| Intervention |
Rationale |
Intensity |
Instructions |
Phase 1 (week 0-3) |
Phase 2 (week 3-6) |
Phase 3 (week 6-9) |
Phase 4 (week 9-12) |
Home exercise program |
| Elevation with the help of a pillow to the right lower limb |
To enhance the circulation of blood and the healing process |
The angle at which the limb is elevated and the duration are decided as per the tolerance level of the patient |
The patient was asked to relax and inform the therapist if discomfort occurred; the pillow under the limb is usually at 30° of elevation |
10° of elevation/two hourly and then relaxation of 15 mins |
20° of elevation/two hourly and then relaxation of 15 mins |
25° of elevation/two hourly and then relaxation of 15 mins |
30° of elevation/two hourly and then relaxation of 15 mins |
30° of elevation/two hourly and then relaxation of 15 mins |
| Ankle toe movements |
For enhancing the proper circulation of blood and the healing process |
As per the tolerance level of the patient and the need for an intervention |
The patient was asked to dorsiflex and plantar flex the foot as if pedaling a bicycle |
Five reps - one set/thrice a day - gravity-eliminated position - supine |
10 reps - one set/thrice a day - gravity-eliminated position - supine |
10 reps - one set/thrice a day – gravity-assisted and gravity-resisted position - bedside sitting |
10 reps - one set/thrice a day – gravity-assisted and gravity-resisted position - with minimal resistance by therapist’s hand - bedside sitting |
10 reps - one set/thrice a day – gravity-assisted and gravity-resisted position - with moderate resistance by therapist’s hand or a theraband - bedside sitting |
| Isometric contraction for right hamstrings |
For strengthening the hamstring |
As per the tolerance of the patient |
The patient was asked to apply half of his muscle power, and the therapist applied a similar amount of muscle force but in the opposite direction so that there was not any movement but strengthening occurred |
Five reps with 5-sec hold - thrice a day |
Seven reps with 5-sec hold - thrice a day |
Seven reps with 10-sec hold - thrice a day |
10 reps with 10-sec hold - thrice a day |
15 reps with 10-sec hold - thrice a day |
| Isometric contraction for right quadriceps |
For strengthening the quadriceps |
As per the tolerance of the patient |
The patient was asked to apply half of his muscle power, and the therapist applied a similar amount of muscle force but in the opposite direction so that there was not any movement but strengthening occurred |
Five reps with 5-sec hold - thrice a day |
Seven reps with 5-sec hold - thrice a day |
Seven reps with 10-sec hold - thrice a day |
10 reps with 10-sec hold - thrice a day |
15 reps with 10-sec hold - thrice a day |
| Isometric contraction for right gluteus muscles |
For strengthening the right gluteus muscles |
As per the tolerance of the patient |
The patient was asked to apply half of his muscle power, and the therapist applied a similar amount of muscle force but in the opposite direction so that there was not any movement but strengthening occurred |
Five reps with 5-sec hold - thrice a day |
Seven reps with 5-sec hold - thrice a day |
Seven reps with 10-sec hold - thrice a day |
10 reps with 10-sec hold - thrice a day |
15 reps with 10-sec hold - thrice a day |
| Active resisted exercises for upper limbs |
For preventing contractures and for maintaining the ROM as well as the strength |
As per the tolerance of the patient |
The patient was asked to do it with the help of weight cuffs or theraband and as per the tolerance level |
Five reps - per set - thrice a day - against gravity |
Seven reps - per set - thrice a day - against gravity along with half kg weight cuff |
Seven reps - per set - thrice a day - against gravity along with half kg weight cuff |
10 reps - per set - thrice a day - against gravity along with one kg weight cuff |
10 reps - per set - thrice a day - against gravity along with one kg weight cuff |
| Deep breathing exercises |
To relax the patient |
As per the comfort of the patient |
The patient was instructed to relax in a comfortable position, and then, the deep breathing exercises were taught to the patient by the therapist |
Five reps - per set - thrice a day, with 3-6-9 technique (3 secs - inspiration, 6 secs - hold the breath, 9 sec - expiration) |
10 reps - per set - thrice a day, with 3-6-9 technique |
10 reps - per set - thrice a day, with 3-6-9 technique |
10 reps - per set - thrice a day, with 3-6-9 technique |
10 reps - per set - thrice a day, with 3-6-9 technique |
| Sit-to-stand activities |
To make the patient independent for his ADLs |
As per the pain tolerance of the patient |
The patient was instructed on how to progress from sitting to standing along with a mirror biofeedback |
The patient was undergoing strengthening exercises, which are prerequisites for sit-to-stand activities |
Five reps - one set - twice a day |
Five reps - one set - thrice a day |
10 reps - one set - thrice a day |
15 reps - one set - thrice a day |
| Ambulation |
To make the patient independent for his ADLs |
As per the pain tolerance of the patient |
The patient was instructed and taught how to use assistive devices - a walker along with a mirror biofeedback |
The patient was undergoing strengthening exercises, which are prerequisites for ambulation |
One round of 50 meters - with a walker - thrice a day |
Two rounds of 70 meters - with a walker - thrice a day |
Two rounds of 100 meters - with a walker - thrice a day |
Three rounds of 100 meters - with a walker - thrice a day |
