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ACL protocol.pdf ………………………………………………………..
- 1. ACL PROTOCOLS ALVIN WESLEYA. ASISTORES MD FPOA
- 2. PRE-OP PROTOCOL • Fullextension on affected knee • Flexion of knee within 10 degrees of normal knee • Minimal or no swelling • Full Weight Bearing (FWB)
- 3. POST-OP Day 1 •ROM: 0-90 degrees (Dangle side of bed) • Scooping movement (bed to chair) • Full Weight Bearing • Exercises: Quads set, SLR, RKF, AP • Cold Compress • If with knee brace: set at 0-90 degrees
- 4. POST-OP Day 4 •ROM: 0-110 degrees • Same exercises as Day 1 • Closed chain • Gait re-training: • Full knee extension on heel strike • Equal strides • Stairs: Alternating going up, bad leg first going down • If with brace: 0-120 degrees (unhinged during gait)
- 5. POST-OP Day 14 •Full ROM achieved • Continue Exercises and closed chain • Stationary bike • no resistance (1 week): far seat and near seat • Resistance (50%) • St
- 6. POST-OP: 2nd Month •Continue full ROM and Exercises • Continue Bike program • Weights program: • High reps, low weight (goal to lift equal to body weight) • Low Reps, high weight (Goal 2x body weight)
- 7. POST-OP 3rd Month •Full ROM • Continue exercises, bike, weight program • Running • 3x a week • Warm up jog • Gradual increase in speed • Goal: 16kph within the month
- 8. POST-OP 4th Month •Full ROM • Continue Exercises, Bike program, Weight program, and Running • Trampoline program • Everyday for 1 month • 5 sets of regular jump = 1 round • Should be able to do 2 rounds, 3x a day • Movements dictated by coach
- 9. POST-OP 5th month •Full ROM • Continue Exercises, Bike program, Weight program, and Running • Sports-specific exercises • Vertical jumps • Long jumps • Box jumps • Diagonal jumps • Lunge walk • Planting Rice • Laterals • Figure of 8 • Obstacle Run
- 10. POST-OP 6th month •Full ROM • Continue Exercises, Bike program, Weight program, and Running • May Resume sport with known players until full proprioception achieved • Competitive sports may be allowed