Acl protocol manual#
Acl protocol skin#
Acl protocol full#

Exercises to regain hyperextension вЂ“ hamstring and gastrocnemius stretching, prone hang, manual overpressure, seated heel props with bag hang and/or with cuff weights.High intensity neuromuscular electrical stimulation.Exercises should include but are not limited to: Closed kinetic chain (CKC) exercises should be performed in the protected range of 0-45В° of flexion and open kinetic chain (OKC) knee extension exercises should stay in the protected range of 90-60В° of flexion. The post-operative brace may be removed for treatment. Goals for Phase 1 include restoration of ROM and mobility, management of pain and edema, and initiation of strengthening with emphasis on the quadriceps. They physician may also order an MRI to assess graft healing to assist in making return to sports activity decisions. These times may be longer if the patient also had a concomitant procedure such as a meniscal repair, microfracture/articular cartilage procedure and other ligament injury or procedure. These times are estimated based on graft healing and are dependent upon the patient passing functional testing in physical therapy that assesses strength and neuromuscular control. MICROFRACTURE or ARTICULAR CARTILAGE PROCEDURE : Patients that also undergo a microfracture or articular cartilage procedure will be NWB for 4 weeks, 50% WB for 2 weeks, then WBAT after 6 weeksД®stimated Return to Sport Milestones (based on graft healing time and passing functional testing):.MENISCUS REPAIR: Patients that also undergo a meniscus repair procedure will be NWB for 4 weeks, 50% WB for 2 weeks, then WBAT after 6 weeks.The brace will be worn at least 6 weeks for combined ACL/MCL procedures, concomitant meniscal repairs, and microfracture procedures.Special weightbearing guidelines for concomitant procedures The patient has no increased knee pain or swelling with independent weightbearing.does not walk with вЂњbent kneeвЂќ gait pattern)

Acl protocol full#

The patient is able to walk and maintain the knee in full extension without use of assistive device (i.e.

The patient will initially be WBAT with 2 crutches for 4 weeks they will then transition to one crutch before walking without the crutches over the next 2 weeks.

The patient demonstrates normal pain-free walking without an increase in swelling.

Active knee extension is measured via straight leg raise.

The patient has full and equal passive and active knee hyperextension and >100В° flexion.

The patient is at least 4-6 weeks post-op.

It is unlocked for walking once the patient reaches full knee hyperextension, usually 1 week post-op. The post-op brace is locked in extension initially for the first week with the exception that it may be unlocked for post-op exercises and CPM use.

Must pass driving test for R knee: While sitting, complete 8 fast foot taps over shoe then stand up.

For L knee surgery, patients may drive after 1 week as long as they have an automatic and have stopped taking narcotics.

As long as they are in the brace, patients are medically liable if in an accident.

For R knee surgery, no driving for 4-6 weeks.

Weight-bearing as tolerated immediately after surgery unless otherwise instructed.

Must be cleared by physician and/or physical therapist to begin walking without assistive devices Use of crutches and brace for ambulation for 4-6 weeks.The brace will be locked in extension for gait and sleep for the first week.Showering is allowed after the surgical dressing is removed a waterproof dressing is not needed as the incision can get wet.

Acl protocol skin#

No bathing or submerging the wound in water until the sutures have been removed, the scabs have fallen off, and the skin is completely closed.

Patients may begin the following activities at the timeframes indicated (unless otherwise specified by the physician): Activities of Daily Living Guidelines Following Surgery All patients will be issued a neuromuscular electric stimulation unit (NMES) for home use with guidelines. Formal physical therapy and sport specific training will last 8-12 months.