Swimming is also another exercise that can be done during this phase to develop 4 0 obj << /Length 5 0 R /Filter /FlateDecode >> Perform ROM exercises 3-5 times a day. A post-operative brace is ranged from 30 to 90° and is used until there is adequate quadriceps control. %��������� The goal of the initial rehabilitation phase is to gain full flexion and extension of the knee joint and then build balance and strength. \n�w��F;���Ǿ{z�?��_�����;�⅙s�ټx�ϳe���:[���L���f]�1�\[�c���a���(�mOݺ�l�a�ѐ 7.1k members in the ACL community. In the first phase; one to two weeks the aims of therapy are to decrease pain and swelling, and increase the range of motion (ROM) of the knee. ACL Reconstruction Rehabilitation Protocol Ira K. Evans, M.D. ... **The following is an outlined progression for rehab. We admire Sam's candour and preparedness to open up to help others preparing for and rehabilitating after surgery. Typical exercises and management activities during this phase include lunges, step-ups, squats, bridging, calf raises, hip abduction strengthening, core exercises, balance, gait re-education drills, and non-impact aerobic condition such as cycling, swimming, and walking. ?v{��-+���GM�������|�5率�������p�\"$��:����\Q��O�go��V Appointments • Rehabilitation appointments begin post-op day 1 and should be 1- 2 times per week during this phase. ��L��#��?=ku��F? Phase 1. 4 0 obj << /Length 5 0 R /Filter /FlateDecode >> Anterior Cruciate Ligament injuries: Stories, Tips, and Advice for recovery. stream The majority of ACL surgery patients will be prescribed a specific exercise program that focuses on regaining range of motion and gradually bearing weight on the knee. ACL REHAB GUIDELINES Clinic/Gym Exercise Program - PHASE I (Weeks 1-2 Post-Op) 2-3 x per week Isolated ACL Reconstruction (without meniscus repair or other ligamentous repair) This protocol details general guidelines for standard ACL rehab with some key exercises/goals in each phase. ACL RECONSTRUCTION PROTOCOL – PHASE 1 Goals: • Control pain and effusion • Terminal extension ASAP • Preserve patellofemoral mobility • Aim for 130°flexion within 6/52 • Normal gaitand movementpatterns Immediately post-op (O/P physio arranged for 1/52) • Cryocuff beneath cricket splint, applied in theatre. Sam's ACL Journey - Phase 1 rehab 'My ACL Journey' written by Samantha Hood Accredited Exercise Physiologist, is an authentic account of the pain, emotion and work involved in having a successful rehabilitation journey after injury. because time is a poor prognostic Indicator for success in ACL rehab. Use exercise bike daily if possible for 10 -15 minutes. x�]�r�F��+zvT���M2;'q�9�V��,"˒ۤB[�5�3�4�3��>���n6(Q�L*�H�yp�Ͼ@�P?�?T^����W�t�R˦}ٽV/�F}���\�z�2��e�-WU�w�y���Ң��wo��Z�O�,O^�S_�����/���秧�Muz��8Q���'�@Ē����ܿ���ɲBu�]�-2���v�����rH�X�,�VK�#�e��j֙*�yڬT]�E�^���������7��U�ߠs���>�R������w�r��V�f�_~��]W\Uy�*׫�_��Q�2��%w�B$c2���4)HH�+�(�C�b mj��e�U�B�M��W4C�����~[�aB�̵ߢ��,_!�xl����n��j�_��ى��H-^�hפ���v�o�wo�Ň���_�������:��פֿ ��l�j�6��ȿ,��PA�O��(��-��}{�D�p �em�0��"-�Uee�GS.U�7DUT�tU�a�P5���l: M�٥=}�H� �aS�r�ѽ��e�D�3|�P�桂侧��o������Y�Q�Ѻ(J+K��7��#�;������� �ɤ���DZP���o&���� 1  ACL Reconstruction Protocol Dr. Jeffrey J. Mair, DO PHASE ONE (WEEKS 1-3) • Goals: o Restore full passive knee extension o Diminish joint swelling and pain o Restore patellar mobility o Gradually improve knee flexion o Re-establish quad control o Restore independent ambulation • Weight Bearing: o Two crutches, WBAT. Acute Recovery - Phase 1 In the acute period after ACL reconstruction the knee needs some time to recover from the acute trauma of surgery. 