Exercise Treatment Plan for
Knee Injury
Post Surgery
Edwine Thevenin
Nova Southeastern University
Exsc 4901
Dr. Silver
Atlantic Rehab Center
Recumbent Bike
Pedal forward for 5 minutes, pedal backwards
for 5 minutes. Go at own pace and resistance.
Adjust the seat so that patient is seating
straight. Patients with lower back problems
should have a pillow or a soft medicine ball
between the seat and lower mid back
Leg Press
Set weight of machine.
Sitting in the machine, put feet up onto plate
positioning them so that your knees are
directly over ankles and knees are bent to 90
degrees.
Push plate forward until knees are straight but
not locked. Slowly return to previous position.
Repeat
10 Times
Complete 3 Sets
Patients with lower back problems should have
a pillow or a soft medicine ball between the
seat and lower mid back
Knee Extension
Set all adjustments, including weight. Start
with the knees in a flexed position. Push up
with equal force with both legs until knee is in
full extension. Come back down in a slow
controlled movement. (Aggravated knees
should extend to about 45°)
Repeat
10 Times
Hold
3 Seconds
Complete 3 Sets
Seated Hamstring Curl
Knee Extension machine needed for this
exercise. Set all adjustments, including weight.
Start with the knees in a flexed position. Push
up with equal force with both legs until knee is
in full extension. Come back down in a slow
controlled movement.
Repeat
10 Times
Hold
3 Seconds
Complete 3 Sets
Precautions
* A bar can be used to
maintain balance or by
lifting one of the handles
of the free motion
machine to hold on to
when doing certain
exercises. Such as
balancing on the bosu,
hydrants, and step up
exercises.
STANDING TERMINAL KNEE EXTENSION
Place the theracord on your affected leg, slightly above
the crease in the back of the knee. Keep the majority of
your weight (85%) on your affected side and bend your
knee slightly without allowing your heel to come off the
floor or your hips to sway forward. Straighten your knee
against the resistance of the band, contracting the
muscles in your leg and completely straightening your
knee with toes remaining on the floor.
Repeat
Hold
Complete
10 Times
3 Seconds
3 Sets
Standing Hip Abduction
Start Position: Standing with support for balance if
needed. Brace your core and begin to raise your leg to
the side, slowly control to start position, repeat.
Hip abduction can be done with
Repeat
10 Times
Hold
3 Seconds
Complete 3 Sets
Modified Hip Abduction
While sitting with good posture, tie theraband
around knees and pull apart. Slowly resume
starting position. This position is great for
patient with back issue.
While standing, raise your leg out to the side.
Keep your knee straight and maintain your
toes pointed forward the entire time.
Use your arms for support if needed for
balance and safety.
Standing Hip Extension
While standing in front of machine attached the cord to the ankle extend leg behind
you. (Advanced patients should squeeze their glut and keep trunk straight.) Keep your
knee with cord attached straight the entire time. Do not hyperextend your knee on your
stance leg/keep slightly bent.
Progression: If you do not feel muscle fatigue by the end of your last set, increase
resistance while maintaining proper form.
Try not to bend forward at the waist when your extend your leg.
Repeat
10 Times
Hold
3 Seconds
Complete 3 Sets
Modified Hip Extension
Lie on your stomach. Lift one leg into the air
keeping the knee straight. Both hips should
stay on the mat. Lower leg down slowly.
While standing, move your leg back as shown.
Use your arms for support if needed for
balance and safety.
Hip Flexion
Hold onto sturdy surface for balance support if
needed. Brace your core, raise one leg forward
and slowly return to start position.
Repeat
10 Times
Hold
3 Seconds
Complete 3 Sets
Sit in a chair with your feet on the floor. Lean
shoulders and trunk backwards. Lift one knee
up and then lower it slowly, keeping the hip
from bending more than 90 degrees.
Standing Hip Adduction
Adjust weights on machine to accommodate
the resistance needed. With the cord around
your leg stand straight up and move your leg
from the side back towards your body against
the resistance of the cord.
Repeat
10 Times
Hold
3 Seconds
Complete 3 Sets
Place leg over the handle while hands are
holding onto the bars. Slowly bring legs in
toward the body
*Use when patient has progressed in their
treatment program and is capable of doing so
Modified Hip Adduction
Sit on edge of seat with upright posture. Put
pillow between knees. While maintaining
proper posture squeeze pillow with knees and
hold for 5 seconds. Relax 5 seconds and
repeat.
