meniscus repair exercises pdf
The following is a protocol for postoperative patients following ACL reconstruction and meniscus repair medial or lateral. 1 Reduce joint effusion Cryotherapy elevation ankle pumps.
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Rehabilitation Protocol for Arthroscopic Meniscal Repair This protocol is intended to guide clinicians through the post-operative course for meniscal repair.
. Range of Motion Exercises Knee extension on a bolster Prone hangs Supine wall slides with no push into wall Knee flexion off the edge of the table assisted by other leg or person Suggested Therapeutic Exercise Quadriceps sets Hamstring sets Straight leg raises. MENISCAL REPAIR ALL-INSIDE REHABILITATION PROTOCOL. Bridge Exercise with an Exercise Band Around Your Knees.
Keep your pelvis level as you lift your hipspelvis and buttocks into the air. To avoid placing stress on the meniscus repair do not bend. Heel to buttock in prone Flexion.
The protocol may be modified depending on the location and extent of the meniscal tear and subsequent repair. SL squats SL sit to stand progress resistance on leg extensionleg curlleg pressmachine RDLs lunges multi-direction crunches rotational trunk exercises on static and dynamic. Brace 0 90 for 6 weeks post op 50 weight bearing for 6 weeks post op Use of crutches for 6 weeks post op Painedema reduction Enhance quad recruitment.
Single-leg squats on BOSU with manual perturbation to. Paineffusion control No extensor lag Improve local muscular endurance AMBULATION AND BRACE USE. Therapeutic Exercises 3 times per day.
Post-operative Rehabilitation Protocol Meniscal Repair. Progress to full 6 weeks postop gait progressions depending on pain remove Spangler Exercise. Phase 2-Weeks 2-4 Meniscal Repair Cont WEEK EXERCISE GOAL 2-4 STRENGTH Quad sets with biofeedback SLR in 4 planes with ankle weight Multi-angle isometrics 0-60 Knee extension 90-30 Heel raisesToe raises Leg Press 110-40 Wall squats BALANCE TRAINING Weight shift sideside fwdbkwd Single leg balance Cup walkHesitation walk.
SLR all 4 planes progressive resistance prone ham curls knee 2 off table light theraband. Quad Set SLR. Control pain and swelling 2.
Range of Motion Exercises Knee extension on a bolster Prone hangs Supine wall slides Heel slides caution with posterior medial meniscus repair secondary to the semimembranosus insertion Knee flexion off the edge of the table Suggested Therapeutic Exercise Quadriceps sets Straight leg raises. The first week after surgery. Dont let your pelvis wobble as you move up and down.
MRI images of meniscal injuries and concludes that the injury rate of high-level competitive aerobics athletes is 100 and the top 4 injured parts are the wrist ankle waist and knee. Resisted SLR HS curls. Weight shift exercises at 3 weeks - if weight bearing is allowed.
Exercises to promote successful return to sport and reduce injury risk. Phase 2-Weeks 2-4 Meniscal Repair WEEK EXERCISE GOAL 2-4 ROM 0-120 Passive 0-120 Patellar mobs Gastocsoleus stretch HamstringquadITB stretch Prone hang as needed Heelwall slides to reach goal STRENGTH Quad sets with biofeedback SLR in 4 planes with ankle weight. 0 2 weeks post op.
The Orthopedic Surgeon may modify the time frames and weight bearing status as. Weeks 2 4 Precautions. Hold your knees 4-6 inches apart.
Knee Range of Motion. Avoid forced knee flexion deep squatting and twisting. - Ankle pumps - Knee extensionhamstring stretching with heel prop - Sitting leg dangle to 90 degrees using unaffected leg for support - Patellar mobilizations Stretch in 4 directions.
COPYRIGHT2014CRCBRIANJCOLEMDMBA WEIGHT BEARING BRACE ROM EXERCISES PHASE I 0-2 weeks Full in Brace locked in extension Locked in full extension for sleeping and all activity Off for exercises and hygiene 0-90 when non-. SL squats SL sit to stand progress resistance on leg extensionleg curlleg press machine RDLs lunges multi-direction crunches rotational trunk exercises on static and dynamic. Painedema control Quad recruitment with Time Modulated AC aka Russian Stim Quad.
Continue previous SLR 4 planes LAQ 90-30 Nustep standing multi-hip standing TKE WEEKS 5-7_____ ROM. Sports Cord Resisted progression forward and backward- walking 5. Continue previous addas WB status allows.
2 Normalize range of motion Determined by contralateral knee. MENISCAL REPAIR PROTOCOL P. Performance of the quadriceps hamstrings and trunk dynamic stability.
This protocol is time based dependent on tissue healing as well as criterion based. Front-back shifts on fitter 9. Heel on chair prone hang.
0-120 0-90 Dr Spanger weeks 5-6 Weight Bearing. PROM 0-90 degrees. 90 for all repair types.
Place an exercise band around your thighs above your knees. Limited range knee extension in range less likely to impinge or pull on repair Toe raises Mini-squats less than 90 degrees flexion Cycling no resistance PNF with resistance Unloaded flexibility exercises Phase II. Progressive resistance exercises PREs 1-5 pounds.
The primary goal of this protocol is to protect the reconstruction and while steadily progressing. Pause return back down to the ground. Hamstring and calf stretch.
Activate the quadriceps muscles. Medial lateral proximal distal - Quad isometrics hold for 10 seconds with 5 repetitions. WBAT in brace with crutches.
Exercises Patellar mobilizations Stretch hamstrings and calf Quad sets Straight leg raises Side lying hip abductionadduction Short arc quads 60 to 0 degrees Cryotherapy with elevation for pain and inflammation every hour for 20 minutes Weeks 2 to 6 Brace Brace locked for ambulation and sleeping Exercises. REHABILITATION AFTER KNEE MENISCUS REPAIR. Brace x 6 weeks Locked in extension Crutches PWB in brace EXERCISES.
Moderate Protection- Weeks 6-10. Power walking Week 10-12. Proprioception Trampoline - one leg balance with and without ball toss 6.
Initiate knee motion 3. You can fully extend straighten the knee. Seated Knee extension 60 -0 degrees.
2-4 WEEKS POSTOPERATIVE GOALS. The following protocol is a guideline for rehabilitation following meniscus repair.
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