I'm Bob Schrupp physical therapist Brad Heineck physical therapist, together
We are the most famous physical therapists on the internet, in our opinion of course Bob. Today Brad, we're gonna talk about a secret
Weapon that you can use for knee replacement
exercises and stretches both for
prior to surgery and after surgery and maybe it may be
You know you won't have to have surgery if you do some of these exercises, it's possible and you know they do this all
The time in the hospitals we work with they do have pre
Pre hab, prehab education things, give them exercises to do at home before surgery
Which makes the rehab afterwards much more quicker and better results, but before we reveal our secret weapon Brad
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Nobody remembers where we're at it's Bob and Brad at Facebook, Brad and I as children
It's sad we were not liked that's hard to believe isn't it Brad. Yeah it is so we're trying to turn things around
Yeah, so I'm showing them down here. I was probably a bratty kid
Alright so what we're talking about today Brad the secret weapon is the Knee Glide and
The thing first thing you're gonna notice about this is how lightweight it is. I'm gonna show you this Brad
You can actually do curls with one finger it's so lightweight
What is it less than 5 pounds? It's less than 3. Bob what a memory
It's the gray hair, so yeah anyway, um the thing about this is if you look at the reviews on Amazon
They're all fives, I think we had one four I'm gonna go find that guy and ask why yeah, he said it was a good thing
But he gave us a 4, well he's probably a teacher, but he never gave anybody an A, he's a B guy
Yeah, anyway this thing that works out really well if you're gonna have any type of knee surgery
This is your deal to go to, right this includes meniscus
I've had really good success with a meniscus surgery on it, but there's so many knees you know yeah
Knees are a problem aren't they now so the first thing you know for prehab for prior to
your surgery what you're gonna want to do is you're gonna want to make sure you have as much knee bend and knee straightening as
You can get sometimes that alone will actually decrease your pain
We have found if you're lacking like a little bit of knee extension you regain that
Sometimes your pain levels go down it worked with my wife
And I'm going to show you some of the things she just actually did with
The new glide so
One thing you could start off just by you know just trying to get some movement in the knee because it's very good
To try to get some movement now one thing you're gonna notice here is
Look how it's kind of putting stress on my ankle Brad kind of pointed forward
you know this will happen with certain people if
That you know for whatever reason they may have arthritis in your ankle
Yeah, but when the knee has a problem oftentimes the hip or the ankle does as well, so what we're gonna
Do is we go ahead and put it up on the stand here and now it's a lot more comfortable
The first one I noticed was my wife pointed it out. She was well
It's uncomfortable when it's flat so she put it up
And then she was able to, so you can do this while you're watching TV it helps promote
You know getting that synovial fluid. It's more blood flow to the knee
It's just gonna make it feel better while you're you know prior to surgery
And this is exactly why we invented this, because of this you know the old way was throw a towel on the floor and do that
Which kind of works
But you cannot do that and you can't use a towel on carpet, no and the other thing is this glides so much better than
That on the floor
You gotta have a pretty shiny floor to make that work, so the other thing
I want you to try, this is where we're talking about this is actual treatment that you might try prior to the surgery
You're actually gonna go ahead and put your heel on here, and you're gonna straighten it out, and you're gonna
Do pressure on pressure off, now I got the toe, Brad can you set up so you're facing the camera?
Oh sure, that's a good idea, show the way the toe is going
Yeah with that. No you're doing the profile
I'm doing the front view. It's tough on them
To look at the front of me because who wants to but anyways we're focusing on the knee
There we go so the first one you're doing is you're going all the way again
This is especially true if you're lacking a little bit of knee extension
And you can tell that by putting both knees out there, and if one is straight
And one is bent you're gonna be able to see that I'll do it on this one
This one is slightly bent, this one goes all the way straight
And it can be real subtle it can just be like oh
I guess that one isn't as straight as the other one and what we're referring to typically a sore knee will often time lack
full range of motion
And if you can regain that range of motion the pain can come down so this is why we're doing this so yeah again
We're going pushing on right above the knee pressure on
Pressure off we say the words because that actually tells you how long to do it pressure on
Pressure off pressure on pressure off now
The one that worked for my wife is I actually had her turn the foot out like this and then pressure on pressure off
And this thing works out really well for this, you know it's nice
You can actually you know again
She could do it right off the couch
Also, not trying to imply that my wife watches a lot of TV or anything, she's not a couch potato
She's not a couch potato. But she could also do it at her desk. When she's working
Hope she doesn't see this video, all right
Then the other one Brad is going to show the last one you can actually try turning it in right
And I just had a woman with severe arthritis in her knee and with her when she went in
That's the one that did it, that felt better went further,
And it was you know that was the way to go
So you have to experiment a little bit on that and of course you can also work on bending the knee
