Strengthening Exercises for Below Knee Amputation

Strengthening Exercises for Below Knee Amputation

How to do these exercises

Do the exercises slowly with smooth motions to avoid injury. Be sure to keep breathing while you exercise. Do not hold your breath because it could cause your blood pressure to rise.

Only do the exercises marked by your therapist. Do each marked exercise ____ times each (repetitions) ____ times per day (sets).

Quad Sets

  • Lie on your back.
  • Push the back of your knee down to tighten your thigh muscle.
  • Hold for 5 seconds and release.
  • Do this exercise with your unaffected leg and then with your residual limb.
Woman with below knee amputation lying on floor
Gluteal Sets
  • Squeeze your buttocks together.
  • Hold for 5 seconds and release.
Woman with below knee amputation exercising on floor
Hip Adduction with Towel Roll
  • Lie on your back. Place a rolled towel or pillow between your legs as low as feels comfortable.
  • Squeeze the towel while you count to 5.
  • Relax and repeat.
Woman with below knee amputation exercising on floor.

Pelvic Tilt

  • Lie on your back. Bend your knee, so the foot of your unaffected leg is resting flat on the floor.
  • Place your hands in the small of your back.
  • Push your lower back into your hands.
  • Hold as you count to 5.
  • Relax and repeat.
Woman with below knee amputation lying on floor pressing back with hands

Abdominal Bracing

  • Lie on the floor and inhale with your lower back flat against the floor.
  • Exhale and gently pull in your abdominal muscles. Keep your neck and shoulders relaxed.
  • Do not bear down or forcefully suck in your abdomen.
  • Inhale and relax.
Woman with below knee amputation exercising on floor
Short Arc Quads
  • Place a large towel roll under the knee of your residual limb.
  • Straighten your knee on your residual limb, hold for 5 seconds and release.

     
Woman with below knee amputation exercising on floor

Hip and Knee Bending

  • Lie on your back and bend the knee of residual limb to your chest.
  • Bend it as far as possible and then straighten the knee completely.
  • Return to a starting position.





     
Woman with below knee amputation exercising on floor
Straight Leg Raise
  • Bend your unaffected leg and put your foot flat on the floor.
  • Lift your residual limb toward the ceiling.
  • Keep your residual limb and knee straight.
Man with below knee amputation exercising on floor
 

Hip Out and In (Adduction)

  • Keeping the knee of your residual limb pointed to the ceiling, move your limb out to the side and then back.
     
Man with below knee amputation exercising on floor

Hip Abduction on Side

  • Lie on your side and lift your top leg toward the ceiling. Do not turn your knee up toward the ceiling.
  • Return to the starting position.
  • Repeat.
  • Do this same exercise with your other leg on top.



     
Woman with below knee amputation on her side, lifting leg up

Hip Extension on Side

  • Lie on your side.
  • Push your residual limb straight back behind you.
  • Hold and then return to the starting position.
  • Repeat.


     
Woman with below knee amputation exercising on floor

Bridges

  • Lie on your back with a towel rolled towel under the calf of your residual limb.
  • Tighten the muscles in your upper leg to keep that knee straight.
  • Push down into the towel and lift your buttocks up while keeping your stomach muscles tight.
  • Hold for ____ seconds and then relax.
  • Repeat.
Woman with below knee amputation exercising on floor

Hip Extension Lying Down

  • Lie on your stomach. Lift your residual limb up toward the ceiling keeping your knee straight.
  • Hold and then return to the starting position.
  • Repeat.

     
Woman with below knee amputation exercising

Resisted Hip Abduction (with Theraband)

  • Lie on your back and fasten a belt or theraband around your thighs as low as feels comfortable.
  • Try to pull your legs apart by pushing outward against the belt or theraband.
  • Push as you count to 5.
  • Relax and repeat.
Woman with below knee amputation exercising on floor
Alternative Hip Adduction
  • Lie on your side with your unaffected leg on top.
  • Bring your top leg forward and let your foot rest on the floor in front of you.
  • Lift your residual limb toward the ceiling and back down.
  • Repeat.

     
Woman with below knee amputation lifting up limb
Partial Sit-up
  • Lie on your back.
  • Bend your hips, so the foot of your unaffected leg is resting flat on the floor.
  • Rest your hands on your thighs.
  • Slowly curl up until your head and shoulder blades are off the floor.
  • Look up to the ceiling as you do this exercise.
  • Repeat.


     

Man with below knee amputation exercising on floor

Man with below knee amputation exercising on floor

 

Knee Up Abdominal Crunches
  • Lie on your back on a pad or mat, with your knees bent, foot flat on the floor, and your arms at your sides.
  • Lift your foot, head, and hands off the floor, while you tighten your stomach muscles and flatten your lower back to the floor.
  • Pump your arms up and down slightly.
  • Slowly return to the starting position.
  • Relax and repeat.
Woman with below knee amputation exercising on floor

Limb Lift

  • Kneel down on a mat or pad to cushion your knee. Place a pillow under your foot and lower leg.
  • Balance yourself on your hands and knee. 
  • Lift 1 arm up and hold it, and then place it back down.
  • Lift your residual limb up and hold it, and then place it back down.
  • Lift your other arm up and hold it, and then place it back down.
  • Lift your unaffected leg up and hold it, and then place it back down.
  • Repeat these moves with both legs and both arms 10 times each.

     

Woman with below knee amputation exercising on floor

Woman with below knee amputation exercising on floor

Arm and Leg Lift

  • Kneel down on a mat or pad to cushion your knees. Place a pillow under your foot and lower leg.
  • Balance yourself on your hands a knees.
  • Lift 1 arm and the opposite leg up, hold them there, and then place them back down.
  • Lift the other arm and opposite leg up, hold them there, and then place them back down.
  • Repeat these moves with both legs and both arms 10 times each.
Woman with below knee amputation exercising on floor

© 2012 - July 1, 2019. The Ohio State University Wexner Medical Center.

This handout is for informational purposes only. Talk with your doctor or healthcare team if you have any questions about your care. For more health information call the Library for Health Information at 614-293-3707 or email: health-info@osu.edu.