| Time after Reconstruction |
Rehabilitation Protocol
|
| Day 1 |
CPM, rigid knee immobilizer in
full extension for walking, weight-bearing as tolerated without crutches. |
| 2 - 3 Days |
CPM, passive ROM 0°
- 90° (emphasis on full extension), weight-bearing
as tolerated without crutches. |
| 2 - 4 Days |
Discharge from hospital, CPM at
home. Note: prerequisite to discharge is 1) satisfactory pain management,
2) full extension symmetrical to opposite knee, 3) able to do SLR for leg
control, and 4) full weight-bearing with or without crutche s. |
| 7 - 10 Days |
ROM terminal extension, prone
hangs 2 pounds, if patient has not achieved full extension, towel extensions,
wall slides, heel slide s, active assisted flexion, strengthening - knee
bends, step-ups, calf raises, weight-bearing - partial to full weight-bearing,
gradual elimination of required use of knee immobilizer. |
| 2 - 3 Weeks |
ROM 0°
- 110°, unilateral knee bends, step-ups,
calf raises, Stairmaster, weight room activities: leg press, quarter squats,
and ca lf raises in the squat rack, stationary bike, swimming, custom-made
functional knee brace with no preset limits (to be used at all times out
of the home for the next 4 weeks, sample
exercises. |
| 5 - 6 Weeks |
ROM 0°
- 130°, isokinetic evaluation with 20°
block at 180 and 240 degrees/se cond, when strength is 70% of greater than
the opposite unoperated knee, the patient can begin lateral shuffles, cariocas,
light jogging, jumping rope, agility drills, weight room activities, stationary
bike, and swimming. Note: functional brace discontin ued (except for sport
activities) when muscle tone and strength are sufficient. |
| 10 Weeks |
Full ROM, isokinetic evaluation
at 60, 180, 240 degrees/second, KT-1000, increased agility workouts, sport
specific activities. |
| 16 Weeks |
Isokinetic evaluation, KT-1000,
increased agility workouts. |
| 4 - 6 Months |
Return to full sports participation
(if patient has met criteria of full ROM, no effusion, good knee stability,
and has completed the running program). |
