Knee & Hip Replacement Rehabilitation

Pre-operative exercises center on ankle pumps, straight leg raises, and quadriceps sets performed twice daily to increase lower limb strength.

Incorporating low-impact aerobic activities such as stationary cycling enhances cardiovascular endurance and joint mobility while minimizing strain.

Educational counselling on smoking cessation, weight management, and nutritional optimization prepares patients holistically for surgery.

On the first postoperative day, therapists guide patients through bed mobility exercises, gentle limb movements, and transfer training to promote circulation and prevent venous thromboembolism.

Accelerated mobilisation protocols have demonstrated shortened length of stay without added risk of adverse events or readmissions.

Under therapist supervision, patients progress from walker-assisted gait to independence typically within two to four weeks.

Range of motion exercises begin immediately, targeting knee flexion goals of 90–100° by two weeks and 105–110° by six weeks post-surgery.

Quadriceps and hamstring strengthening commence at four to six weeks with 1–2 lb resistance progressing as tolerated.

Continuous passive motion (CPM) devices may be used selectively to maintain joint mobility and reduce stiffness during the early postoperative period.

After initial strength gains, patients engage in advanced balance drills, stair negotiation, and proprioceptive activities to restore functional independence.

Gait retraining on the water treadmill under controlled load conditions accelerates neuromuscular patterning and improves confidence.

By 12 weeks post-surgery, most patients achieve pain-free ambulation, return to daily activities, and, where appropriate, resume occupational or recreational pursuits.