- Hi, I'm Bob Schrupp, physical therapist
- and I am Brad Heineck, physical therapist.
- And together we are the most famous
German physical therapist in the world,
on the internet
- On the internet, in our opinion.
- Okay. First off, congratulations are in order.
If you're watching this, video's probably a good chance.
You just have a knee replacement done.
Good for you.
Good. That you had it done.
We got some secrets for you.
Physical therapy secrets on how to get more knee bend
right? Brad, thousands of knee. - Oh, easily.
- Yeah. So we, we run into trouble.
Sometimes you're gonna want to get all the way straight.
You're gonna want to get it all the way bent.
We got another video on how to get it straight.
Let's start with the bend.
Okay. The basic one, Brad is generally you start
off with the floor scrubs, right?
- Right.
- And what you're gonna do is if you have a tile floor
you just put a towel down and you slide back and forth.
- Doesn't work on carpet. - No, it doesn't work on carpet.
- With a shiny floor you use the tile
and you probably did that at the hospital.
Cuz I think they all do what they call it.
Floor scrub. - Floor scrubs, Yeah.
And if you don't have a tile floor, smooth floor
you're gonna have to get a cookie sheet.
I actually just have a cake pan cover here.
- Right. - And I could slide back and forth really well.
- I believe it.
- Lot of you know, it's all
about do it yourself at home physical therapy.
So. Alright, so you're gonna start just warming it up.
All right.
We're trying to get a little flex little bend here.
We're gonna try to get more bend.
And then every, so often after it's warmed up here
you're gonna take the other foot and you're gonna cross
at the ankle and you're gonna pull back.
Okay. Stretch, stretch, stretch.
And then go back into these again.
- Right. This is probably gonna be a week
or two weeks after surgery. - Right.
We're not going crazy at that point yet.
Now if you get too far back and the cross
the ankle doesn't help anymore, then you can put the foot
your heel on the toe and push back a little further.
Okay? - If you're really brave, you can have a family member
or a friend actually push on it.
It's gonna be painful. -Yeah.
- This is one thing in therapy that you're gonna
have experienced pain in the knee.
They're gonna tell you all
about it before and after surgery.
- Unfortunately this is a no pain no gain one.
- unfortunately.
- Yeah. All right now.
So it's been going long.
We're at a week or two
and now we're gonna get a little more advanced
- Right. - Brad, we're gonna try some things that are
gonna only be a little more difficult probably.
That 90 degree bend.
Why don't you go to the 90 Bob.
That's that's your first goal.
- And it'll tell you that it's the right angle.
- Once you usually get there
then you need something like this, oftentimes.
I just have a belt. I just made a loop.
Just put it through the buckle there.
I'm gonna slide it around my ankle.
And now we can go ahead and start pulling back.
Now we're gonna do what we call contract.
Relax. That needs to be tighten the muscle.
We relax the muscle.
You look confused.
- I like it. - Quadriceps
- Okay. - All right.
- Well what does that got to do with the knee, Bob?
All right.
You'll find out just a minute, this muscle straightens
the knee like this.
Okay. So believe it or not.
What you want to do is you're first gonna contract
this muscle which means you're gonna
kick the leg out this way.
But the, the belt won't let it go.
- You're holding it back.
- Yeah. So if I wasn't holding it, the belts is holding it
my leg would do this
- Or even just slide it or just like that.
- So I'm holding it now.
I'm tightening it. And now what?
And I don't let it go.
And now I relax and I pull it back a little bit.
That's called contract relax.
So I'm tighten, I'm pushing the leg that way
and the belt doesn't let it go. - Right
- Now I stop.
I'm pull, I'm pulling the whole time on as I stop
I start pulling it back.
- Sure. And, and if you're a physician
or you may not be able to reach
and hold it because you have a shoulder problem
you may have to have someone come back here and help you.
And then, okay, let's go to that point.
Go ahead.
Push forward, Bob.
I'm gonna hold you pushing and relax, relax.
And then while I'm relaxing, he's pulling back.
Yep. And the help or you've gotta communicate.
- Yep. - When it hurts.
(Bob pretend moaning) - It's enough.
- It hurts. Yeah. You say stop.
- Now, the other thing you can do
you can just do regular one of these too.
You can just pull back and stretch.
- Sure. - You don't have to do a contract.
Relax. You can just use this to pull back and
you can actually even kind of raise your
get it pulled back and brace your hand here
against the support of the chair and hold it back like that.
All right. Brad,
do you want to show the one that we do on stairs sometimes?
- Yeah. - Oh, wait. I got one more though Brad.
- Oh, one more.
It's kinda the same one along.
I guess we're giving a bonus one, top three, right?
Plus this is one where you actually have just
your shoe on a, a, a non skid floor
and where you're gonna plant your foot
and now you're gonna move your body forward instead.
And you know, and
and usually what we see people do is they plant
they move forward. They move forward.
Oh, that really stretches. That really stretches.
They hold it as long as they can.
And then they probably go back again.
- Sure. Yeah.
- Okay. So it's plant and stretch. - Right.
That foot is like on a sticky floor or
whatever that doesn't wanna.
- Some people even use it in a, like a blinder rocker.
- Sure. Right.
- They plant and move forward.
That's somebody's cell phone?
We don't worry about cell phones
when we're recording. - You can hear buzzing.
Alright. Okay.
Brad's gonna show what you can do on a, a set of steps.
So stairs. - Right now, we do not have a set of steps here.
So we're going to use our imagination
but should be able to do that very easily.
Stairs. Well, the first step would probably be right here.
The second one may be this high.
So let's pretend this is the second step up.
The stairs are going up that way.
There's a handrail coming down on the left.
So I'm going to grab this.
This is represents the handrail
and this would be you pretty more advanced.
You're probably three weeks out. Maybe four weeks.
Things are come along pretty good.
And you can, you're able to get your
foot up here to that second step.
You could do it on the first one
but I'm gonna do it here because my first is imaginary.
And if there's a rail on this side, you grab both sides.
One rail's okay. As long as you feel steady
or someone's holding you and then here about 90 degrees
and you're kind of trying to get past that.
You simply lean forward, stretch, stretch, stretch
and then back.
And you're gonna feel it pull
and stretch is gonna be a little painful
but you have good control.
You gotta good control yourself.
You're gonna hold it five to 10 seconds more. If you can.
And then you can just bump into it five times
and then a good strong hold.
Oh. And it won't be real fun.
And then do again, five easy ones and then hold
you can do 10 and then hold.
- Sure. - Whatever works good for you.
- I think what I found with patient spread and
and maybe you found the same thing.
I don't know which one's gonna work best for you.
- Exactly. - For some people this works
best for some people. It's the other ones. - Right.
I mean, it's just
you need to experiment and try different ones.
- You bet. - You see the one, which one brings you the most.
Bend. - Yeah. And, and you'll see other ones
we do have some other videos on some single exercises too.
So if you Google Brad Heineck or Bob Schrupp,
knee replacement you're gonna get a,
a great variety of super exercises.
- By the way Brad say we're rocking our Jerry Garcia ties.
Look at that. Aren't they stylish.
- Yeah. Right there.
Alright, bye. Keep Cool
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