| Weight Bearing | Brace | Rom | Exercises | |
|---|---|---|---|---|
|
phase I 0-2 weeks |
Heel-touch only* |
On at all times during day and while sleeping** Off for hygiene |
0-90° at home |
calf pumps, quad sets SLR in brace, modalities |
|
phase II 2-6 weeks |
Heel-touch only |
Off at night Open 0-90 and worn daytime only |
Maintain full extension and progress flexion to full |
Progress non-weight bearing flexibility; modalities Begin floor-based core and glutes exercises Advance quad sets, patmobs, and SLR |
|
phase III 6 weeks-8 weeks |
Advance 25% weekly and progress to full with normalized gait pattern |
None |
Full |
Advance closed chain quads, progress balance, core/pelvic and stability work Begin stationary bike at 6 weeks Advance SLR, floor-based exercise |
|
phase IV 8-16 weeks |
Full |
None |
Full |
Progress flexibility/strengthening, progression of functional balance, core, glutes program Advance bike, add elliptical at 12 wks as tolerated Swimming okay at 12 wks |
|
phase V 16-24 wks |
Full |
None |
Full |
Advance Phase IV activity Progress to functional training, including impact activity after 20 wks when cleared by MD |
*WB status to be confirmed on patient’s specific PT Rx
**Brace may be removed for sleeping after first post-operative visit (day 7-10)
Other Knee Rehabilitation Protocols
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