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. ACL Non-Operative Protocol . Page 1 . Anterior Cruciate Ligament Injury and Rehab Phase 1 exercise takes place immediately after ACL surgery. The grafted ACL sees minimal force with normal daily activities and immediate weight Rehabilitation after ACL injury should include a prehabilitation phase and 3 criterion-based postoperative phases: (1) impairment-based, (2) sport-specific training and (3) return to play. REHABILITATION PHASE 1: WEEK 1-2 AFTER THE OPERATION The goal for this phase is to be able to bend and straighten your knee as far as the uninjured leg. Phase 1 begins as soon as possible after injury and can last up to 2 or 3 weeks depending on your grade of injury. }��:���Ŧ�$�\�#�Y�g�!� �2!�L�Dݙ�w��r E>y�O�u�kܷ�g%�ɕ��G.�|�1���Z�7�e麱y~��'�����O�Lrb�̋)��X�K�g-������|ɠ�vJ&��i�>�,$S����r��jR$��=�Ux墆�ѰtujLJb�7���d����r��ɓ��3EV�YQ���>&g�ZQ�4��$�T�n*�*��,�������z���~��|y�h��֞�]��F ���ēIFiGw'}HݍB��m:��7t���:�~`�ׅ��ҡ�����7F�R���zA�w� ��7���t��^��m�c�D_�=������L0��^«\K�.�~�Z ����.k�~� �"sAe$@�3��/'Ad��[��?ϡ\�o+k��9�$$��و��=I�x#�R�8.���\��lS+YY��5p�F. Swelling and ROM deficits must be resolved before progressing to next phase. %��������� stream �')����t�G+*u��:����*x�1�� Phase rehab refers to the need to pass 'Criteria' and not just wait for a length of time before progressing your rehab. A battery of strength and hop tests, quality of movement and psychological tests should be used to guide progression from one rehabilitation stage to the next. User account menu • ACL Rehab Exercises Phase 1 [ Axe Physio ] %PDF-1.3 Press J to jump to the feed. Sam's ACL Journey - Phase 1 rehab 'My ACL Journey' written by Samantha Hood Accredited Exercise Physiologist, is an authentic account of the pain, emotion and work involved in having a successful rehabilitation journey after injury. ��4�%&���{?����܏�~��.�Å~~���K ��C.5JxJ?&�I#J/��V ... ROM Exercises • Supine wall slides, heel slides and knee to chest to improve knee flexion Basic gentle exercises, regular application of ice and elevation of the knee are beneficial. x����u���S�d�:G�9�d�%_I��[�&Vb��J��T\�KI�y�C�o���Dψ�j��$��l�}�����뿮���M������}��6��������a{���t�����[߽v����9��~ȵ��.J���f}���~}�p������oQ��s�ro߯w��Q�Ž�U*��P��g�x�\?�t��g�5/퇕�Ci}���j�z�|��ٟ�E�ѩ��-�����2��oǣ������xr�>��ĠjH~hCK��fA��� ���T�X��.-?�:�;֧�v���_���~����TS`u�?�(��pz�����qwZw������? The aim here is to stop bleeding within the joint and control swelling. 48 minutes ago ACL Rehab Phase 1. ACL Rehabilitation Phase 1: Our NoLimit2Fitness rehabilitation program is divided into four phases. p��- {;���u:Ew�x��w���$aܣp�2����LQ�N��`G�U;�쨱��8�Vw�t}�A�8��������t��x?����r5�yM6�'�w�>�i���?Q=��k�S��*�|�1��Vp��z1��N����2�R'^�8��ȃ)m7���Em��� ��`��T�.���iR"���HM(���=���+�&�o0�����W�^��������3{���W���:�NIӁ-��l��W�l�.#��1e�0R. It should not replace a clinician's professional judgment or assessment of individual patient needs. You should also concentrate on regaining as much strength as possible in your quadriceps muscle which straightens your knee and your hamstring muscles which bend your knee. %PDF-1.3