Walking school with prosthesis

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Walking school with a prosthesis

• rehabilitation
  • Spinal cord and spine injuries
  • traumatic brain injury
  • rehabilitation after stroke
  • cerebral palsy
  • Rehabilitation after arthroplasty
  • recovery after amputation
  • prosthetics and orthotics
  • Preparing the residual limb for prosthetics
  • Prosthetics and orthotics for children from 3 years
  • Rehabilitation after prosthetics
  • recovery after amputation
  • How do you get a prosthetic fitting?
  • Specialist consultations
  • day clinic
  • outpatient treatment
  • Care and support
  • spa stay
  • Cooked Meals
  • TCR rental
  • transfer services

  prostheses and orthoses
  Upper and lower limbs

  The initial fitting of the prosthesis takes 10-14 days in the ORTOS center clinic. During this time, the residual limb is prepared for fitting the prosthesis, the prosthesis is made and fitted,
  Training to walk with the prosthesis.

  The prosthetic and orthopedic care (prosthetics and orthotics) of the ORTOS center is:

  • all types of functional prosthetics and orthoses of the upper and lower limbs
  • Preparation of stumps for prosthesis fitting
  • Individual prosthetics of the upper and lower limbs for all degrees of amputation.
  • Manufacture and repair of prosthetic and orthopedic devices.

  The entire offer of the ORTOS center is geared towards:

  The main goal is to offer patients the best possible mobility and quality of life so that they feel comfortable.

  The orthopedic care in the 'ORTOS' center is comprehensive and includes:

  • Advice from an orthopedist and surgeon
  • all kinds of individual functional prostheses and orthoses
  • Training in handling the prosthesis
  • Manufacture and repair of prostheses and orthoses
  • after-sales service
  • Purchase of aids for comfortable use of the prosthesis (stump care, hygiene items, walking aids, wheelchairs, crutches, canes, bandages, orthoses)

  

  Individual adjustment of the prosthetic stump is possible, taking into account the complex cases and the specifics of the stump of each patient.

  Climbing stairs with a hip prosthesis and a crutch

  SCREEN VIDEO

  2.1 Starting position (ps) standing.
  Feet shoulder width apart. right hand
  Hand leans on the handrail, left hand
  Left hand holds the ball (the ball is placed under the armpit).
  Ball (the ball is placed in the armpit of the left hand).

  2.2 The patient moves the prosthesis a
  One step down, at the same time as the crutch
  (while placing the prosthesis on the lower transfer stage)
  Make sure the patient has full support
  Make sure the prosthesis is fully supported).

  2.3 The patient transfers the restrained limb
  Lower the limb one step,
  At the same time position the right limb
  Hand down the handrail.

  Climbing stairs with a hip prosthesis using a crutch

  VIDEO SCREEN

  3.1 Starting position - standing.
  Feet shoulder width apart. left and
  Right and left hands hold crutches.
  (The balls are in the armpits of the hands.)
  The crutches are in the armpits of the hands).

  3.2 The patient carries the arrested limb in one hand.
  3.2 The patient places the limb on a
  The patient puts the limb one step higher. 3.3.

  3.3.
  The crutches are placed on the same step
  one level higher at the same time as the prosthesis
  Prosthesis.

  3.4 How to move the prosthesis up
  First slide the prosthesis up and move it backwards 20-30 degrees.
  First push the prosthesis backwards by 20-30 degrees,
  Then push the prosthesis backwards 20-30 degrees and only then transfer it
  When moving the prosthesis up, first push the prosthesis back 20-30 degrees and then move it up.

  Climb the stairs

  Climb the stairs slowly and carefully, being careful not to make any sudden movements. Always use crutches when walking. They make it easier for you to climb the stairs.

  Go up the stairs this way:

  1. Stand with your feet as close to the first step as possible.
  2. Start with the healthy foot.
  3. Place the foot of the sound limb on the first step, making sure it is in a comfortable position.
  4. Use crutches to shift your body weight onto that leg.
  5. Gently lift the operated limb and place it on the step.
  6. Repeat the same steps to continue up the stairs.

  Remember: Always use the sound leg as a starting point for climbing stairs.

  

  going down stairs

  You should also use crutches when going down stairs. However, the steps are slightly different.

  The stairs should be climbed as follows:

  1. Stand close to the step, but so that the edges of your feet do not extend past the edge of the step you are standing on.
  2. Slowly place the crutches on the lower step.
  3. Begin stepping on the painful foot.
  4. Gently lower the operated leg onto the bottom step, in the space between the crutches.
  5. Put your whole body weight on it and only then take a step with the sound leg.
  6. Carefully place the sound leg next to the affected leg.
  7. Repeat the same steps down the stairs.

  

  Remember: When climbing stairs, always start with the operated limb.

