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Leg lifts (raises) – Start position Leg lifts (raises) – End position Fig ure 3 Fig ure 2 Plank without a prosthesis Gluteal exercises (Figures 4 and 5) and obliques can be done on a flat surface or standing or with a weight machine. If you’re an above-knee (AK) or knee disarticulation (KA) amputee, then lying on a flat surface on your back with a towel or small pillow under your limb(s) will be needed (Figure 4). Press your limb(s) downward as hard as you can so your glutes rise up. Tighten your glutes as much as you can and hold that position for a count of five. Try to do three sets of 20 repetitions. You can also do this if you’re a below-knee (BK) amputee; I find it more comfortable to take my prosthesis off during this exercise. If you’re a BK, another option is to be on your hands and knees on a flat surface and press your limb upward to the ceiling while squeezing your gluteal muscles with each repetition (Figure 5). I like to do at least three sets of 20 repetitions. Avoid using momentum, and hold your limb up for at least a count of two before lowering it. Tuck your limb inward toward your chest before returning it upward toward the ceiling. If you’re comfortable wearing your prosthetic leg(s) and you belong to a gym, you can try to use a weight machine called a “Butt Blaster.” To use it, you are positioned on your hands and knees, and place one foot on a plate and push the plate upward. I have always found this awkward, so my preference is on a flat surface. If you’re able to wear your prosthesis, you can also try a glute bridge. In this case, you lie flat on your back with your knees bent; place your hands by your side and raise your glutes up as high as you can and hold that position for a count of five to 10 seconds. Try to do three sets of 20 repetitions. Fig ure 4 Contact the Amputee Coalition at 888/267-5669 or amputee-coalition.org 35 Fig ure 5 Exercise photos provided by Cindy Asch-Martin Glutes: Downward push – Start position Glutes: Downward push – End position Glutes: Upward thrust – Start position Glutes: Upward thrust – End position


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