Leg Exercises for Rehabilitation: Addressing Mobility Concerns - Rehabilitation

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Leg exercises


Hello Director Chen: My father is a janitor, and his exhausting job has caused him to experience pain all over his body.
He doesn't have time to go to rehabilitation every day.
A therapist taught him some leg exercises, instructing him to hold onto a stable object and to lift his right foot to touch his buttocks and then lower it, doing this 10 times before switching to the left foot.
He is very diligent in doing this, and he believes he is not that old, but he is unable to touch his buttocks.
Does this inability indicate a decline in physical fitness? Thank you for your response!

Rico, 20~29 year old female. Ask Date: 2007/06/09

Dr. Chen Xianchang reply Rehabilitation


Hello, thank you for your inquiry.
Here are my responses and suggestions: 1.
It may be due to tightness in the hip flexors rather than a decline in physical strength.
2.
The therapist has taught stretching exercises; if they are difficult to perform, you can start with the antagonist muscle exercise (lying face down and lifting the straightened thigh) before attempting the aforementioned stretches.
Both stretching and strength training are long-term rehabilitation exercises that require patience and gradual progression.

Reply Date: 2007/06/09

More Info


Understanding leg exercises for rehabilitation is crucial, especially for individuals like your father who have physically demanding jobs and may experience mobility concerns. It’s commendable that he is taking the initiative to engage in leg exercises, as regular movement is essential for maintaining strength and flexibility, particularly in older adults or those with physically taxing occupations.

First, let’s address the specific exercise your father is performing. The exercise involves bending the knee and bringing the heel towards the buttocks, which is a common stretch for the quadriceps and hip flexors. If he is unable to touch his heel to his buttocks, it does not necessarily indicate a decline in physical fitness or strength. Instead, it could be attributed to several factors, including tightness in the muscles, limited range of motion in the joints, or even a lack of flexibility.
Muscle tightness is often a result of prolonged periods of physical activity without adequate stretching or recovery. For someone who works as a cleaner, repetitive movements and sustained postures can lead to muscle shortening, particularly in the hip flexors and quadriceps. This tightness can restrict his ability to perform certain movements, such as bringing his heel to his buttocks. Therefore, it’s essential to incorporate stretching exercises into his routine to improve flexibility.

Here are some recommendations to enhance his leg exercise routine:
1. Warm-Up: Before starting any exercise, a proper warm-up is essential. This could include light walking or gentle leg swings to increase blood flow to the muscles.

2. Stretching: Incorporate dynamic stretches before the leg exercises. For example, he can perform standing quadriceps stretches by pulling one foot towards his buttocks while standing and holding onto a stable surface for balance. If he cannot reach his heel, he can use a towel or strap to assist in the stretch.

3. Strengthening Exercises: In addition to flexibility work, strengthening exercises are vital. Simple exercises like leg lifts, squats, or lunges can help build strength in the legs. These can be modified to suit his current fitness level.

4. Gradual Progression: Encourage him to gradually increase the intensity and duration of his exercises. If he finds it challenging to perform a specific movement, he should not hesitate to modify it or reduce the number of repetitions until he builds more strength and flexibility.

5. Rest and Recovery: It’s important to listen to his body. If he experiences pain or discomfort, he should allow adequate time for recovery. Overworking can lead to injuries, which would hinder his rehabilitation progress.

6. Consultation with a Professional: If possible, it may be beneficial for him to consult with a physical therapist or a rehabilitation specialist. They can provide personalized guidance and ensure that he is performing exercises correctly and safely.

In conclusion, not being able to touch his heel to his buttocks does not necessarily indicate a decline in physical fitness. It is more likely a reflection of muscle tightness or limited flexibility. By incorporating a balanced routine of stretching, strengthening, and proper recovery, he can improve his mobility and overall physical health. Regular movement and exercise are key to maintaining function and reducing pain, especially for someone engaged in physically demanding work. Encourage him to stay consistent and patient with his rehabilitation journey.

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