Begin pool workouts after the incisions are healed and with the use of the brace. Continue with pain control, range of motion, gait training, balance/proprioception and soft tissue treatments.
Leg raises (30 degrees of knee bend with brace on) (lying, seated, and standing), quadriceps/adduction/gluteal sets, passive and active range of motion exercises within guidelines, well-leg stationary cycling.Soft tissue treatments, gentle mobilization to posterior musculature and patella.
#ACL PROTOCOLS FULL#
Icing and elevation as per icing protocol (please see handout for full details).Nurse visit day 2 to change dressing and review home program.Patients are given a functional assessment/sport test at 3 months, 6 months, 1 year.Begin physical therapy as soon as able for soft tissue mobilization, anti-inflammatory modalities, and general conditioning.Exercises should focus on early muscular recruitment.Soft tissue mobilizations to the incisions to decrease fibrosis and scarring portals must be completely closed and authorization must be obtained from Dr.Patient to wear knee brace while sleeping for 4 weeks post-op.Crutches to assist weight bearing progressing to full as tolerated with brace.Do 2 sets of 1 minute each time (therefore 4 sets of extension per day and 4 sets of flexion per day). At 2 weeks post-op, come out of the brace twice a day for extension (straightening) and flexion (bending) range of motion stretching to full range as tolerated. OK to stretch into flexion per patient comfort 2x/day immediately post-op. *Avoid any extension beyond 30 degrees for 2 weeks post-op. Passive and active range of motion between 30 - 70 degrees for 4 weeks.Ankle and foot rehabilitation protocols.
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