  Climbing stairs after hip and knee replacement

  

  A hip or knee joint prosthesis is no reason to stop your usual activities. Active movement, walks and visits to places of interest contribute to the fact that motor functions are restored more quickly. There are a few simple rules you should follow when climbing stairs after an endoprosthesis.

  Climbing stairs after a joint replacement

  You have to go up and down the stairs to get to each room. When walking, you may accidentally trip or knock sideways. This can lead to artificial joint dislocations and even fractures. In the time after the operation, you should be particularly careful when going up and down stairs and take safety precautions.

  In the first few weeks after the endoprosthesis, you should only use crutches or stairs. Do not walk on your own unless your doctor allows you to. The duration of the use of walking aids varies between 1 and 3 months. It depends on many factors - the patient's condition, recovery time, type of endoprosthesis and others.

  In the case of an implant fixed with polymer cement, the affected leg can already bear weight in the first few days after the prosthesis. The only contraindication is discomfort and pain in the joint area. With other prosthetic techniques, the load on the limb should not exceed 1/4 or 1/3 of the total body weight.

  moving on stairs

  The ascent should be slow and gentle. Rapid movements should be avoided. Using crutches makes getting around much easier. Before you start the movement, make sure that the floor is non-slip and there is no risk of falling.

  Climbing the stairs consists of the following steps:

  • Get as close to the stairs as possible;
  • start with a healthy foot;
  • Put your foot on the first step and get comfortable;
  • Use crutches to transfer your body weight to the supported limb;
  • Gently lift the affected leg and place it beside you.

  

  Going down the stairs

  This procedure is slightly different:

  Long rehabilitation period.

  Begins 3 months after surgery. During this longer period, exercises to strengthen the musculoskeletal system can be carried out at home so that the prosthesis can be better anchored. Everyday exercises are required for the final strengthening of the prosthesis – extensive gymnastic exercises and the use of training equipment are permitted. Physiotherapy is actively used.

  The most popular devices for rehabilitation after arthroplasty:

  • Bicycle simulator - recommended as one of the first devices. He applies dynamic loads to the joint to strengthen the musculoskeletal system;
  • Treadmill – allowed 1-2 weeks after treadmill training;
  • Special hip extension machine - indicated in the 5th to 6th month of rehabilitation.

  Baths, saunas, steam baths

  Many patients wonder if they can go to saunas or similar facilities during rehabilitation. The operation is very stressful for the body, and swelling and inflammation of the joint tissue can occur in the operated area. The body breaks down the dead tissue so that healthy cells can grow.

  If heat exposure is allowed during this period, the inflammation increases, which can lead to limb amputation. Bathing is allowed no earlier than three months after the operation. It is important that you consult your doctor.

  Changing the endoprosthesis is a complex procedure that requires a long rehabilitation period. Successful return of the leg and its function depends on continued physical therapy and following the doctor's instructions. Going to the sauna is possible after 3 months at the earliest.

  Is it possible to do rehabilitation at home?

  

  Rehabilitation after hip surgery is possible at home. However, the prerequisite is that there is a specialist in the family who has the necessary knowledge.

  To avoid falls, all necessary items should be placed where there is no need to reach for them, and rugs should be secured or removed. There should be good lighting in the apartment. Special handrails should be installed in the bathtub. Despite all the advantages, rehabilitation should be carried out by specialists.

  principles of nutrition

  

  Within six weeks after the operation, the head of the prosthesis fuses with the pelvic bone. The success of this process largely depends on proper nutrition. Failure to follow the diet increases the risk of prosthetic head displacement, constipation and inflammatory bowel disease.

  1. To normalize the gastrointestinal tract. After anesthesia, there is a transient intestinal atony. Only semi-liquid, pureed food can be consumed. This can be soups with vegetable broth and minced meat or slimy porridge. Do not eat fast carbohydrates, fatty, fried or spicy foods.
  2. Make up for the blood loss. Drink small sips of water regularly to restore circulating blood volume immediately after anesthesia. Drink more and limit your daily salt intake for a week. To restore hemoglobin, eat foods rich in iron, ascorbic acid, and vitamin B.
  3. Strengthen the body's defences. Eat more fermented milk products to improve intestinal microflora.
  4. Accelerate the bone regeneration process. Protein products must be on the menu.

  Adequate nutrition should also be ensured after rehabilitation. This will avoid excessive weight gain and increased stress on the joint. Therefore, proteins, free carbohydrates and healthy fats form the basis of nutrition.