*Great for patient who recent had surgery
ELASTIC BAND HIP ADDUCTION
Start by standing with your target leg out to
the side, as shown, with an elastic band
attached. Next, slowly draw your leg inward
towards the other side.
Forward Step Dip
With one foot planted on step and
other foot in front of step slowly lower
planted leg until unplanted foot
touches the floor, then raise back up.
Repeat
10 Times
Hold
3 Seconds
Complete 3 Sets
If using a foam, position it near a wall
These are great for older patients who has no
Balance/stability
Wall Squats
With a ball up against the wall, bring it into the small of
your back. Keeping your back pushed against the ball,
bring your feet a step out away from the wall. Feet hip
distance apart and pointed straight forward. Bend at
your knees, pushing your buttock back towards the ball
and lowering yourself downward. Push back upward,
straightening your knees. Repeat.
Repeat
Hold
Complete
15 Times
3-5 Seconds
2 Sets
Advanced half wall squats
Stand with your back against a wall with your
feet in front of you and shoulder width apart.
Keep your weight in your heels as your slide
your back down the wall until your knees are
at a 90 degree ankle. Lift one leg out in front of
you keeping your hips level and core tightened.
*These can be done with athletes who have
progressed in their treatment program or
adults who are capable of doing this exercise
DOUBLE LEG BALANCE
Maintain your balance while standing
on top of an inverted Bosu Ball with
both legs
Repeat
5 Time
Hold
10-15 Seconds
Complete 5 Set
Alternating Leg Extension
(Quadruped)
Begin on hands and knees with knees directly under your hips and
hands directly under your shoulders. Keep your abdominals tight
and engaged throughout this exercise. Raise one leg straight back
as pictured without letting your hips drop to one side and without
losing your abdominal contraction. Hold for 3 seconds, then
return to the start position and repeat with the opposite leg. This
is one repetition.
Repeat
Hold
Complete
10 Times
3 Seconds
3 Sets
Hydrants
While maintaining balance on one leg, lift the
other leg without rotating hip out.
* Use a surface to maintain balance or a bar
Repeat
Hold
Complete
10 Times
3-5 Seconds
3 Sets
SUPINE HIP ABDUCTION - ELASTIC
BAND CLAMS
Lie down on your back with your knees bent.
Place an elastic band around your knees and
then draw your knees apart.
Repeat
Hold
Complete
10 Time
2 Seconds
3 Set
ELASTIC BAND - SIDELYING CLAM
While lying on your side with your
knees bent and an elastic band
wrapped around your knees, draw up
the top knee while keeping contact of
your feet together as shown.
Do not let your pelvis roll back during
the lifting movement.
Repeat
Hold
Complete
10 Time
1 Second
3 Set
QUAD SET WITH TOWEL UNDER HEEL
Repeat
Hold
Complete
While lying or sitting with a small towel roll under
your ankle, tighten your top thigh muscle to press
the back of your knee downward towards the
ground.
15 Time
3 Second
2 Set
Supine Hamstring Stretch (with
straight legs)
Lie on your back and hook a strap/towel/leash
around your foot. Keeping the opposite leg straight
and flat on table, lift the affected leg towards the
ceiling while maintaining a straight knee.
You should feel a stretch along the back of the
thigh and knee.
Repeat
20 Times
Hold
5 Seconds
Complete 2 Sets
Knee Towel Stretch
While pushing down on thigh above knee cap
with opposite hand, pull on towel or belt to lift
heel from floor. Keep thigh flat
Repeat
20 Times
Hold
2 Seconds
Complete 2 Sets
HEEL SLIDES - LONG SIT WITH TOWEL
While in a sitting position, hook a towel
around your foot and pull your knee into
a bend position and towards your
buttock.
Repeat
Hold
Complete
15 Time
3-5 Seconds
2 Set
ICE APPLICATION & ELEVATION
Use of ice is very important for swelling and pain control. Ice can be
applied whenever needed up to 20 minutes at a time. Lie down with
involved leg propped above heart level with support under knee, calf,
and ankle.