Objective: To strengthen the range of motion of joints. Enhance muscle strength and improve joint stability. Step by step, try to improve your gait by putting a load on the affected leg. X-ray to determine whether loading can start!
(1) Weight-bearing and balance exercise: (The degree of fracture healing must be the premise)
Load and balance:
With the firm degree of fracture healing, the load gradually transited from: 1/4 body weight-1/3 body weight-1/2 body weight -2/3 body weight -4/5 body weight-100% body weight. You can put the affected leg on the flat health scale to clarify the feeling of partial load bearing. Gradually, you can stand with a full load on one leg of the affected side. 5 points/time, 2 times/day.
(2) Continue to strengthen the exercise of joint mobility: (It must be on the premise that the degree of fracture healing allows)
Sit down and hold your legs:
Measure the distance between heel and hip before departure, and gradually shorten it to the same angle as the healthy leg. Keep it at the place where the hip joint feels pain for 5- 10 minutes/time, 1-2 times/day.
(3) If conditions permit, you can start to fix the bicycle movement, from light load to heavy load, and gradually reduce the height of the seat. 20-30 minutes/time, twice/day.
(4) Start leg muscle strength exercises.
Leg lifting exercise:
30 times/group, 4-6 groups in a row, rest for 30 seconds between groups, 2-3 times/day.
Bending resistance in prone position:
10 times/group, 10- 15 seconds/group, with an interval of 5 seconds each time. 4-6 groups practice continuously, and rest for 30 seconds between groups.
Resistance knee extension exercise:
Use sandbags or rubber bands as the load of painless range of motion of hip joint. 10 times/group, 10- 15 seconds/group, with an interval of 5 seconds each time. 4-6 groups practice continuously, and rest for 30 seconds between groups.
(5) lift heel exercise: 2 minutes/time, rest for 5 seconds, 3-5 times/group, 2-3 groups/day.
4. Late stage: (4 months to 6 months)
Objective: To enhance muscle strength and joint stability. Fully resume all activities of daily life. If the fracture is completely healed and has enough firmness, you can start the following exercises.
(1) Static Squat Exercise:
With the increase of strength, the squat angle is gradually increased (less than 90), 2 minutes/time, 5 seconds apart, 5- 10 continuous/group. 2-3 groups/day.
(2) Step exercises:
Step forward, step back, step aside.
Including front and back, side stride exercises, 20 times/group, rest for 45 seconds between groups, continuous exercises for 4-6 groups, 2-4 times/day.
(3) One-leg squat exercise on the affected side:
Requirements are slow, hard and controlled (no shaking). 20-30 times/group, interval between groups is 30 seconds, 2-4 times/day.