Weight Bearing | Brace | ROM | Exercises | |
---|---|---|---|---|
Phase I 0-6 weeks |
TTWB* for balance only | 0-2 Weeks – locked in full extension for ambulation and sleeping
2-6 weeks – Rebound/ PCL stabilizing brace full time** |
0-2 Weeks: Passive prone ROM 0-90
2-6 weeks: progress passive prone motions |
SLR w/ brace in full extension until quad strength prevents extension lag
Side-lying hip/core Active Hamstring avoidance until 6 weeks post-op |
Phase II 7-12 weeks |
Progress to full | Continue until 24 weeks | Full | Begin toe raises, closed chain quads, balance exercises, hamstring curls, stationary bike, step-ups, front and side planks; advance hip/core |
Phase III 13-16 weeks |
Full | Continue until 24 weeks | Full | Advance closed chain strengthening
Progress proprioception activities Begin stairmaster, elliptical and running straight ahead at 12 weeks |
Phase IV 17-24 weeks |
Full | Continue until 24 weeks | Full | 16 wks: Begin jumping
20 wks: Advance to sprinting, backward running, cutting/pivoting/changing direction, initiate plyometric program and sport-specific drills |
Phase V > 6 months |
Full | None | Full and pain free | Gradual return to sports participation |
*Modified with concomitantly performed meniscus repair/transplantation or articular cartilage procedure
**Brace may be removed for sleeping at 4 weeks post-op
Other Knee Rehabilitation Protocols
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