  1. Proteins are important for the body to build its own proteins, the collagen fibers of bone tissue. Sources of healthy animal protein include dietary meat and fatty fish. Watch out for jellies and cold cuts - these foods contain gelatin, which is a pure protein. Plant-based sources of protein include soy, peas, beans, lentils, buckwheat groats, and rolled oats.
  2. Complex carbohydrates. Avoid sweets, bread, white bread, and pasta after an arthroplasty. Eat foods with healthy carbohydrates - vegetables, grain products that are low in calories but high in fiber and vitamins.
  3. Unsaturated fatty acids. After an arthroplasty, it is beneficial to eat foods with omega-3 fatty acids found in oily fish, crab meat, shrimp, and red caviar. The unsaturated acids reduce the symptoms of inflammation, cleanse the blood vessels of harmful cholesterol, prevent the development of obesity and accelerate wound healing.
  4. Bran as a source of fiber and vitamins. Flaxseed, dried mushrooms and dried fruit also contain a lot of fiber.
  5. Calcium and vitamin D are important to reduce the risk of osteoporosis and ringworm. After an arthroplasty, 1-1,200 mg of calcium should be taken daily. Sources include cheese, fish, sesame, almonds, herbs, garlic and hazelnuts. Calcitriol is essential for the proper absorption of calcium. Vitamin D is found in cod liver, mushrooms and egg yolk.
  6. Foods rich in iron. Chicken, shrimp, tuna, beetroot, pumpkin, nuts, buckwheat groats.

  Which exercises are recommended after a knee endoprosthesis?

  Therapeutic exercises are an important part of rehabilitation after operations and endoprostheses. Its content varies depending on the stage of recovery - the whole period is divided into five phases:

  Each phase is nuanced and includes a series of exercises aimed at adequate rehabilitation. Postoperative recovery also includes other activities necessary to improve the quality of life of the operated person:

  The LFC program is broken down into stages—let's detail each step on the road to recovery.

  Early prophylactic phase

  In the first week after the operation, the patient remains under the supervision of the doctor and the physiotherapist. The aim of the therapeutic exercises during this period is to get used to the new sensations, to 'revitalize' the weakened muscles and to restore normal blood circulation. All exercises are carried out under the supervision of a specialist:

  1. Circular rotations of the foot clockwise and counterclockwise, alternating.
  2. Bending and stretching the toes.
  3. Moving the foot from right to left and from front to back.

  

  The main purpose of these movements is to increase blood circulation in the foot by contracting the muscles. There must be no traffic jams!

  These familiar activities can be difficult the day after the endoprosthesis, especially for people with limited mobility. Pre-treating the joint also helps prevent blood stasis and clot formation and normalize pressure. The patient must relearn to stand and walk, and short but regular movements of the ankle will facilitate this.

  For the first week after your knee replacement, do the following exercises:

  Press the back of the knee against the bed with strength, holding the muscles tight for five seconds at a time. Do the exercises alternately for each leg 10 times.

  

  

  

  

  In the initial phase of rehabilitation, the exercises are performed in the supine position, with great care and under the kind guidance of a doctor. The complex should be repeated several times a day - regularity of exercises is considered the basis for successful recovery.

  After knee replacement

  Useful tips

  mobility and freedom from pain in the knee joint are a pleasure for the patient and significantly improve their quality of life. In order to maintain this condition, it is important not to put too much strain on the artificial knee joint and to be very careful with it at first.

  

  • In the first few weeks after knee replacement, the operated knee should not bear the full weight of the body. For this reason, you should use a pair of crutches to support some of your body weight.
  • Many elderly patients also like to use a walking stick for their own safety.

  walking and climbing stairs

  • Use the walkers as you learned in the hospital and use the crutches to support yourself.
  • When walking, be careful not to bend your legs outwards or inwards when lowering.
  • As you walk up, place the 'healthy' leg first on the next step and then raise the operated leg to that step using the strength of the good leg and arms.
  • When walking down, first place the crutches and then the operated leg on the next lower step. Transfer as much body weight as possible to the crutches while lowering the sound leg.

  gripping aids

  • Convenient gripping aids allow you to lift objects without bending or crouching.
  • A special first aid kit will allow you to dress without assistance.
  • With a special handle or non-slip mat, you can safely stand in the shower.
  • Use crutches to get into the shower or bath and get in with the 'good' leg first. Get out with the operated leg first.
  • A brush with a long handle will help you wash anywhere without having to bend down.
  • A handrail on the toilet and a high toilet seat make squatting easier.

  In general, after a knee prosthesis:

  • Watch your diet and avoid gaining weight.
  • Pay attention to the way you move. For example, be careful when bending your legs with each step and sit up straight.

  Although many sports can be resumed after a total knee replacement, you should avoid sports that can put stress or impact on the knee, such as squash, handball, and martial arts. Your doctor will tell you exactly what to do.

