Exercise for above-the-knee and below- the-knee amputation
Apart from good surgery, exercise plays a vital role in acquiring perfect stump as it will prevent flexion contraction, enhance blood circulation, and allow better strength of muscles. Moreover, it also enhances fitness and contributes in better coordination of muscles as well as prevention of muscle atrophy. Basic exercises include:
- Exercise to strengthen arm muscles which will be used to stretch elbows when using crutches
- Exercise to strengthen trunk muscles to allow better body balance
- Exercise to strengthen a good leg (sound leg) that will be a main functional leg for amputees
- Exercise to strengthen muscles of residual limbs to enhance control of prosthesis.
Exercise for above-the-knee amputation
Natural ankle and knee joints are removed in above-the-knee amputations. As a result, amputees need strong hips and trunk muscles that will allow them to effectively control a prosthesis.
- Exercise buttock muscles This exercise can be done in either standing or sitting positions. Hold your buttock muscles (facilitated by control your anal sphincter) for 10 seconds. Repeat it as many times as you can (recommendation is at least 15 – 20 times a set, 2 – 3 sets a day).
- Exercise hip extensor muscles Lie on your back (supine position) with a small pillow under the tip of the residual limb. Push your stump against this pillow. And, you can also lie on your stomach (prone position) and lift the amputated limb up against the gravity 15 – 20 times per set. Do 2 – 3 sets of the repetition a day. Then lay back, bend your sound knee and attempt to lift hips 15 – 20 times per set. Do 2 - 3 sets of the repetition a day.
- Exercise hip flexor muscles With prone position, put a small pillow under the end of the residual limb. Press your stump against the pillow. And with supine position, lift your hips 15 – 20 times per set. Do 2 -3 sets of the repetition a day.
- Exercise hip abductor muscles This muscles result in bringing leg away from body’s center. Side lie with your sound leg on top, put a small pillow under the end of the residual limb and push your stump down against pillow 15 – 20 times per set. Do 2 – 3 sets of the repetition a day.
- Exercise hip adductor muscles This muscle results in to bring legs into body’s center. Side lie with your sound leg down and put small pillow in between both legs about groin level. Push stump into the sound leg against pillow (squeeze knees). Do this 15 – 20 times a set, 2 – 3 sets a day.
- Exercise abdominal muscles Lay back with your sound knee bent and foot flat while attempting to lift body. Then touch the knee with your hand. This should be done 15 – 20 times a set, 2 – 3 sets a day.