Caminar tras una cirugía de prótesis de rodilla

Summary

This video highlights an innovative approach to recovery following prosthesis surgery, focusing on simplifying and accelerating the rehabilitation process. Key methods include early crutch training, buoyancy-based exercises in the pool for confidence and mobility, and gradual progression to advanced proprioception exercises. Emphasizing the importance of overcoming fear and restoring walking ability, the process helps patients regain autonomy and mobility. The structured recovery stages, from initial weight-bearing to crutch abandonment and balance exercises, empower patients to trust their new joint and regain their daily functional independence faster and more effectively.

Takeaways

• 😀 Continuous improvement of recovery protocols for prosthesis surgery patients makes rehabilitation easier and quicker.
• 😀 Patient experience and feedback are crucial in identifying exercises that save effort and reduce recovery time.
• 😀 Re-education of walking is the primary objective, as it breaks the barrier of fear and builds trust in the new joint.
• 😀 Once the fear of walking is overcome, other recovery objectives like mobility and strength are restored quickly and effortlessly.
• 😀 Patients are taught how to use crutches a few days before surgery to avoid discomfort post-operation.
• 😀 Water buoyancy helps to relieve weight from the operated knee, increasing confidence and reducing fall risk.
• 😀 Safe load-transferring exercises with a physiotherapist help the patient trust that the prosthesis can support their weight from day one.
• 😀 The first crutch is typically abandoned in the second or third week, offering patients more autonomy and freedom.
• 😀 By the third week, balance exercises allow the patient to make turns, changes of direction, and reflexive movements in daily life.
• 😀 Around the fourth week, crutches are abandoned if the patient feels comfortable and their gait is correct and safe.
• 😀 After the fourth week, advanced proprioception exercises are introduced to help the patient forget about their operated knee.

Q & A

What is the primary objective in the recovery process after prosthesis surgery?

The primary objective is the re-education of walking, as recovering this automatic and intuitive action helps break the fear and distrust that patients may have toward their new joint.

How do modified recovery protocols benefit patients who have undergone prosthesis surgery?

The modified recovery protocols make the process easier and simpler by reducing effort and recovery time, allowing patients to regain mobility and strength more effectively.

Why is teaching patients how to use crutches before surgery beneficial?

Teaching patients how to use crutches a few days before surgery helps them avoid the discomfort of learning to use them post-surgery, making the recovery process smoother.

What role does buoyancy in the pool play in the recovery process?

The buoyancy in the pool helps take weight off the operated knee, providing extra confidence to the patient by eliminating the risk of falls, which supports a fear-free recovery of natural movements.

What impact does weight-bearing exercise have on patients after knee surgery?

Exercises that involve transferring loads from one leg to the other, assisted by a physiotherapist, help patients gain confidence by showing that their knee prosthesis can support their weight from the first day.

Why is abandoning the first crutch in the second or third week important?

Abandoning the first crutch during this time is important because it grants the patient more freedom and autonomy, allowing them to carry out daily activities with one hand free, which is a significant step in recovery.

How do balance exercises contribute to the recovery process in the third week?

Balance exercises in the third week give the patient confidence and enable them to perform tasks such as turning, changing directions, and responding reflexively in daily life.

When is it typically safe for patients to abandon their crutches?

Patients can usually abandon their crutches around the fourth week, as long as they feel comfortable and their walking gait is correct and safe.

What is the focus of advanced proprioception exercises after the fourth week?

The focus of advanced proprioception exercises is to help patients forget about their operated knee, further enhancing their natural movement and confidence.

How do the modified recovery protocols differ from traditional recovery approaches?

The modified recovery protocols are simpler and faster, focusing on exercises and steps that provide results in fewer stages and at the right moments, in contrast to traditional recovery that may have involved more complex, multi-step processes.