1. 個人運動項目
全膝關節置換 家裡運動計劃
Personal exercise program
Total knee arthroplasty home exercise program
芝加哥醫藥大學
物理治療服務
芝加哥，伊利諾伊州 60637
773-702 6891
University of Chicago Medicine
Therapy Services
Chicago, Illinois 60637
全膝關節置換治療指南 Total Knee Arthroplasty Treatment Guidelines
您剛剛完成您的手術， 你的醫生已與物理治療師諮詢，開始你的康復旅程。 如果
你感到噁心， 頭暈，疼痛，和畏惧， 這都是手術後正常有的。 請讓你的護士，物
理治療師知道你的感覺如何。他們在這裡幫助您完成整個恢復過程。
You have just had your surgery, and your surgeon has consulted with physical
therapy to begin your rehabilitation journey. Feelings such as nausea, dizziness,
pain, and fear are all considered normal after having surgery. Please let your
nurse and therapist know how you are feeling. They are there to help you throughout your recovery.
手術後當天＃0 Post-OP day #0.
1. 複習姿勢：不要將枕頭或毛巾卷放置手術後的膝蓋下（除非進行下面的練習），因為這可能會導致關
節變得僵硬。
Review of positioning: do NOT place pillow or towel roll under the surgical knee (unless performing
following exercises) as this can cause the joint to become stiff
2. 你的物理治療師會盡快和你做一個評估。這取決於你怎麼從麻醉中恢復過來時的狀態。
A physical therapist will evaluate as early as the recovery room!
3. 你的物理治療師會教你如何適當地下床, 站立和坐椅子.物理治療師將因應你耐受水平而安排運動項目。
Your PT will work with you to get out of bed, standing and getting into a chair. Exercises will be
initiated as tolerated.
4. 手術後即可用助行器在耐受的範圍內進行負重步行。
Walking with your PT will be initiated as tolerable and appropriate
5. 除了和你的物理治療師運動外，如果您的健康狀況許可，你應該開始每天幾次坐在椅子上 1 小時或更
長的時期 (如果你不能，註冊護士或物理治療師可以幫助你回到床上) 。
In addition to working with your PT, you should begin sitting in a chair for periods of 1 hour or longer
a few times a day if your medical condition permits (if you cannot, RN or PT can assist you back to
bed)

2. 手術後第一天 #1 POST-OP DAY #1
1. 你會繼續在醫院每天做兩次物理治療。
You will continue to see a PT twice a day while in the hospital.
2. 你的物理治療師會指導你完成所附的練習並與您一起因應你的耐受取得功能活動的進展, 包括步
Your PT will instruct you in the exercises attached and work with you to progress your tolerance to
functional activity, including walking
3. 增加你下床活動和在椅子上坐起來的時間用以促進增加你的耐力。
Increase your time spent out of bed, sitting up in a chair, to promote increased endurance
目標：因應你的耐受，盡可能增加膝關節彎曲並伸直
GOAL: To increase degree of knee bending and straightening as much as possible and per your
tolerance.
在你離開芝加哥醫藥大學之前 BEFORE LEAVING UCMC
(如果你出院是回家，而不是一個康復機構)
(if you go home with discharge rather than to a rehabilitation facility)
1. 你將要被指導完成上下樓梯, 記住這句話, "好的腿先上梯級, 壞的腿先下梯級"。當你上樓梯, 帶領你的
好腿向上。 當你下樓梯, 帶領你不好的腿 (手術後的腿) 。
You will be instructed on going up and down stairs. Remember the phrase, "up with the good, down
with the bad". When you are going up stairs, lead with your good leg. When you are going down
stairs, lead with your bad leg.
2. 進/出你的汽車-首先從你的後背部進入汽車座椅。
Getting in/out of car- enter car seat with by backing in with rear first.
3. 如您有穿衣和如廁的困難, 職業治療師會和你做一個評估. 如需購買手術後膝蓋的適應器材（即協助洗
澡，穿衣和梳洗的套件）,我們可提供購買地址。
An occupational therapist may be consulted if you are having increased difficulty with dressing or
toileting. A list of places to purchase adaptive equipment may be given to you if needed (ie. for
bathing, dressing, grooming)
踝關節運動 ANKLE PUMPS
仰面躺下或坐在椅子。彎曲和伸直腳踝。
拉著腳趾拉向你的身體，然後指著他們遠離你的身體。 重複
10
次。
Position: Lying on your back or sitting.Directions: Bend and
straighten your ankles, pulling your toes up towards your body and
then pointing them away from you body. Repeat
10
times

