Throughout months 3 through 4 you will work on functional strengthening with moving forwards and backwards, increasing your cardiovascular fitness and starting a jogging progression, core strengthening and overall lower extremity flexibility. They may recommend gradually working up to it, and avoiding it in the early recovery phase. • Straighten the leg by sliding the heel downward and hold for 5 seconds. The goal is to retrain your running form and technique before any cutting or change of direction. The goal of these videos is to help ... the exercises. • Pull the heel toward the buttocks, flexing the knee. Physical therapy sessions begin to last over 2 hours when they previously lasted about an hour and a half. Phase 1 of post-surgery ACL rehabilitation begins immediately following your reconstruction surgery. Post Surgery: Months 3-4: Jogging Phase; Months 4-5: Agility Phase; Months 5-6: Return to Drills Phase; Months 6-7: Return to Practice Phase; Months 7-8: Return to Competition Phase The mobility and strength exercises recommended here are extremely important to strengthen muscles, increase range of motion and increase blood flow around your knee to promote healing. Phase 1 Goals. 6 . Exercises in the early stage after ACL injury During this early phase simple exercises to maintain pain-free range of movement and some muscle function are useful. Hold for 5 seconds. Months 3-4: Jogging Phase. These exercises will guide you from 3 to 6 months post surgery. Single leg Phase 3 | From an ACL Tear to a Full Recovery. Guide To ACL Reconstruction Rehabilitation Welcome to our ACL Reconstruction Rehabilitation video series. Home. In most cases, your physical therapist or athletic trainer will move you from slow … ACL Rehab Exercises to Include. PHASE 3 – EARLY STRENGTHENING AND COORDINATION (4-6 weeks post-op) GOALS: Improve balance and muscle activation; progress strengthening exercises In phase 3, the rehabilitation workout begins to get significantly more intense. o No swelling/effusion as progressed into phase 4 of rehab. ACL Reconstruction Rehabilitation Protocol 6 3) Heel slides are used to gain final degrees of flexion. The majority of ACL surgery patients will be prescribed a specific exercise program that focuses on regaining range of motion and gradually bearing weight on the knee. It is vital to faithfully adhere to the following program to avoid re-injury to the ACL reconstruction. The goal of the initial rehabilitation phase is to gain full flexion and extension of the knee joint and then build balance and strength. REHABILITATION GUIDELINES FOR ACL REPAIR 3 | P a g e PHASE III (4 – 8 WEEKS) DATES: Appointments Continue physical therapy 1-2x/week as indicated Rehabilitation Goals • Maintain full ROM (should be full extension and to 135° flexion) • Progress neuromuscular retraining program • Core integration Precautions (Phase III continued) Studies have demonstrated that the ACL Rehabilitation Phase 4. Depending on where you are in the recovery process, your physical therapist may likely recommend exercises such as: Hamstring and calf stretches; Passive knee extension exercises; ACL Rehabilitation Phase 1. - 3 - ACL Reconstruction Rehabilitation Protocol One of the most common complications following ACL reconstruction is loss of motion, especially loss of extension. • Exercises: o To be done 3x/week with a warm up period of jogging or biking o Continue Phase 2 and 3 exercises but note the following: § Knee Bends- discontinue when able to do 30 reps, single leg o Heel raises- discontinue when able to do 30 reps. Figure 4: Heel slide - leg is pulled toward the buttocks In Phase 4, you first walk, jog and then run. Loss of knee extension has been shown to result in a limp, quadriceps muscle weakness, and anterior knee pain. ACL REHAB GUIDELINES Clinic/Gym Exercise Program - PHASE I (Weeks 1-2 Post-Op) 2-3 x per week Isolated ACL Reconstruction (without meniscus repair or other ligamentous repair) This protocol details general guidelines for standard ACL rehab with some key exercises/goals in each phase. It is important to be able to straighten the knee fully as well as bend it.
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