Phase 1. Weeks 1-2 (Visits: 2-4)
Phase 1 of rehabilitation focuses on maintaining reasonable range of motion in spite of the surgical inflammatory response.
General observation | Non-weight bearing, maximum protection | |
Bivalved cylinder cast | ||
Must avoid hyperextension, varus loads, lateral joint opening | ||
Evaluation | Goals | |
Pain | Controlled | |
Hemarthrosis | Mild | |
Patellar mobility | Good | |
ROM minimum | 0-90 degrees | |
Quadriceps contraction & patella migration | Good | |
Soft tissue contracture | None | |
Frequency | Duration | |
Range of motion | ||
3-4x/day, 10 mins | ROM (passive, 0°-90°) | |
Patella mobilization | ||
Ankle pumps (plantar flexion with resistance band) | ||
Hamstring, gastroc-soleus stretches | 5 reps x 30 secs | |
Strengthening | ||
3x/day, 15 mins | Straight leg raises (flexion) | 3 sets x 10 reps |
Active quadriceps isometrics | 1 set x 10 reps | |
Knee extension (active-assisted, 90°-30°, per quad control) | 3 sets x 10 reps | |
Modalities | ||
As required | electrical muscle stimulation | 20 minutes |
cryotherapy | 20 minutes | |
Goals | ROM 0°-90° | |
Adequate quadriceps contraction | ||
Control inflammation, effusion |
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