Rehabilitation of Gonoarthrosis 'Passive & Active Protocols'

Identify knee landmarks, including the patella (superior, inferior, lateral, medial) and tuberosity of the tibia, palpate intra articular spaces, and locate the tendon of the quadriceps muscles at the tuberosity.

Highlighting passive mobilization for the patella, the therapist relaxes the quadriceps, identifies medial and lateral borders, and performs medial, lateral, and superior–inferior mobilizations while monitoring pain and progression.

Apply quadriceps and hamstrings massage using effleurage, petrissage, friction, and stretch, from distal to proximal and vice versa, targeting vastus medialis, vastus lateralis, rectus femoris, and hamstring fibers.

Prone patient, ankle outside bed, head supported. Use the ankle and sacrum to mobilize the knee with 5–10 painless flexion repetitions, then extend to the pain-free limit.

Guide passive knee mobilization in sideline position, moving from flexion to extension in 5–10 series, with range of motion limited by pain and gradually increasing toward full range as tolerated.

Learn isometric knee exercises for the quadriceps and hamstrings using active and passive protocols in a supine position, with therapist-assisted resistance, timed contractions, and 5–10 series for knee rehabilitation.

Apply mulligan technique for knee problems in a supine patient, stabilize near the knee, and perform a lateral glide from flexion to extension for 6–10 repetitions to yield peel effect.

Perform a medial glide mobilization in supine position for restricted knee extension, right hand on distal femur and left on proximal tibia and fibula, starting from flexion with 6–10 mobilizations.

From supine, perform lateral glide with lateral rotation on the knee, stabilize the distal femur and proximal tibia/fibula, then move from flexion to extension; repeat 6–10 times for three sets.

Perform the medial glide in the supine position, then apply medial rotation of the knee to address gonarthrosis, stabilizing the fibula and femur, with mobilization 6–10 times for three sets.

Use the Mulligan technique with a belt to create lateral glide during knee flexion in prone; fix the belt near the joint and move with the femur for 6-10 repetitions.

Prone position with a belt performs mulligan knee extension mobilization from flexion to extension with a lateral glide, 6–10 repetitions in three sets under physiotherapist guidance.

Use a Mulliken belt on the proximal tibia and fibula to create a lateral glide in loading position, guiding knee flexion and extension; perform 6–10 repetitions.

Use a belt to perform a medial glide of the knee in a loading position, with hands on tibia and fibula, transitioning from flexion to extension and repeating six times.

Apply two strips of kinesio taping to the anterior knee for edema in gonarthrosis; cut into four to five branches, fix without stretching, and use passive knee movement to activate.

In the prone position, perform isotonic hamstring strengthening with knee flexion against the physiotherapist's resistance in sets, then strengthen the quadriceps from flexion to extension with resistance and isometric holds.

Perform isokinetic knee strengthening in the sideline position, with the physiotherapist applying resistance during flexion and extension to train hamstrings and quadriceps while stabilizing the pelvis.

Guide progressive isotonic knee and hip strengthening from supine to sitting against gravity, with the physiotherapist stabilizing the distal femur and tibia to assist passive extensor movements in series.

isometric theraband exercises in a seated position use a band fixed at the ankle while the therapist provides resistance during knee extension, strengthening the quadriceps through 5–10 repetitions.

Perform prone-position isotonic knee exercises with sand weights at the ankle, starting at 1 kg and increasing to 2–3 kg; include isometric knee flexion and 5–10 reps of knee extension.

Improve knee rehabilitation from gonoarthrosis with sideline isotonic exercises using sand weights in a light position, promoting knee flexion and extension through active and passive movements.

Sit in the sitting position and perform knee extension and flexion with sand weights to activate quadriceps, one hand at the femur and the other at the ankle, 5–10 reps.

Practice progressive proprioceptive exercises in gonoarthrosis rehabilitation using a proprioceptive table or pillow to shift weight between legs and from toes to heels, with eyes open and closed, under supervision.

Learn to walk with crutches in a three-step cycle: both crutches, pathologic leg, then normal leg; progress to four-step cycles with two crutches and then one crutch.

Guide gait training without crutches with a support stick, starting heel-first and toe cycle, then progressing through military gait, cross walking, and supination.

Guide patients through a bike exercise in ten minutes to improve knee flexion and extension, addressing pain that limits maximum range during rehabilitation.

Demonstrates bike-based exercises to achieve maximum knee extension, guiding patients to pedal for 5–10 minutes at the end of physiotherapy sessions to promote axial knee movement.