8 plus:- Increase closed hamstring exercises.- Lunges between 0º - 90º.- Proprioception exercises.- Dynamic quadriceps exercises.- Home trainer.SIGN WHENCOMPLETED:WALKING REHABILITATION- Full weight bearing.SIGN TEKEN WHENNACOMPLETED: LLING:WALKING REHABILITATION- Full weight bearing.SIGN WHENCOMPLETED:

weekRANGE OF MOTIONNo increased action required.week WEEKRANGE OF MOTIONNo increased action required.TICK WHENCOMPLETED:AANSTREPEN TICK WHENNACOMPLETED:INVULLING:DAy 1 DAG DAy 1BRACINGNo increased action required.DAy 2 DAG DAy 2DAy 3 DAG DAy 3BRACINGNo increased action required.DAy 4 DAG DAy 4SIGN TEKEN WHENNACOMPLETED: LLING:EXERCISES- Exercises as outlined in weeks 9 - 13 plus:- Increase open closed exercises.- Jogging on level ground.- Plyometrics.DAy 5 DAG DAy 5DAy 6 DAG DAy 6- Sport-related exercises without pivot.DAy 7 DAG DAy 7EXERCISES- Exercises as outlined in weeks 9 - 13 plus:- Increase open closed exercises.- Jogging on level ground.- Plyometrics.- Sport-related exercises without pivot.SIGN WHENCOMPLETED:WALKING REHABILITATION- Full weight bearing without unloader brace.SIGN TEKEN WHENNACOMPLETED: LLING:WALKING REHABILITATION- Full weight bearing without unloader brace.SIGN WHENCOMPLETED:

weekRANGE OF MOTIONNo increased action required.weekTICK WHENCOMPLETED:BRACINGNo increased action required.TICK WHENCOMPLETED:DAy 1 DAy 1DAy 2 DAy 2DAy 3 DAy 3RANGE OF MOTIONThe use of a CPM machine is recommended for 30 minutes,twice daily to restore mobilty. This machine can be operated veryprogressively and gradually.DAy 4 DAy 4SIGN TEKEN WHENNACOMPLETED: LLING:EXERCISES- Exercises as outlined in weeks 9 - 13 plus:- Increase open closed exercises.- Jogging on level ground.- Plyometrics.DAy 5 DAy 5DAy 6 DAy 6- Sport-related exercises without pivot.DAy 7 DAy 7EXERCISESHydrotherapy and swimming starts (crawl or breast stroke) after24 weeks. Resuming sports is permitted upon discussion withorthopaedic specialist. Contact sports can only be resumedafter 9 months.WALKING REHABILITATION- Full weight bearing without unloader brace.SIGN TEKEN WHENNACOMPLETED: LLING:This Dit protocol dient serves als as rica guideline for optimum rehabilitation. Obviouslyin rehabilit the event of any rehabilitation problems the protocol must beadjusted met goedkeuring with the van approval de verantwoordelijke of the responsible orthopedisc orthopaedic specialist.During Tijdens the rehabilitation de period comparative rest, standing and iceapplication ijsapplicaties are zeker safely aanbevolen. indicated.

Rehabilitation protocol in other languages can be downloaded from the websitewww.orteq.com or can be ordered at Orteq via your physician.Het rehabilitatieprotocol in andere talen kan worden gedownload van dewebsite www.orteq.com of kan bij Orteq worden besteld via uw arts.Das Rehabilitationsprotokoll ist auch in anderen Sprachen auf unsererWebsite www.orteq.com erhältlich oder kann durch Ihren Arzt bei Orteqangefordert werden.Rehabiliteringsprotokoll på andra språk kan laddas ned på webbplatsenwww.orteq.com eller beställas från Orteq via din läkare.Il protocollo per la riabilitazione può essere scaricato in altre lingue dal sitowww.orteq.com od ordinato alla Orteq tramite il proprio medico di famiglia.Le protocole de rééducation dans d’autres langues peut être téléchargé sur lesite Internet www.orteq.com ou commandé auprès d’Orteq par votre médecin.Puede descargar el protocolo de rehabilitación en otros idiomas en la páginaweb www.orteq.com o puede solicitarlo a Orteq por medio de su médico.Pode ser feito o download do protocolo de reabilitação em outros idiomas no siteda web www.orteq.com ou pode ser solicitado à Orteq, através de seu médico.100171.03/DCR0258www.orteq.com