REHABILITATION PROTOCOL

Post-Operative

In ROM brace at all times, except may remove for therapy.  Ice to knee.

Phase I:  Protective Phase
Weeks 0 - 2

ROM Brace  20-60°

NWB With Crutches

P.T.

  • (may remove brace)

  • Warm-up x 20 min

  • PROM 10-70°

  • Patellar mobilization

  • Quad & HS isometrics

  • E-Stim

  • Ice and stretch at completion

Phase II:  Mobilization Phase
Weeks 3 - 4

ROM Brace 10-90°

PWB with crutches (50% BW)

PT (Add to Above)

  • Add to above

  • PROM 0-100°

  • Proprioception Activities

  • Modalities as needed

Phase III:  Weight-Bearing Phase
Weeks 5 - 6

ROM Brace

  • unrestricted 0-140°

FWB with crutches

PT (Add to above:)

  • Shuttle run in brace

  • Step-ups

  • Isometrics-Isotonics

  • Strain-Counterstrain

  • Progressive Resistive Exercises (PRE’s)

At 6 weeks may discontinue brace & crutches, continue therapy and develop home program.

ACL With Meniscus Repair

When ACL and meniscus repair done simultaneously, use the ROM-bracing guidelines above, and Weight-bearing status as above, but otherwise follow ACL-Rehab protocol.