http___www.partial-knee-replacement.com_information_tips-and-exercises-at-home__lang_ga_1.xml
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Tips and exercises at home In the first six to eight weeks following the operation your new joint is still relatively unprotected, as the muscles around the knee tend to weaken and become smaller through lack of use. It is therefore necessary to build up again and strengthen the surrounding muscles so as to restore your freedom of movement as quickly as possible hence your active cooperation is indispensable. Please consult your surgeon or your physiotherapist if you are uncertain about the following exercises or if you do not fully understand them. Use the crutches correctly To stand, place the two crutches in a bit in front and to the side of your feet. Keep your hips as straight as possible. A slightly bent elbow will permit you to do so. Support yourself firmly on the handles of the crutches when walking. Important: carry your weight on your hands – and not on your forearms. Always load the operated knee as you were shown at the clinic, but walk as normally as possible. This means that each step should be of the same length, as in normal walking. Load the operated leg with no more than the permitted load. If you are permitted to use one single crutch, use in on the healthy side. Going up and down stairs Important: do not attempt your first trials on the stairs alone! Going upstairs Set the healthy leg on the first step of the staircase. Push your weight with the healthy leg and with your hands, so that you are able to lift the operated leg to the same step. Repeat this until you have reached the halfway mark or landing. Proceed exactly the same way even if the stairs have banisters. Going downstairs Place both crutches on the first step. Put the operated leg on the same step. Take care to put as much weight as possible on the crutches. Place the healthy leg on the same step. If your healthy leg is strong enough, you can try to put the crutches and the operated leg on the next step at the same time and to make the healthy leg follow. Sitting correctly Abstain from sitting in deep armchairs, especially during the early days. Ideal are high stable chairs with arm rests. If necessary, you can increase the height of your seat with a pillow. To sit down: move backwards to the chair until you feel its edge. Move both crutches to the side of the healthy leg. Support yourself on the arm rests to sit down – stretch the operated leg slightly forward. Angle your legs slightly and sit upright. Slip forward to get up. Use the arm rests to stand on your healthy leg. Continue to stretch out the operated leg slightly. Take the crutches in both hands to stand on the operated leg. Going to the bathroom Move both crutches to the healthy side. Grip either an arm rest on the toilet (if available) or a handhold next to the toilet. Sit down slowly and stretch out the operated leg slightly. Get up as from a chair: support yourself on the arm rests or on the handhold. Put the operated leg slightly forward. Having a shower To keep your balance, use an anti-skid mat and a handhold on the wall. Mix the water to the right temperature before taking a shower. Start by putting the healthy leg into the shower. The crutches remain outside the shower, but close by. A sponge with a long handle keeps you from having to bend forward. Leave the shower with the operated leg first. Taking a bath Immersing the operated leg in water is not permitted in the first 2-3 weeks after the operation. If you do not have a shower, it is preferable to have a strip wash rather than a bath unless you are sufficiently agile and able to support most of your body weight on your arms. If you do attempt to have a bath, then use the following method: Go to the broad side of the bathtub on your crutches. Mix the water to the right temperature before entering the tub. Keep the water level quite shallow. To get into the tub, sit down on the edge or on a chair which is slightly higher than the bathtub