3. 臀肌運動 GLUTE SET
平躺在你的背部。擠壓臀部牢固地結合在一起。
為持約 3 秒。放鬆。 重複
10
次。
Lying on your back. Squeeze buttocks firmly together.
Hold approx. 3 secs. Relax.
Repeat 10 times
大腿前側運動 QUAD SET
平躺你的背部, 雙腿伸直。彎曲你的腳踝, 向下推你的膝蓋使其緊貼你的
床。 為持約 3 秒。放鬆。
重複
10
次。
Lying on your back with legs straight. Bend your ankles and push your
knees down firmly against the bed. Hold 3 secs. relax.
Repeat 10 times
大腿後側運動 HEEL SLIDE (start this once bulky ace wrap dressing is
removed)
平躺你的背部。彎曲和伸直你的腿, 滑動你的腳到你的下方, 拉直回到平放位
置。重複
10
次。
Lying on your back. Bend and straighten your leg, sliding your foot
towards your bottom and straightening back to resting position
Repeat 10 times
大腿前側運動 SHORT ARC QUAD
平躺你的背部。
將一個靠墊/抱枕放置手術膝下。彎曲另一膝蓋和平放你的腳在床上。
拉你的腳和腳趾向上, 收緊你完成手術的大腿肌肉和伸直膝蓋。
(保持膝關節背面與襯墊的接觸) 。 為持約 3 秒。放鬆返回起始位置。
重複
10
次。
Lying on your back. Place a cushion/pillow under the surgical knee.
Bend the other knee, resting your foot flat on the bed.
Pulling your foot and toes up, tighten your thigh muscle and straighten
the surgical knee (keep the back of the knee in contact with the
cushion). Hold approx 5 seconds and slowly relax to starting position.
Repeat 10 times

4. 大腿後側運動 SEATED HEEL SLIDES
坐在椅子上, 放毛巾在腳之下。 在椅子下面滑動你的腳,
慢慢地彎曲你的膝蓋。 向前滑動你的腳, 拉直你的膝蓋。
重複
10
次。
Sit on a chair with a towel under one foot. Slide the foot under the
chair, bending your knee slowly. Slide your foot forward,
straightening your knee. Repeat 10 times
大腿前側運動 LONG ARC QUADS
坐在椅子上。拉你的腳趾向上, 收緊你的大腿肌肉和伸直你的膝蓋。
為持約 5 秒。放鬆你的腿。 重複
10
次。
Sit on a chair.
Pull your toes up, tighten your thigh muscle and
Straighten your knee.
Hold approx. 5 secs and slowly relax your leg.
Repeat 10 times
大腿外側肌訓練 HIP ABDUCTION
平躺在你的背部。把你的腿移動出去一邊，然後回到中間位置。 重複
10 次.
Lying on your back. Bring your leg out to the side and then back to
mid position.
Repeat 10 times.
直腿抬高 STRAIGHT LEG RAISE
平躺在你的背部，一條腿伸直，另一腿彎曲。伸直膝蓋和提升腿部。
保持約 5 秒。 - 慢慢放鬆。重複 10 次
Lying on your back with one leg straight and the other leg bent.
Exercise your straight leg by pulling the toes up, straightening the
knee and lifting the leg 12 inches off the bed.
Hold approx5 secs. - slowly relax.
Repeat 10 times with both legs.