Total Knee Replacement Rehabilitation

A total knee replacement gives you a new joint. What you do with it depends on your rehab. At Forward, we don’t hand you a sheet of exercises — we build a structured, progressive program with objective measurements at every stage. You and your surgeon know exactly how your recovery is tracking because we measure it.

We built our Return+ total knee protocol across seven phases — from day one through your one-year milestone. We track ROM symmetry, quad and hip strength with limb symmetry index, gait speed, stair performance, and the KOOS JR outcome measure. Blood flow restriction training lets us build quad strength early, when your knee can’t handle heavy load but your muscles need the stimulus.

• Range of motion — flexion and extension tracked against your other side
• Quad & hip strength — dynamometry with LSI at each phase
• Gait speed — functional walking capacity (≥ 3.9 ft/s community threshold)
• 5x Sit-to-Stand — functional lower extremity power
• KOOS JR — validated knee function score
• Pain monitoring — ≤ 2/10 for progression

We work directly with your orthopedic team. Return+ generates reports with ROM, strength ratios, functional scores, and patient-reported outcomes at every stage. Your surgeon sees objective data — not a generic update. Better data drives better decisions for your care.