Prehabilitation Strengthening Exercises for Knee and Hip Arthroplasty

By Catherine Logan, MSPT
Dec 18, 2014

Fitness professionals may work in concert with a physical therapist to encourage a client to engage in “prehab” to maintain or enhance his strength preoperatively for knee or hip arthroplasty (Shakoor et al. 2010). Pain is often a limiting factor, and it may be difficult for the client to participate in even the most basic daily activities. Below are a few suggested exercises.

KNEE ARTHROPLASTY

Isometric quadriceps sets. Lie on back with legs extended. Tighten quads and push knee into mat/surface. Hold 10 seconds. Do 10 repetitions, 5 times per day.

Isometric hamstrings sets. Lie on back with knee bent comfortably to ~60 degrees, heel on floor, toes pointed toward ceiling. Tighten hamstrings and push heel into mat/surface. Hold 10 seconds. Do 10 repetitions, 5 times per day.

Straight-leg raises. Lie on back with unaffected knee bent, foot flat. Lift affected leg ~12 inches from floor, keeping ankle dorsi-flexed. Hold 5 seconds. Do 10 repetitions, 3 times per day.

HIP ARTHROPLASTY

Isometric hamstrings sets. See above.

Gluteal sets. Lie on back with legs extended. Tighten gluteal
muscles. Hold 10 seconds. Do 10 repetitions, 5 times per day.

Straight-leg raises. See above.

To view the full article which ran in the November 2014 issue of the IDEA Fitness Journal click here.


References

Shakoor, M.A., et al. 2010. Effects of isometric quadriceps muscle strengthening exercise on chronic osteoarthritis of the knee. Bangladesh Medical Research Council Bulletin, 36 (1), 20-22.

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Catherine Logan, MSPT

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