  In the time after the operation, until your knee can be used normally again, you should consider a few things in certain areas of your life:

  • It is best to sleep on your back. If you sleep on your side, a pillow between your knees will prevent you from crossing your legs.
  • The mattress should be at least 70 cm off the floor so that you can lie comfortably in bed. If necessary, put an extra mattress on top.
  • Practical aids, such as a long shoe rack or a dressing stick, enable you to get by without help.
  • Sexual activity is possible with caution. The most important thing is that you do not put the operated knee in an unacceptable position.
  • Avoid carrying things back and forth unnecessarily. Use a trolley or apron with large pockets.
  • Be especially careful when carrying hot liquids.
  • When working on the floor in the kitchen (e.g. (e.g. on low cupboards, ovens), do not bend the operated leg, but stretch it slightly forward.
  • Use a stool in the kitchen that allows you to work with the operated leg.
  • You can drive if you refuse to use crutches.
  • Get into the car as a passenger on crutches and get in with the good leg. Then pull your operated leg with your hands.
  • If possible, try to get into the car on the side of the 'healthy' leg.

  How to learn to walk on crutches

  A crutch is an important tool that helps patients with damaged or diseased limbs to walk comfortably both at home and on stairs. The walker makes walking easier by shifting the entire weight of the body to the arms. How to safely and painlessly walk on crutches?

  Principles of walking with crutches

  Walking on crutches is very easy. You just have to learn a few tricks to be able to walk smoothly on any surface.

  How to get back on your feet

  The transition begins with proper straightening. It is important not to fall, so the patient must keep their back straight for balance. Then slightly bend the knee of the sound leg and raise it, but not forcibly - with your hands try to push the body off the floor.

  how to move

  When walking, the following rules should be observed:

  • A crutch is brought forward;
  • The first ball is followed by the second ball;
  • The weight of the body is transferred to the crutch;
  • The sound leg is placed first, then the diseased leg;
  • The movement is then repeated.

  When walking, the lower ends of the brace should be held firmly to the side. This exercise helps the person gain confidence in their own movements.

  

  How to go up and down a flight of stairs

  Different rules of locomotion apply in different situations. Here's how to walk up a flight of stairs using crutches:

  1. lift. The free hand leans on the handrail while the other hand and crutch support the weight of the body. First, a healthy leg is placed on the step, then a crutch. Then the limb is glued to the stair step. If no handrail is available, the patient can also use two supports.

  2 descent. Both supports are placed on the lower step. Then one leg is lowered, then the other. The principle does not change - the healthy leg is placed against the brace and the diseased leg follows.

  After the operation: the patient's condition

  After the operation, the patient is transferred to the ward, where he is cared for by a doctor. In the first days after the operation, the patient receives antibiotic therapy and anti-inflammatory drugs. On the first day after the operation, the patient is allowed to move around in bed, but not too much.

  On the second day he is allowed to sit up in bed, do breathing exercises and some physiotherapy exercises.

  On the third day, dosed exercises in the form of walking with support (crutches, walking frame or cot) are started.

  Within a few days after the prosthesis, the catheter is removed from the bladder. The normal condition after the procedure is swelling of the leg, pain in the groin and in the joint itself, radiating to the limbs. The patient can be given painkillers.

  Postoperative wound care consists of changing the sterile bandage daily and cleaning the wound surface with aseptic solutions. The sutures can be removed 10-14 days after the procedure. At the same time the patient is discharged from the hospital. The next stage is the rehabilitation process.

  Postoperative period and return to normal life

  The first thing that the operated patient should learn are simple rules for handling the new joint. It should not be bent more than 90 degrees to avoid a dislocation. Crossing your legs and crouching are also prohibited.

  In the first few days after the operation, you need to gradually start doing simple exercises, such as: B. Foot push-ups, ankle rolls, heel-assist squats, and glute contractions.

  The surgical wound should be kept dry for 7-10 days after discharge from the hospital. Swelling after surgery is normal for the first few months of recovery. The patient must learn to use crutches, learn a new way of climbing stairs, and perform increasingly complex exercises over time.

  The basic principles of postoperative rehabilitation include limiting the load on the joint, keeping the foot in a forward position and not bending the leg to the side when sitting. Do not bend beyond 90 degrees, do not lift heavy weights, do not cross your legs, or lean forward while sitting or lying down.

  After an endoprosthesis, you are entitled to up to three months of sick leave, which is determined individually depending on how the patient is feeling.

  Usually after three months the patient can return to his normal activities - playing sports, walking, cycling. Please note that lifting weights over 40 pounds, participating in a basketball game, or lifting weights even after the rehabilitation process, especially after total arthroplasty, is not recommended.

  A visit to a rehabilitation center or a stay in a sanatorium during the recovery process after the operation makes sense for the operated person.

  Hip arthroplasty is a complex surgical procedure, primarily because the joint itself is a complex joint. However, if the surgeon is experienced and the patient diligently prepares for the procedure and respects the recovery time, the risk of post-operative complications is minimized.

• prosthetic legs.
• Walking in medium heels.
• prosthetic leg.
• acetabulum.
• Leg prosthesis below the knee.
• insoles for walking.
• Modern leg prostheses.
• blunt.