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Day 1
Exercises done by the CPM:
This exercise helps in regaining early range of movements
( ROM ). The machine works on electricity. It helps in bending and straightening
your knee without your active efforts. It has a feature of pre-setting
the angle of flexion and time delay at the end of flexion and extension.
On the first day the angle of flexion is set from 10-30 degrees and delay
time is set at 5 seconds. The CPM is given for 1 to 2 hours in the morning
and in the afternoon.
Exercises to be done
by you:
On the day after the surgery, knee exercises, which were
taught to you prior to the surgery are begun. All these exercises help
in improving body circulation and the circulation of the operated limb
thereby reducing the swelling. It also prepares you for early walking.
These exercises also help in reducing the incidence of calf clots (deep
vein thrombosis and lung complications pulmonary embolism) secondary to
calf clots.
- Static Quadriceps Exercise:
In this exercise, you tighten your knee cap till the count of
3 seconds and loosen it for another count of 3 seconds. On the first
day , it is done in the set of 5, every hour.
- Calf pumps:
Moving the foot up and down, at the ankle joint to its maximum. This
exercise reduces the incidence of calf vein clots. On the first day
it is done in set of 5 every hour.
- Upper limb exercises: Done
either in sitting or propped up in bed.
- Raising the arms by the side.
- Spreading the arms by the side.
- Bringing the arms together in front.
- Elbow bending and straightening.
All to be done in set of 5, twice a day.
- Deep breathing exercises:
This is done with a machine called triflometer. To be done in
set of 10, twice a day.
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