and positioned directly next to it. Lift the operated leg first, if possible, and then the healthy one over the edge. Try to sit down opposite the water tap when you are on the edge of the tub. It may help to place your hands under the thigh of the operated leg to lift it into the tub. Don’t forget that you can put the foot of your operated leg in the water but you must not immerse the knee joint as otherwise water can penetrate into the wound causing infection. Lift your legs carefully over the edge to leave the bathtub. Going to bed Sit down backwards on the bed in the vicinity of the head end. Move your bottom slightly backwards and put the healthy leg onto the bed. The operated leg is next: if you do not yet have enough strength to lift it yourself, support it with the healthy leg or place your hands under the femur for support. Now you can lie on your back. Important: move your pelvis and legs evenly. Keep your legs slightly spread. Rising Make sure your crutches can be reached. Put the operated leg out of bed first. If necessary using the normal leg or your hands to assist you. Sit for a moment. If possible position yourself where you have something you can hold to steady yourself or use the crutches to assist you. Stretch the operated leg slightly forward. Now stand putting most of your weight on your normal leg and on the crutches or other support. Sleeping The best thing is to sleep on your back. If you prefer to sleep on your side, place a pillow between your legs to prevent them from crossing in your sleep and your hip from turning on one side. Getting dressed Select comfortable clothing. You will need help from others at first, or a dressing aid. If you choose a dressing aid, use the hook to grasp the waistband of your clothing and pull it first over the operated leg and up over the knee. Use a crutch to stand on the healthy leg and then finish putting on the item of clothing. Undressing Remove the clothing from the healthy leg first. Shoes Flat, firm shoes that are easily slipped on and do not have shoelaces are best, as you do not have to bend over to put them on. Pay attention to good soles. Leather soles are unsuitable as they are very hard and do not absorb shocks. Use a dressing aid or a shoehorn with an extra long handle. In the kitchen An apron with several pockets can be of help. Transport hot fluids in containers with a lid. Slide things on the counter or working surface instead of carrying them. Take small steps instead of turning your body; do this when walking as well. Use gripping pliers to pick up objects. Do not bend when reaching for something in a lower drawer or in the oven – keep the operated leg extended. You may also sit on a chair. Position it so that the operated leg is turning toward the drawer or the oven. Use a trolley to transport tableware. It will also help you avoid unnecessary extra trips In the car Do not drive a car until your doctor permits it. Get into the car on the side with the most leg room (normally the passenger side). Sit down backwards on the car seat. Lift your legs carefully and slowly into the car. Support your legs with your hands under the femur or with the healthy leg. Important: move your pelvis and legs as uniformly as possible and keep your body as straight as possible. Taking a walk Begin taking regular walks on well constructed paths soon after the operation. Start with a short walk of five to ten minutes. Gradually increase your walking distance. Important: avoid uneven and slippery roads. Always wear sturdy shoes. Recommended exercises Move your knee joint as much as possible. Sit down on a chair and place a towel on the smooth floor. “Mop” the floor by moving the towel back and forth. If you have a home exercise cycle and achieve sufficient flexion of the knee joint, then use it daily for about ten minutes on low resistance. Keep the seat up high.
