Physiotherapy exercises following transfemoral (above knee) amputation - Information for patients MSK Mobility and Specialised Rehabilitation ...
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Physiotherapy exercises
following transfemoral
(above knee) amputation
Information for patients
MSK Mobility and Specialised
Rehabilitation (Therapy)
PROUD TO MAKE A DIFFERENCE
SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST
page 2 of 12
Introduction
This leaflet has been designed to help you remember the exercises that
you have been taught by your physiotherapist.
• All of the exercises should be done slowly and smoothly. Only do
what you are comfortable doing. Some discomfort is OK, but do
not push so hard that it causes pain.
• You do not have to do all the exercises in one go. Stop when you
feel that you have done enough.
• After the exercises are complete, any increase in discomfort should
settle back down again (back to previous level within 15 minutes).
If not, then you are pushing too hard.
• Do a few repetitions of each to start with.
• Build up the number of repetitions gradually once confident you
are not experiencing too much discomfort.
• Remember you may not be able to do as much as the day before.
• Exercise helps to keep your strength and mobility as well as
improve your blood flow.
• These exercises will help to keep you independent, either in a
wheelchair or using an artificial leg (prosthesis).
• Try to keep doing these exercises, even after you have been
discharged from treatment.
• If you have any questions, please speak to your physiotherapist.
page 3 of 12
1. Static gluteal contractions
• Lie on your back
• Keep both legs straight and
close together
• Squeeze your buttocks as
tightly as possible
• Hold for 5 seconds
• Repeat _____ times
page 4 of 12
2. Hip flexor stretch
• Lie on your back, preferably without a pillow
• Bring your thigh towards your chest and hold with your hands
• Push your opposite leg down flat on to the bed
• Hold for 30 to 60 seconds, then relax
• Repeat _____ times
• Repeat the above with the other leg.
3. Hip hitching
• Lie on your back
• Keep both legs flat on the bed
• Hitch one hip up towards you on one side and push away on the
other (shortening one side and stretching the other)
• Hold for 3 seconds
• Repeat _____ times
• Repeat on the other side.
page 5 of 12
4. Bridging
• Lie on your back with your arms at the side
• Place a couple of firm pillows or rolled up blankets under your
thighs
• Pull in your stomach, tighten your buttocks and lift your bottom
up off the bed
• Hold for 5 seconds
• Repeat _____ times
To make this exercise more difficult, place your arms across your chest
as shown in the picture.
page 6 of 12
5. Hip flexion and extension in side lying
• Lie on your side
• Bend the bottom leg
• Lift your top leg slightly
• Bend your thigh fully towards your chest
• Push your leg backwards as far as you can
• Repeat _____ times
Note. Try not to let your hips roll forwards or backwards.
• Repeat the above with the other leg.
page 7 of 12
6. Hip abduction in side lying
• Lie on your side
• Bend the bottom leg
• Keep hips and top leg in line with your body
• Slowly lift your top leg up
• Slowly lower
• Repeat _____ times
Note. Try not to let your hips roll forwards or backwards.
• Repeat the above with the other leg
page 8 of 127. Hip extension in prone lying
• Lie flat on your stomach Lift your leg off the bed as far as you can
• Be sure to keep hips flat on the bed and do not roll your body
• Hold for 5 seconds, slowly lower
• Repeat _____ times
• Repeat the above with the other leg.
page 9 of 128. Hip adduction with resistance
• Sit with both legs out in front
of you
• Place a pillow or rolled up
towel between your thighs
• Squeeze your legs together
• Hold for 5 seconds
• Repeat _____ times
Note. This exercise can also be performed when sitting in a wheelchair
or at the edge of a bed.
page 10 of 12Exercises for your sound leg
After an amputation it is important to maintain the strength of your
sound limb. It will have to do extra work now and in the future.
Do repetitions of each of these simple exercises ideally every hour.
9. Ankle exercises
• Move your foot slowly up and down at the ankle.
• Make circular movements with your foot, first in one direction
then the other.
10. Static quadriceps
• Straighten your knee by tightening the muscles at the front of your
thigh. Hold for 5 seconds and then slowly let go.
11. Inner range quads
• Put a rolled up towel, pillow or blanket under your knee.
Straighten your knee, hold for 5 seconds and relax.
12. Straight leg raise
• Put your leg out in front of you. Tighten your thigh. Lift your leg
off the bed then slowly lower. Keep your knee as straight as
possible throughout.
13. Outer range quadriceps
• Sit on the edge of the bed or a chair. Straighten your knee. Hold
for 5 seconds. Now bend your knee.
page 11 of 12Contact information
Sheffield Amputee Physiotherapy Team
• 0114 271 5569
This exercise leaflet has been produced by representatives of P.I.R.P.A.G.
(Physiotherapy Inter Regional Prosthetic Audit Group). Copyright © PIRPAG 2004
Alternative formats can be available on request.
Please email: sth.alternativeformats@nhs.net
© Sheffield Teaching Hospitals NHS Foundation Trust 2022
Re-use of all or any part of this document is governed by copyright and the “Re-use of Public Sector Information Regulations 2005”
SI 2005 No.1515. Information on re-use can be obtained from the Information Governance Department, Sheffield Teaching Hospitals.
Email sth.infogov@nhs.net
PD8785-PIL3729 v3 Issue Date: January 2022. Review Date: January 2025You can also read
