Exercises from physiotherapy under stress

As soon as it is possible for the patient to get up, this should also be done to make the physiotherapy more effective. It should be trained with patience, listen to the body and never ignore pain. Small progress will show you that things are steadily improving.

An education of the patient and the inclusion of his individual abilities are essential.

While standing, first take a few steps on the spot and check the circulation. Take your time until you feel secure on your feet.
If the fracture is located on the lower extremity, a physiotherapist will help you learn to walk with crutches and especially train the abductors, which stabilize the pelvis. Depending on the surgeon’s instructions, a partial weight-bearing is initially required. Go to the scales once a day and try to get a feeling for the permitted weight.
In the following days, the patient learns to climb stairs and the walking distance is extended until the patient becomes increasingly safe.
The physiological load is decisive for the bone to grow together!
As soon as the bone is stable, the strengthening and stretching of surrounding muscles is immediately started in physiotherapy. Care should be taken not to expose the bone to shear forces and, despite much practice, to maintain the necessary regeneration time to avoid overloading.
Once the full load is reached, the depth sensitivity of the legs in particular must be trained for a safe gait.For this purpose, from the field of physiotherapy, wobble boards, uneven surfaces or simply standing on a rolled up ceiling are particularly suitable.
The so-called PNF concept is suitable for relearning physiological movement patterns and for moving and strengthening the muscles appropriately. Muscle chains are trained in movement patterns stored in the brain.
The concept can be adapted to the different phases of wound healing: from passive movement, to helping movement, to independent execution and strengthening. A full range of movement, everyday activities and independence are re-learned. In the case of an arm fracture, this may involve lifting a heavy object, and in the case of a leg fracture, “simple” walking until the return to sport.