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Leideanna agus cleachtaí sa bhaile I sé agus ocht seachtaine i ndiaidh na oibríocht a bhfuil do comh-nua fós réasúnta gan chosaint, mar an claonadh a bhíonn matáin ar fud na glúine a lagú agus a bheith níos lú trí easpa úsáide. Is gá, dá bhrí a thógáil suas arís agus na matáin máguaird a neartú ionas go ais do saoirse ghluaiseachta a luaithe is féidir dá bhrí sin tá do comhoibriú gníomhach fíor-riachtanach. Le do thoil i gcomhairle le do Máinlia nó do fisiteiripeoir má tá tú cinnte faoi na cleachtaí seo a leanas nó más rud é nach dtuigeann tú go hiomlán iad. Bain úsáid as na maidí croise i gceart Chun seasamh, cuir an dá maidí croise i beagán os comhair agus go dtí an taobh de do chosa. Coinnigh do hips chomh díreach agus is féidir. Beidh Elbow Bent beagán cead agat chun é sin a dhéanamh. Tacaíocht duit féin go daingean ar an Láimhseálann na maidí croise agus tú ag siúl. Tábhachtach: dhéanamh do meáchan ar do lámha - agus ní ar do forearms. Luchtú i gcónaí ar na glúine oibriú mar a bhí léirithe duit ag an gclinic, ach siúl mar de ghnáth agus is féidir. Ciallaíonn sé seo gur chóir go mbeadh gach céim a bheith ar an fad céanna, mar atá i siúl gnáth. Luchtaigh an cos oibriú le níos mó ná an t-ualach atá ceadaithe. Má tá tú cead a úsáid amháin crutch amháin, úsáid i ar an taobh sláintiúil. Ag dul suas agus síos staighre Tábhachtach: nach iarracht do chéad trialacha ar an staighre amháin! Ag dul suas staighre Socraigh an cos sláintiúil ar an chéad chéim an staighre. Brúigh do mheáchan leis an cos sláintiúil agus le do lámha, ionas go mbeidh tú in ann a thógann an cos oibriú chun an chéim chéanna. Déan seo go dtí go bhfuil bainte amach agat ar an marc leathbhealach nó tuirlingt. Lean ar aghaidh díreach ar an mbealach céanna fiú má tá an staighre banisters. Ag dul thíos staighre Cuir an dá maidí croise ar an chéad chéim. Cuir an cos oibriú ar an chéim chéanna. Glac cúram a chur ar meáchan a oiread agus is féidir ar na crutches. Cuir an cos sláintiúil ar an chéim chéanna. Má tá do chos sláintiúil láidir go leor, is féidir leat triail a chur ar an crutches agus an cos oibriú ar an chéad chéim eile ag an am céanna agus a dhéanamh ar an cos sláintiúil leanúint. Ina shuí i gceart Staonadh ó ina suí di i armchairs domhain, go háirithe le linn na laethanta tosaigh. Tá Ideal cathaoireacha ard seasmhach le tacaí lámh. Más gá, Is féidir leat cur leis an airde do shuíochán le pillow. Chun suí síos: dul siar chuig an chathaoir go dtí go mbraitheann tú ar a imeall. Dá maidí croise Téigh go dtí an taobh an cos sláintiúil. Tacaíocht duit féin ar an lámh Luíonn chun suí síos - stráice an cos oibriú beagán ar aghaidh. Uillinn do chosa beagán agus suí upright. Duillín ar aghaidh a fháil ar bun. . Tóg an crutches sa dá lámha a seasamh ar an cos oibriú. Dul go dtí an seomra folctha Dá maidí croise Téigh go dtí an taobh sláintiúil. (má tá fáil) nó greim láimhe in aice leis an leithreas. Suigh síos go mall agus stráice an cos oibriú amach beagán. Faigh suas mar ó chathaoirleach: tacaíocht a thabhairt duit féin ar na fuílligh lámh nó ar an greim láimhe. . Tar éis a cithfholcadh Chun a choinneáil do iarmhéid, úsáid mata frith-skid, agus greim láimhe ar an mballa. An t-uisce Measc leis an teocht ceart roimh ag tógáil cith. Tosaigh ag cur an cos sláintiúil isteach an cith. Tá na maidí croise taobh amuigh an cith, ach gar ag. Coinníonn A spúinse le láimhseáil fada tú as a bhfuil a Bend ar aghaidh. Fág an cith leis an cos chéad oibriú. Ag tabhairt folctha Ní immersing an cos oibriú in uisce ceadaithe sa chéad 2-3 sheachtain tar éis an oibríocht. Más rud é nach bhfuil tú cithfholcadh, Tá sé níos fearr a bheith acu nigh stiall seachas folctha mura bhfuil tú sách aclaí agus in ann chun tacú le an chuid is mó de do meáchan chorp ar do airm. Má dhéanann tú iarracht a bheith acu folctha, ansin a bhaint as an modh seo a leanas: Téigh go dtí an taobh leathan an bathtub ar do crutches. An t-uisce Measc leis an teocht ceart roimh dul isteach ar an tub. Coinnigh an leibhéal an uisce éadomhain go leor. Chun a fháil isteach ar an tub, suí síos ar an imeall nó ar chathaoir a bhfuil beagán níos airde ná an bathtub agus suite go díreach in