Stem Cell Transplant Exercise Program: Level 2

This information describes Level 2 of an exercise program that will help you throughout the course of your stem cell transplant and during your recovery.

This exercise program works the major muscle groups that you use for everyday activities. It will help prevent stiffness and decrease the effects of bed rest and not being able to move. Your physical and occupational therapists will help guide you with this program.

You should stop any exercise that causes you pain or discomfort and tell your occupational or physical therapist.

Exercises


Figure 1.

Standing side kicks

  1. Hold on to a locked bedrail, chair, or countertop. Stand up straight. Do not lean to the side or forward.
  2. Keeping your toes pointed forward, lift your right leg out to the side (see Figure 1).
  3. Lower your leg back to the floor.
  4. Repeat 10 times.
  5. Repeat the exercise with your left leg.

 

 

 

 

 


Figure 2.

Standing backward kicks

  1. Hold on to a locked bedrail, chair, or countertop. Stand up straight.
  2. Keeping your knee straight, extend your right leg behind you (see Figure 2). Do not lean forward.
  3. Lower your leg back to the floor.
  4. Repeat 10 times.
  5. Repeat the exercise with your left leg.

 

 

 

 

 


Figure 3.

Mini squats

  1. Hold on to a locked bedrail, chair, or countertop. Stand with your feet shoulder width apart.
  2. Slowly bend your hips and knees until your knees are at a 45-degree angle (see Figure 3).
  3. Slowly straighten your hips and knees to return to an upright position.
  4. Repeat 10 times.

 

 

 

 


Figure 6.
         
Figure 5.

Sit to stand

  1. Sit in a stable chair.
  2. Using your arms to help you, slowly stand up (see Figure 4).
  3. Pause briefly in the standing position (see Figure 5). Then, slowly lower yourself back down to a seated position.
  4. Repeat 5 times.
  5. To make this exercise more challenging, place your hands on your knees or across your chest as you stand up.

 

 


 


Figure 6.

Heel raises

  1. Hold on to a locked bedrail, chair, or countertop.
  2. Stand up straight with your feet about 6 inches apart.
  3. Slowly push up onto your toes, lifting your heels off of the floor (see Figure 6).
  4. Slowly return to the starting position.
  5. Repeat 10 times.

 

 

 


 


Figure 7.

Bridging

  1. Lie on your back with both knees bent and your feet on the bed. Keep your arms at your sides.
  2. Tighten your abdominal muscles and buttocks.
  3. Push through your feet and lift your buttocks 3 to 4 inches off the bed (see Figure 7).
  4. Hold for a count of 5.
  5. Slowly return to the starting position.
  6. Repeat 10 times.

 


Figure 8.
         
Figure 9.

Seated push-ups

  1. Sit comfortably in a chair with armrests. Keep your back straight, shoulders back, and head facing forward.
  2. Place your hands on the armrests of the chair. Move your feet shoulder width apart.
  3. Position yourself as if you were going to stand up (see Figure 8).
  4. Straighten your elbows and lift your buttocks off the seat. Lift your buttocks as high as you can until your elbows are straight (see Figure 9).
  5. Bending your elbows, slowly lower yourself back onto the seat of your chair.
  6. Repeat 10 times.

 

 


Figure 10.

Clamshells

  1. Lie on your side, with your legs bent and your knees and ankles together.
  2. Keeping your ankles together, slowly raise your top knee (see Figure 10).
  3. Hold the position for a count of 5.
  4. Slowly return to the starting position.
  5. Repeat 10 times.
  6. Repeat on the other side.