Let's say you're lacking some bend like you bring your knee up like this. Yeah, I'm gonna check this one out now
I check this one out like oh that one doesn't go as far
It probably hurts a little bit
Probably hurts a little bit so now you're gonna want to try to get some more knee bend the little trick to that is now
You're gonna go ahead and set up and you're gonna actually grab the lower bone here, and you're gonna turn
It toward the other knee
So Brad is on his right leg, and he's turning it
Counterclockwise to his other knee I'm turning mine clockwise
So I'm actually trying to turn the bone and when I turn the bone you're gonna
Go ahead and bring it back like this at the same time. I'm keeping pressure on the whole time. I'm not
Letting up on that pressure the whole time now this should feel
Fine I mean it should not hurt or increase the pain it actually should feel better with more movement right if it makes it worse
Then it's not the right way to go yeah
And generally what you'll find is that you can move it a little bit further after you've done a couple
Repetitions and with those I do maybe 10, and that's not one I'd do every hour you could do it
Two or three times a day two or three times a day and again
It should as you do more of them loosen up feel better, and that's the exact response I had with the patient
I was referring to, now you're not gonna do these after you have your knee replacement
No
These are only before you have a knee replacement to see if it decreases your pain
The other thing you can do with this is just straight old strengthening so if you put it up like this
You're working the quadricep a little bit more, and if I turn it around this way. I'm working the hamstring a little bit more
okay, so let's say all that you know goes fine, but you're still having the knee replacement now you're going to go ahead and
after the knee replacement generally on the first day, maybe you're gonna be laying in bed moaning and groaning and
Brad's put a towel on the Knee Glide here
And this is a great way to just start trying to get some bend
You know you can be laying flat on your back
Or you can be sitting up like this, the reason I have the towel is because after surgery you're not gonna have shoes on
Right, but yeah, and this really is a big advantage
You know in the hospital bed because not only for the patient but for the therapist yeah
that makes everyone's job a lot easier, and it works so well and
You know you're gonna find out that you're in control
Because people who've had knee replacement, they don't like other pople
Pushing on their knee yeah, you're pretty sensitive
About that and as quickly as you can though you want to progress to doing it in the chair
Yeah, I would say and generally a lot of times people again like to stand up
it just is a little more comfortable, and I tell people just go as you know as you're comfortable and
After what I tell them to do is do a bunch of repetitions and then every so often you're gonna
Give it a little bit of stretch, coming down yeah
Yeah, so I'm going like this and now I'm gonna give it a little bit stretch and generally what I do is I take my
Ankle cross it over my other ankle, and I pull back a little bit
Pull back a little bit give it a little stretch. I'm in charge
Yeah and when you're in charge of your own body
Everything goes better life goes better. Your knee range of motion will improve. I'm going to show a little trick
We're using the stretch out strap. You could use a belt. Yep. You could use a long belt
They actually have devices on the internet that are made for this, and it would work really well with the Knee Glide
I'm going to go around the back
You just need a smooth chair that it'll slide around the corner well
and then I'm gonna pull you can see I'm just using a basic pulley system and
There you go there you go stretch stretch stretch, so I had a friend Brad that
Just had a knee replacement done, and I brought all this equipment to his house. Yeah
And he gave me everything back except the Knee Glide. He's still using it, so and it's fine
You know he's a good friend, so I mean you're not gonna charge him? I'm not gonna charge him.
Oh, you're a nice guy
So all right the other thing Brad is you can also work on extension
With the knee glide as we were showing before you can start working on getting a little bit of that knee
Straightening so you can go ahead and work on that and again you can do a little pressure on pressure off with that
And you'll find especially after the knee replacement
You know some people have
Luck bending it but straightening it is equally as important as getting it to bend you want to get full extension
As soon as you can and that's gonna
You know promote a good quality gait and get you
Back to where you want to be, well one thing I failed to mention Brad you know after you go across the ankle yeah
You're gonna get so far after a while
I can't go any further so then you put your heel on the edge of the foot plate here
And you can actually push way back then,
And you know if your wife is mad at you she can go on there
She can push a little bit too and get that, sure she can say are you a baby
A cry baby
All right, you know and then of course you'll go to quadricep and hamstring strengthening also with that, right
You'll do it this way, and you also go the other way so
Brad and I are quite proud of this device
It's a breakthrough for total knees I had a patient with a meniscus and worked wonderful
He did it as rehab under his desk while he's at work
Oh sure. Oh yeah, and you could do the same thing here after a knee, a little silicone works really good on this, right
Well, yeah, it was
A quiet office, so people could hear the slight noises making so he took a little silicone and dabbed that on there
It made it quiet, and it really goes smooth
Yeah, then it's like you're going on air so well one way or another have fun. Be careful and take care of your knees
Thanks for watching