Our specialized rehabilitation pathway for knee and hip arthroplasty at VitalPhysio⁺ integrates pre operative conditioning, early mobilization, targeted strength and range of motion protocols, and progressive functional training to facilitate a swift and sustainable recovery.
Evidence supports that comprehensive preoperative physiotherapy reduces postoperative pain and enhances functional performance. By initiating early mobilization and structured exercises, patients experience decreased hospital stays and a reduced risk of complications.
Pre Operative Conditioning
- 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.
Early Post Op Mobilization
- 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.
Strength & Range of Motion Protocols
- 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.
Progressive Functional & Gait Training
- 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.
