Name:  _________________________________   

Time: _______               Day:______________________

Date: _______________      Therapist name: __________________

 

1

Sit up on side of bed

2

Straighten right knee 10 times

3

Straighten left knee 10 times

4

Spread knees apart 20 times

5

Lift right leg up off bed 10 times

6

Lift left leg up off bed 10 times

7

Stand up to walker until bell rings

8

Pedal foot bike until bell rings

9

Straighten right knee with weight 10 times

10

Straighten left knee with weight 10 times

11

Lay back down in bed

 

 

Bedside PT routine