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Knee OA Exercise Protocol

Why exercise ?

For knee osteoarthritis (OA), research shows that regular exercise can reduce pain, improve mobility, strengthen your muscles and help you stay active and independent.

Always start with a warm up that help prepare your joints and muscles for activity, reduce stiffness, and minimize the risk of injury. These exercises can be as simple as ankle circles, seated toe and heel raises or a walk.

KNEE PRESS


Place a towel roll under your knee and press onto it using your knee for 15-20 seconds

KNEE EXTENSION

Place a foam roller or a towel roll under your knee so as to elevate it few centimetres off the ground and then lift/ straighten your knee as shown in the image alongside.

SIDE HIP RAISES


Lie on one side, upper body relaxed, tighten your knee and lift the leg up, hold for 5-10 seconds and then relax.

Switch legs after 2-3 sets.

CLAMPSHELL


Lie on one side with both knees bent and feet together, keep upper body relaxed and lift the knee without lifting the feet. Hold for 5-10 seconds and then relax. Repeat on opposite side.

HIP ADDUCTION


Lie on one side, keeping upper body relaxed, move the leg on top to the front as shown in the image and then lift the leg below. Hold for 5-10 seconds.

Repeat on both sides.

STRAIGHT LEG RAISE


Lie on the floor, upper body supported by your elbows. Bend your left knee, foot on the floor. Keep the right leg straight, toes pointed up. Tighten your thigh muscles and raise your right leg.

Pause, as shown, for 3 seconds. Keep your thigh muscles tight and slowly lower your leg to the ground. Touch and raise again.

Do two sets of 10 repetitions. Switch legs after each set.

PILLOW SQUEEZE


This move helps strengthen the inside of your legs to help support your knees. Lie on your back, both knees bent. Place a pillow between the knees.

Squeeze your knees together, squishing the pillow between them. Hold for 5 seconds. Relax. Do two sets of 10 repetitions. Switch legs after each set.

Too tough? You can also do this exercise while seated.

SEATED HIP MARCH


Strengthen your hips and thigh muscles. It can help with daily activities like walking or standing up.

Sit up straight in a chair. Kick your left foot back slightly, but keep your toes on the floor.Lift your right foot off the floor, knee bent. Hold the right leg in the air 3 seconds. Slowly lower your foot to the ground. Do two sets of 10 repetitions. Switch legs after each set.

SEATED HIP RAISE


Stand tall and hold the back of a chair for support. Lift your heels off the ground and rise up on the toes of both feet. Hold for 3 seconds. Slowly lower both heels to the vground. Do two sets of 10 repetitions. Too tricky? Do the same exercise while sitting in a chair.

SIT TO STAND


Practice this move to make standing easier. Place two pillows on a chair. Sit on top, with your back straight, feet flat on the floor (see left photo). Use your leg muscles to slowly and smoothly stand up tall. Then lower again to sit. Be sure your bent knees don’t move ahead of your toes. Try with your arms crossed or loose at your sides.

ONE LEG BALANCE


This move helps you bend over or get in and out of cars.

Stand behind your kitchen counter without holding on, and slowly lift one foot off the floor. The goal is to stay balanced for 20 seconds without grabbing the counter. Do this move twice, then switch sides.

STEP UPS


Do this to strengthen your legs for climbing steps..

Stand in front of stairs, and hold onto the banister for balance. Then place your left foot on a step. Tighten your left thigh muscle and step up, touching your right oot onto the step. Keep your muscles tight as you slowly lower your right foot. Touch the floor and lift again. Do two sets of 10 repetitions. Switch legs after each set.

WALKING


Even if you have stiff or sore knees, walking may be a great exercise. Start slow, stand tall, and keep at it. You can ease joint pain, strengthen your leg muscles, improve your posture, and improve your flexibility. It's also good for your heart.

If you're not active now, check in with your doctor before you start a new exercise program.

LOW IMPACT ACTIVITIES


Other exercises that are easy on the knees include biking, swimming, and water aerobics. Water exercise takes weight off painful joints. If you're not active now, check in with your doctor before you start a new exercise program.

Many community and hospital wellness centers, gyms, and pools offer classes for people with arthritis.


Stretching

Post your exercise session make sure to stretch. Stretching keeps you flexible and improves your range of motion, or how far you can move your joints in certain directions. It also helps you lower your odds of pain and injuries.

HAMSTRING STRETCH


Lie down when you're ready to stretch your hamstring. Loop a bed sheet around your right foot. Use the sheet to help pull the straight leg up. Hold for 20 seconds, then lower the leg. Repeat twice. Then, switch legs.

CALF STRETCH


Hold onto a chair for balance. Bend your right leg. Step back with your left leg, and slowly straighten it behind you. Press your left heel toward the floor. You should feel the stretch in the calf of your back leg. Hold for 20 seconds. Repeat twice, then switch legs. For more of a stretch, lean forward and bend the right knee deeper -- but don’t let it go past your toes.


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