Four Assisted Lower-Limb Range-of-Motion Exercises for People Who Are Bedbound — Part 2
Assisted movements for the hip, knee, and ankle
1. Hip and knee flexion–extension: Support the knee and ankle. Slowly bend the hip and knee within a comfortable, prescribed range, then return to the starting position. Repeat up to 20 times only if prescribed and well tolerated.
2. Hip abduction–adduction: Support the knee and ankle. Slowly move the leg out to the side without twisting the pelvis, then return to the starting position. Repeat up to 20 times only if prescribed and well tolerated.
3. Hip internal–external rotation: Perform only if specifically cleared by a rehabilitation professional. Support the knee and ankle, bend the hip and knee only to the prescribed angle, then gently rotate the leg inward and outward within the allowed range. Do not automatically use a 90-degree position. Repeat only the prescribed number of times.
4. Ankle dorsiflexion–plantarflexion: Support the lower leg and heel. Gently move the ankle upward and downward without forcing the joint. Repeat up to 20 times only if prescribed and well tolerated.
1. Hip and knee flexion–extension: Support the knee and ankle. Slowly bend the hip and knee within a comfortable, prescribed range, then return to the starting position. Repeat up to 20 times only if prescribed and well tolerated.
2. Hip abduction–adduction: Support the knee and ankle. Slowly move the leg out to the side without twisting the pelvis, then return to the starting position. Repeat up to 20 times only if prescribed and well tolerated.
3. Hip internal–external rotation: Perform only if specifically cleared by a rehabilitation professional. Support the knee and ankle, bend the hip and knee only to the prescribed angle, then gently rotate the leg inward and outward within the allowed range. Do not automatically use a 90-degree position. Repeat only the prescribed number of times.
4. Ankle dorsiflexion–plantarflexion: Support the lower leg and heel. Gently move the ankle upward and downward without forcing the joint. Repeat up to 20 times only if prescribed and well tolerated.
Safety: These assisted or passive movements should be taught by a physical therapist or other qualified rehabilitation professional. Move each joint slowly and gently, support the limb above and below the joint, and never force through pain, marked resistance, or spasm. Stop and seek advice for new swelling, redness, warmth, bruising, deformity, increasing pain, or a sudden change in movement. Do not perform hip rotation without specific clearance after hip surgery, fracture, dislocation, or when hip precautions are in place. Urgent medical assessment is needed for sudden one-sided leg swelling with warmth or redness, chest pain, or shortness of breath.
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