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Arthrodiatasis exercise programme

This resource has been designed to help you remember the exercises your therapist taught and practised with you. The exercises should be done slowly and smoothly. You might feel some discomfort whilst doing these exercises after your surgery or injury.

If pain limits your ability to do your exercises, then timing them around your pain relief may be helpful. However, if pain becomes worse please seek advice from a healthcare professional and stop the exercises.

You may need assistance when carrying out your exercise programme to support the additional weight of the frame.

How many times should I perform these exercises?

It is recommended that each exercise should be repeated 10 times and be done a minimum of 3 to 4 times a day. Make sure the exercises are staggered throughout the day.

How do I manage my swelling?

Swelling is common in the first few weeks following an injury or surgery. Elevating your foot will be necessary. Proper elevation means your foot should be positioned above the level of the heart. You can use pillows or cushions at home to do this.

What happens next?

You may continue to be seen for therapy at Sheffield Children’s Hospital or you may be referred for ongoing treatment at a local provider. However, it is important to continue with the exercises you have been given during your inpatient stay until you are seen by outpatient physiotherapy. This will make sure you have the best outcomes for your rehabilitation journey.

Exercises

Ankle pumps

Lie down on your back. Start with your legs straight and together. Bend and straighten your ankles by pointing your toes down towards the bottom of the bed or floor then pulling them up as far as you can.

Photograph of person laid on their back with their legs outstretched, straightening their ankles by pointing their toes away from themselves

Photograph of person laid on their back with their legs outstretched, bending their ankles by pointing their toes towards themselves

Repeat 10 times.

Static quads (knee squashes)

Lie down on your back. Start with your legs straight and together. Push your knee down firmly towards the bed or floor and keep your toes pointing upwards. Hold for 5 seconds then relax your leg.

Photograph of person laid on their back with their legs outstretched and pushing one of their knees back,, into the surface

Repeat 10 times.

Inner range quads

Start lying on your back with a rolled towel under your knee. Point your foot and toes upwards. Straighten your knee as much as you can whilst keeping your knee still and stable on the roll, lifting your heel off the bed. Hold for 5 seconds then relax your leg.

Photograph of person laid on their back with leg frames on, with a rolled up towel under one knee

Repeat 10 times.

Knee bends

Lie down on your back. Make sure your back remains still and in contact with the bed. Help may be needed to hold the frame ring firmly in place to stop the back and pelvis moving.

Start with your legs straight and together. Bend your knee as far as possible by bringing your heel towards your bottom then straighten. This exercise can be done in sitting. when bending your knee up, push the ring down towards your feet. When straightening, pull the ring up towards your head.

Photograph of person laid on their back with leg frames on and someone else helping them bend their knee and push their foot back towards themselves

Repeat 10 times.

Hip flexion (knee to chest)

Lie down on your back. Make sure your back remains still and in contact with the bed. Help may be needed to hold the frame ring firmly in place to stop the back and pelvis moving.

Start with your legs straight and together. Bend your hip as far as possible by bringing your knee towards your chest. Return to the starting position. This exercise can be completed with your knee bent or straight. When bending your knee up, push the ring down towards your feet; when straightening, pull the ring up towards your head.

Photograph of person laid on their back with leg frames on, with someone holding one leg helping them push their knee gently towards their chest

Repeat 10 times.

Static glutes (bottom squeeze)

Lie down on your back. Squeeze your bottom firmly together. Hold for 5 seconds then relax.

Photograph of person laid on their back with leg frames on, squeezing their bottom

Repeat 10 times.

Prone lying (tummy time)

Lie down on your front. Keep your hips straight and knees together. Lie on your tummy for a minimum of 30 mins.

Photograph of person laid on their front with their legs outstretched relaxing

Repeat 2 times daily.

Prone lying (knee bend)

Lie down on your front. Keep your hips straight and knees together. Bend your knee as far as possible by bringing your heel towards your bottom, keeping your ankle flexed. Hold for 5 seconds then relax.

Photograph of person laid on their front with one leg outstretched, and the other bent at the knee lifting their foot into the air

Repeat 10 times.

Prone lying (leg lift)

Lie down on your front. Keep your hips straight and knees together. With your knee bent, lift your foot towards the ceiling.

Photograph of person laid on their front with one leg outstretched, and the other bent at the knee lifting their foot into the air, pointing their toes

Repeat 10 times.

With your knee straight lift your foot towards the ceiling.

Photograph of person laid on their front with one leg outstretched, and the other bent at the knee gently lowering their foot back down

Repeat 10 times.

Seated knee bends

Sit upright on a chair. Slowly bend your knee as much as possible. Return to the starting position.

Photograph of person sat upright on a seat or bed, letting their legs dangle off the edge of the surface

Repeat 10 times

Walking

When walking it is important to remember to always use your walking frame or elbow crutches to help with your balance. You must also remain touch weight bearing unless told otherwise by your orthopaedic consultant or physiotherapist.

Photograph of person using walking aids to stand and walk

Contact us

If you have any questions or concerns, please call the therapy number on 0114 271 7148 or the ward number on 0114 271 7394.

Is something missing from this resource that you think should be included? Please let us know

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Disclaimer

Please note this is a generic information sheet relating to care at Sheffield Children’s. The details in this resource may not necessarily reflect treatment at other hospitals. This information is not intended as a substitute for professional medical care. Always follow your healthcare professionals’ instructions. If this resource relates to medicines, please read it alongside the medicine manufacturer’s patient information leaflet. If you have specific questions about how this resource relates to your child, please ask your doctor.

Resource number: PT64

Resource Type: Article

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NHS

Western Bank
Sheffield
S10 2TH

United Kingdom

Switchboard: 0114 271 7000

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