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6 Stretches that Improve Residual Limb Function

Posted by Bryan Potok on

Stretching—you can take it or leave it. But can you really?

 

If you’re someone who exercises regularly and stays active, you may not notice anything for a while. Your diet's okay, you stay lean, and you look just as great as you feel. You may ask yourself: Why do I need to stretch?

 

Prosthetic stretches to improve stump function.

 

It's a common mistake to think that stretching is exclusive to yogis and runners—that is until you wake up one morning with a flinching pain in your lower back. Your instincts kick in and you stretch for a bit, feeling temporary relief. You go on about your day as usual, and you forget about the pain you felt that morning. You head back to the gym like the beast that you are.

 

It becomes a cycle. There will be days when you feel like you need a stretch. The pain persists but you don’t think it's a big deal. You forget about it again, but the villainous pain on your lower back doesn’t give you a respite anymore. This is when you figure out that something's wrong.

 

So, what happened?

 

Your prosthesis becomes your main suspect for this injury, however, it can be isolated from wearing a prosthetic in the first place. This is a type of pain that could have been avoided.

 

Because you haven't been regularly stretching, your hip flexors tighten. If you're an above-knee amputee, the tighter your hip flexors are, the more work and strain is required from your lower back. As your hamstrings get tighter, your pelvis gets pulled down with them, which then changes your spine's curvature.

 

As it gets worse from sitting all day, your hamstring retracts, the lumbar curve vanishes, and your posture gets bad. Say hello to vertebral herniation (a.k.a. slip disc).

 

Now you know what the problem is, what should you do?

 

It's time to get moving and get your muscles working. This can be the push you need to finally sign up for a beginner’s yoga class. Or you can also stretch at home with these 8 moves:

 Prosthetic stretches to help mobility.

(photo courtesy of Amputee Coalition)

 

Knee Flexor or Hamstring Stretch

  • Sit on the edge of a hard furniture, like a sofa.
  • Point the leg you'll be stretching in front of you.
  • Hang your opposite leg to the side.
  • Gradually lean forward until you feel some resistance in the back of your extended leg.
  • Remember not to bounce!

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Lying down stretches for amputees.

(photo courtesy of Amputee Coalition) 

Prone Position (Face Down)

  • Lie on your stomach.
  • If you're a below-knee amputee, place a towel under your leg above your knee, or close to the end of your residual limb if you're an AK amputee.
  • Keep enough leverage on the front of your hip and thigh.

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    Prosthetic stretches for aka amputee. 

    (photo courtesy of Amputee Coalition) 

     

    Supine Position (Face Up)

    • Sit on the edge of a bed or mat.
    • Lie back while you grab the opposite leg from the one you'd stretch.
    • The stretched residual limb should be hanging in the air.
    • Apply the pressure downward to your residual limb with an ankle weight or ask another person for support.

      ------------------

       

      Arm amputee flexor stretch 

      (photo courtesy of Amputee Coalition) 

       

      Flexor Stretch

      • On a table or hard surface, place your residual limb horizontally with a rolled towel under your arm just above your elbow.
      • Apply downward pressure to the end of your residual limb until you feel a stretch.

         ---------------------------

         

        Arm amputee extension and flexion exercises.

        (photo courtesy of Amputee Coalition) 

         

        Extensor Stretch

        • Bend your residual limb at the elbow as far back as you can.
        • Apply some pressure to the back of your forearm until you feel a stretch.

        Shoulder Stretch

        If you have an upper limb that's amputated, you may have noticed that you have limited shoulder motion due to decreased activity. To remedy this, make sure to include some shoulder stretches daily to keep your shoulder working.


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        6 comments


        • It would be really helpful if you provided a PDF version that could be printed. Thanks!

          Jeanne Garlach on

        • Sorry, I should have known better and added photos initially. I just added the photos above courtesy of amputee-coaltion.org.

          Bryan P on

        • Would please add some photos of the stretches described? It’s a little difficult to imagine what to shoot for. Thanks.

          Stephen Zacks on

        • IVE BEEN RECIEVING DAILY EMAILS FOR 2 MONTHS ,THIS 8 7 2018 THE BEST EVER ,!! FINALLY SOME ARTICLE ON US 1% ABOVE THE KNEE ,MY DOCTERS PROSTECTICS ALL SAY 95% AMPUTEES BELOW KNEE MOSTLY DUE TO DIABETIS NOT ACCIDENT S , FINALL ALWAYS IN PAIN !!! NOW I KNOW WHY . LAST 10 YRS WORST OF LIFE I HAD NO HELP LAST 10 MOSTLY CRUTCHED BECAUSE TO PAINFUL TO WALK AND NEVER STREATHED ONE DAY 18 YRS ,I ASKED MY GREAT PROTESES DR FIRST 5 YRS ABOUT A SILACONE LINER ,BOTTOM OF LIMB FOR YRS NOTHING ,THATS WHY ON ALL DRUGS TO WORK ONLY WAY TO PAIN FULL ,NOW YOU HAVE THESE LINERS ,CAN SOMEONE GET BACK TO ME ON THE SOCK GEL LINERS ,DO YOU PUT OVER LIMB AND THEN IN SOCKET AND ITDOESENT SLIP OUT ? ALSO WHICH GEL TO USE FOR GROIN AREA , DO I PUT ON SKIN AND EDGE OF SOCKET ,? MY PROBLEM WORKING NOW DONT ALAAYS BECAUSE 100 DEGREES OUT DO 100 STOPS ADY IN AND OUT THEN THE SWET DRY IN SOCKET THEN LOOSEN BACK UP OUT SIDE CAR THEN DRYS INSIDE XCAR MAKING ROUGH SURFACE ,IM GOING STELLER FIRST TIMENEXTWEEK I CAN WAIT ,GREAT ARTICLES IF YOU NEED ANY HELP WITH WHAT I KNOW ABOUT PROBLEMS ABOVE KNEE CONTACT ME ,THE SOCKET IS KEY ON AK ID RATHER CRUTCH IF SOCKET LINER NOT CORRECT ,CHUCK

          CHUCK HULTBERG on

        • Yeah, definitely need drawings here; am I the only one confused by most of these instructions? I can certainly appreciate the article but the way some of these are written are not very clear.
          In regards to the first one: are sofas hard? Also, with the rolled up towel, may want to also add “using your arms to push your top half up, while keeping the hip bone as close to the floor as possible” something like that. That has helped me a lot, especially in my first year as an amputee.
          Just a thought.

          But in all seriousness, diagrams would be a huge help. Im sure others more visual than I could understand the directions better.

          Otherwise, thank you for the article.

          Erik on


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