Clinical Study
An Eccentrically Biased Rehabilitation Program Early after TKA Surgery
Table 2
The six-week outpatient rehabilitation protocol performed two times per week.
| | Outpatient rehabilitation protocol |
| | Warm up (15 min) | | | Stationary cycling | 5–10 min | | Seated or supine AROM knee flexion and extension | 2-3 min | | Alternating ankle dorsiflexion and plantar flexion | 1-2 min | | Passive quadriceps stretching (standing or prone) | 1-2 min | | Passive hamstring stretching (standing or seated) | 1-2 min |
| | Leg strengthening exercise (30 min) | | | RENEW 5–20 minutes (Table 3) | | | Leg press –15 reps 70% 1 RM | | | Leg extension –15 reps 70% 1 RM | | | Leg curl –15 reps 70% 1 RM | | | Standing calf raise –15 reps Body weight | |
| | Functional task-oriented exercise (5 min) | | | Get up and sit down | 15 reps | | Wall sits at 60 degrees 5–10 sec holds | 15 reps | | Negotiating stairs (stepups starting at and progressed to ) | 30 steps | | Body weighted half-squatting | 15 rep | | Unilateral standing firm and/or unstable surface (build up to 30 sec holds) | 3–5 reps | | Walking backward, forward, marching and side step on a slope, and/or with resistance | 30 m |
| | Endurance exercise (10 min) | | | Treadmill walking Change of speed or on incline | 5 min | | Stationary biking “somewhat hard” effort | 5 min |
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