Using an Elliptical Trainer After Total Knee Replacement Surgery
An elliptical trainer may be the best of all worlds when choosing an exercise machine after a total knee replacement surgery.
The elliptical trainer allows you to perform weight bearing exercise without the impact of walking or jogging on your new knee joint.
You also receive the benefits of a vertical component with each step or revolution.
Video: Benefits of the Elliptical Trainer Post Knee Replacement
Video Summary:
Tony Maritato, PT emphasizes the elliptical trainer as a highly effective equipment choice after undergoing a total knee replacement. Unlike treadmills and bikes, the elliptical offers weight-bearing exercises, promoting a more functional return to walking. It’s designed to reduce impact forces on joints, encourage symmetrical stride lengths, and is user-powered, ensuring safety and control during workouts.
Usage Instructions for the Elliptical Trainer
When using the elliptical, it’s essential to get on and off safely. To get on, one should position the pedals to step over with the non-surgical leg first, then step up with the surgical side. Gentle rocking can be initiated to warm up the surgical leg, followed by full revolutions. To get off, the surgical foot should be removed first, followed by the non-surgical foot.
Comparing the Elliptical to Other Equipment
While treadmills and stationary bikes have their advantages, Tony prefers the elliptical for post-surgery recovery. The treadmill can pose certain risks, and while bikes are great for range of motion, the elliptical’s weight-bearing nature makes it more functional for walking recovery. Regardless of the equipment, it’s crucial to choose what aligns with one’s recovery stage.
Is An Elliptical Trainer Safe After Total Knee Replacement
The elliptical trainer is a wonderful choice for exercise equipment following a total knee replacement surgery. You gain the advantage of weight bearing exercise to improve the health of the bones while minimizing the impact of walking or jogging.
Another benefit includes control over the vertical aspect of each step. The taller the incline on an elliptical trainer the greater your knee range of motion. This is better than walking when it comes to improving knee range of motion
One other often overlooked benefit of an elliptical trainer is the fact that your feet are moving in a rhythmic and reciprocal pattern.
Normal walking allows you to shorten one stride while taking a longer step on the non-surgical side. This imbalance may lead to other complications down the road.
When can I start using an elliptical trainer after surgery?
Many clients are able to start using an elliptical trainer within the first week following surgery.
The elliptical requires less knee range of motion than a typical stationary bike and is often more comfortable than walking.
How long should I use an elliptical trainer during each workout?
Most of my clients begin with a 2 minute episode the first time they use an elliptical following knee replacement surgery.
I often recommend stopping before you feel like you have to stop. This allows you to build confidence and focus on the quality of your motion instead of the quantity of your motion.
Early in the recovery process we want recommend you take ample rest breaks.
Elliptical Training Plan:
Day 1-10: Perform between 30-seconds and 2-minutes per episode and up to 4 episodes a day at a low intensity.
Day 11 – 28: Gradually increase the duration by 10% each day until you achieve a continuous episode of 10-minutes without shortness of breath. The intensity should feel like a 3/10 with 10/10 being so intense you are forced to stop.
Week 5 and beyond: Gradually increase duration of each episode to a maximum of 30-minutes. If you are able to perform 30-minutes of continuous walking on an elliptical trainer then reduce your duration and increase your resistance or elevation.
How do I know if I am doing too much?
The best way to determine if you are overtraining is to consider how you feel the same night of the next day after a workout. If you are more fatigued or your pain is increasing then you either need to exercise less or take a longer break between workouts.
I find that increasing fatigue and soreness along with possible increased stiffness and loss of range of motion are signs of overtraining.
If you are experiencing these symptoms consider taking a 48-hour rest break of all structured exercises and only perform normal daily activities.
Which is the best elliptical to purchase?
These days there are many varieties of elliptical trainers. Consider features like:
- moving arms
- a flat or angled foot plate
- the length and weight of the machine
- how difficult it may be to move around your home or apartment
- and the resale value of the brand
Is an elliptical better than a stationary bike?
PROS:
- Allows you to perform weight bearing exercise
- Burns more calories per minute
- Provides a total body workout
CONS:
- More expensive
- Takes up more space
- Harder to move around your home
What would a physical therapist choose?
I would choose an elliptical over a stationary bike simply because the long term benefits and use of an elliptical outweigh those of a bike.
Here are some of my recommended Elliptical Machines for home use:
Low cost minimalist shoes
Finding a low cost yet durable minimalist shoe can be challenging. Here is one that I have tested.
Best Minimalist Shoe In 2018 On Amazon – By A Physical Therapist
Minimalist shoes allow your foot to act like a foot. The ability for your toes to move, your arch to flex, and your whole lower kinetic chain to function is one of the main reasons to consider transitioning to a minimalist shoe.
Best Position To Sleep After A Total Knee Replacement
The best position to sleep in after a total knee replacement is flat on your back with a pillow under your heel.
This is because this position allows the knee to remain in full extension throughout the night.
If you are not experiencing difficulty achieving full knee extension you may prefer to sleep in other positions.
How To Use A Stationary Bike After A Total Knee Replacement
The upright stationary bike is a very common tool used in the rehabilitation of your total knee replacement. In many cases the upright stationary bike is preferred because it reduces the knee flexion requirements. In this video I show you some tips for using a stationary bike at home and turning a standard upright bike into a recumbent bike.
How to prepare for knee replacement surgery?
There is a lot you can do before your total knee replacement surgery to prepare. Step 1: Improve your cardiovascular fitness – your body will be dedicating much of its time and energy to repairing tissue. The better your heart and lungs are working the better your body can recovery. Step 2: Strengthen the rest of your body. While you are waiting on your knee surgery, you can strengthen the other 87% of your body. Step 3: Get your game face on. There will be plenty of mental and emotional challenges along the path to recovery. The better you prepare yourself to face these challenges the better you will be to overcome them.
Easiest Way To Increase Knee Bend At Home After A Total Knee Replacement Sitting – Real Patient
There are an infinite number of ways to bend your knee and all too often I see clients who have been told heel slides need to be completed while laying on your back. That simply isn’t the case. In this video I show you how to perform heel slides seated in a chair and using a strap to assist.
3 EASY Ways to Measure Knee Flexion at Home
Learn 3 easy ways to measure knee flexion at home.