aice leis é. Ardaigh an cos chéad oibriú, más féidir, agus ansin an ceann sláintiúil ar an imeall. Bain triail as a suí síos os coinne an sconna uisce nuair a bhíonn tú ar an imeall an tub. D'fhéadfadh sé cabhrú chun cuir do lámha faoi an thigh an cos oibriú a thógann sé isteach ar an . Ná déan dearmad gur féidir leat a chur ar an chos de do cos oibriú san uisce, ach ní mór duit a thumadh an comhpháirteach glúine mar shlí eile is féidir uisce penetrate isteach an fhoirceannadh is cúis le ionfhabhtú. Tóg do chosa go cúramach thar an imeall a fhágáil ar an bathtub. Ag dul a chodladh Suigh síos ar gcúl ar an leaba in aice leis an deireadh ceann. Bog do bun beagán ar gcúl agus a chur ar an cos sláintiúil ar an leaba. Is é an cos oibriú chugainn: más rud é nach bhfuil tú fós neart go leor chun ardaitheoir féin é, tacaíocht a thabhairt dó leis an cos sláintiúil nó cuir do lámha faoi na femur le haghaidh tacaíochta. Anois is féidir leat a luigh ar do dhroim. Tábhachtach: gluaiseacht do pelvis agus cosa cothrom. Coinnigh do chosa leathadh beagán. Éirí Amach Bí cinnte gur féidir do chuid maidí croise a bheith bainte amach. Cuir an cos oibriú amach as an leaba ar dtús. Más gá úsáid a bhaint as an cos gnáth nó do lámha chun cabhrú leat. Suigh ar feadh nóiméad. Má suíomh is féidir leat féin áit a bhfuil tú rud éigin is féidir leat a shealbhú do seasta féin nó na maidí croise a úsáid chun cabhrú leat. Sín an cos oibriú beagán ar aghaidh. . Codlata Is é an rud is fearr a chodladh ar do dhroim. Más fearr leat chun codlata ar do thaobh, áit a pillow idir do chosa chun cosc a chur orthu ó trasnú i do chodladh agus do cromáin ó casadh ar thaobh amháin. Dul cóirithe Roghnaigh éadaí compordach. Beidh ort cabhair ó dhaoine eile ar dtús, nó cúnamh a chóiriú. , úsáid a bhaint as an Hook chun tuiscint ar an básta ar do éadaí agus é a tharraingt den chéad uair thar an cos oibriú agus suas thar na glúine. Bain úsáid as crutch chun seasamh ar chos sláintiúil agus ansin chríochnú a chur ar an ball éadaigh. Undressing Bain an éadaigh a allmhairiú ó na cos sláintiúil chéad. Bróga Flat, Tá bróga daingean go bhfuil shleamhnaigh go héasca ar agus nach shoelaces a bheith is fearr, mar nach bhfuil tú a Bend ar chun iad a chur Tá aird a thabhairt ar boinn maith. Boinn Leathar mí-oiriúnach mar go bhfuil siad an-deacair agus nach bhfuil suaitheadh a mhaolú. Bain úsáid as áis chóiriú nó a bhrú le láimhseáil fada breise. Sa chistin Is féidir an naprún le roinnt pócaí bheith de chúnamh. Iompar sreabhán te i gcoimeádáin le lid. Rudaí Slide ar an gcuntar nó dromchla oibre in ionad iad a iompar. Tóg céimeanna beaga in ionad casadh do chorp; seo a dhéanamh agus tú ag siúl, chomh maith le. Bain úsáid greamairí corraitheach a piocadh suas rudaí. Ná Bend nuair a bhaint as rud éigin i drawer níos ísle nó san oigheann - a choinneáil ar an cos oibriú leathnú. Is féidir leat suí freisin ar chathaoir. Seasamh sé sin go bhfuil an cos oibriú ag casadh i dtreo an drawer nó an oigheann. Bain úsáid as tralaí earraí boird a iompar. Cuideoidh sé chomh maith leat a sheachaint turais neamhriachtanach breise Sa charr Ná carr a thiomáint go dtí go gceadaíonn do dhochtúir é a. Dul isteach ar an carr ar an taobh leis an seomra cos is (de ghnáth ar an taobh paisinéirí). Suigh síos ar gcúl ar an suíomh gluaisteán. Tóg do chosa go cúramach agus go mall isteach sa charr. . Tábhachtach: gluaiseacht do pelvis agus cosa chomh haonfhoirmeach agus is féidir agus do chorp mar díreach agus is féidir a choinneáil ar. Ag tógáil ar shiúlóid Tosaigh ag cur siúlóidí rialta ar chosáin go maith a tógadh go luath tar éis na hoibríochta. De réir a chéile a mhéadú do achar siúlóide. Tábhachtach: a sheachaint bóithre míchothrom agus sleamhain. . Cleachtaí Molta Bog do comhpháirteach glúine oiread agus is féidir. . "Mop" an t-urlár ag gluaiseacht an tuáille ar ais agus amach. Má tá tú timthriall fheidhmiú sa bhaile agus a bhaint amach flexion leordhóthanach ar an comhpháirteach glúine, ansin é a úsáid go laethúil ar feadh thart ar deich nóiméad ar an friotaíocht íseal. .