Early activity following PCL repair can lead to increased laxity. 175 Cambridge Street, 4th floor Boston, MA 02114 Tel: 617-726-7500 Posterior Cruciate Ligament Reconstruction This protocol is a guideline for your rehabilitation after posterior cruciate ligament reconstruction. The PCL is rarely injured in isolation. NO hamstrings strengthening** Exercises Gait training, pain and edema control, and muscle stimulation to improve quadriceps recruitment. PCL Non-Operative Rehabilitation Protocol Page 4 of 3 Progress SLB activities as tolerated Exercises/Functional Training: CKC exercises to improve functional strength: o Mini-squats o Wall slides o Unilateral step-ups o Leg press o Isotonic quad PRE Proprioceptive training follows strengthening: slide board Return to Sports when: REHABILITATION GUIDELINES FOR PCL RECONSTRUCTION WITHOUT MENISCUS REPAIR OR CHONDRAL REPAIR PROCEDURE: Stage 1(Day 1-4 weeks): ROM: hinged splint locked in full extension, pillow under calf with leg elevated, patellar mobilizations, gradually increase ROM 0-90 degrees, brace during sleep for 6 weeks, but The focus of this rehab protocol is on Title: Microsoft Word - NonOperative Rehabilitation Program for PCL Deficient Knee.doc Author: Gregory Hall Created Date: 8/29/2011 7:01:34 PM Secondary stabilizer resisting tibial external rotation as well as valgus/varus stresses. How to do the exercises. Exercise/ Functional Training: o o o o o o o o o Focus on increasing strength and endurance of quadnceps. The Knee [P]Rehab Program is a physical therapist developed, step-by-step program that teaches you how to optimize your knee health. It is by no means ... 0 Obtain a frnctional PCL brace. ... rehabilitation course of a patient with an isolated posterior cruciate ligament injury. PCL Rehab and Exercises. Early passive ROM exercises are very important, as is preventing excessive anterior and/or posterior tibia translation. They typically occur alongside other ligamentous, meniscal or chondral damage. Non-Operative PCL Tear Rehabilitation Protocol! Post-operative Rehabilitation Protocol Knee Multiple Ligament Injury Reconstruction / Repair (ACL, PCL, +/- MCL, LCL, or PLC) The goals of this protocol are to protect the reconstructions while preventing knee stiffness. You may vary in your ability to do these exercises and to … Ease off the exercises if you start to have pain. PCL is the primary restraint to posterior translation of the tibia relative to the femur. Goals: Start each exercise slowly. The exercises may be suggested for a condition or for rehabilitation. PCL/PLC RECONSTRUCTION REHABILITATION Revised OCTOBER 2015 REHABILITATION PROGRAM PHASE 1: WEEKS 0-6: PHASE I GOALS: Protect the surgical graft(s) 0-60° ROM Regain adequate quadriceps control PRECAUTIONS: **Wear Brace at all times (even while sleeping)** **NO knee hyperextension or AROM knee flexion exercises. Knee flexion with heel slide. After surgery, the general rule to abide by is once the swelling has subsided and the patient is able to put approximately ½ of their body weight on that leg, rehab should be started. 1) for the first 2 weeks, and then progress to full ROM PCL Jack brace to wom at all times, including rehabilitation and sleep (minimum of 12 weeks) PCL ligament protection Posterior Cruciate Ligament Rehabilitation Protocol **It is important to understand that all time frames are approximate and that progressions should be based on individual monitoring. You will be told when to start these exercises and which ones will work best for you. This 3-phase program will expose you to various knee and lower body strengthening and stabilization exercises supported by science. General Precautions: 1. Isolated hamstring exercises should be avoided until week 12 Weight Partial weight with crutches (2 weeks) Range of motion (ROM) Prone passive ROM from 00 to 900 (Fig. Below is a list of PCL strengthening exercises you can do by yourself at home to help get that knee back to 100%. Ankle pumps, quad and adduction sets, leg raises in multiple planes (except hip extension), mild isometric resisted knee extension (between 0-60 degrees).
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