The Knee Learning Resource
Below I have given you an overview of our own rehabilitation protocol for this phase, and on the right you will be able to click through to the detailed protocols for each phase.
| General observation | No effusion, painless ROM, joint stability Performs activities of daily living, can walk 20 minutes without pain ROM 0°-130° Custom medial unloader brace or hinged soft tissue brace |
|
| Evaluation | Goals | |
| Pain | Minimal/No RSD | |
| Manual muscle test | 4/5 | |
| Swelling | Minimal | |
| Patellar mobility | Good | |
| Crepitus | None/slight | |
| Gait | Symmetrical | |
| Frequency | Duration | |
| Range of Motion | ||
| 2x/day, 10 mins | Hamstring, gastroc-soleus, quad, ITB stretches | 5 reps x 30 secs |
| Strengthening | ||
| 2x/day, 20 mins | Straight leg raises, rubber tubing (high speed) | 3 sets x 30 reps |
| Hamstring curls (active, 0°-90°) | 3 sets x 10 reps | |
| Knee extension with resistance (90°-30°) | 3 sets x 10 reps | |
| Leg press (70°-10°) | 3 sets x 10 reps | |
| Multi-hip machine (flexion, extension, abduction, adduction) | 3 sets x 10 reps | |
| Closed-chain: Mini-squats (rubber tubing, 0°-40°) | 3 sets x 20 reps | |
| Balance training | ||
| 1-3x/day, 5 mins | Balance board/2 legged | |
| Single leg stance | ||
| Aerobic conditioning (patellofemoral precautions) | ||
| 3x/week, 20 mins | Water-walking | |
| Swimming (kicking) | ||
| Walking | ||
| Stair machine (low resistance, low stroke) | ||
| Ski machine (short stride, level, low resistance) | ||
| Modalities | ||
| As required | Cryotherapy | 20 minutes |
| Goals | Increase strength and endurance |
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