Weeks 0-2:
- WBAT, Brace locked at 0 degrees for ambulation and sleeping
- D/C crutches when gait is non-antalgic
- ROM: 0-90º with emphasis on full extension
- Patella mobilization
- SLR supine with brace locked at 0 degrees, Quad Sets
- Ankle Pumps
- Short crank (90mm) ergometry
Weeks 2-6:
- Brace: unlocked when quad control is adequate
- Discontinued brace when quad control is adequate (typically 4 weeks)
- ROM: 0-125 degrees (Maintain full extension)
- Active knee extension from 40 degrees
- Standard (170mm) ergometry (if knee ROM > 115 degrees)
- Leg Press (80-0 degree arc)
- Mini Squats / Weight Shifts
- Proprioception training
- Initiate Step Up program
Weeks 6-14:
- Progressive Squat program
- Initiate Step Down program
- Leg Press, Lunges
- Isotonic Knee Extensions (90-40 degrees, closed chain preferred)
- Agility exercises (sport cord)
- Versa-climber/Nordic Track
- Retrograde treadmill ambulation
Weeks 14-22:
- Begin forward running (treadmill) program when 8” step down satisfactory
- Continue Strengthening & Flexibility program
- Advance Sports-Specific Agility Drills
- Start Plyometric program
> 22 weeks:
- Advance Plyometric program, Return to Sport (MD Directed)
Other Knee Rehabilitation Protocols
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