ACL Reconstruction Rehabilitation Protocol Dr. （ACL重建康复协议博士。）.pdf

ACL Reconstruction Rehabilitation Protocol Peter J. Millett, MD, MSc The Steadman Clinic Vail, CO ACL Reconstruction Rehabilitation Protocol Table of Contents Preoperative Rehabilitation Phase 3 Understanding Surgery 7 Postoperative Days 1 - 7 8 Postoperative Days 8 - 10 12 Postoperative Week 2 13 Postoperative Weeks 3 - 4 16 Postoperative Weeks 4 - 6 17 Postoperative Weeks 6 – 12 17 Postoperative Weeks 12 – 20 18 24 Weeks Postoperative (6 months) 18 Medication Regimen 18 List of Figures Figure 1. Heel prop using a rolled towel. 4 Figure 2. Prone Hang. Note the knee is off the edge of the table. 4 Figure 3. Wall Slide: Allow the knee to gently slide down5 Figure 4. Heel slide – leg is pulled toward the buttocks 5 Figure 5. Heel slides in later stages of rehabilitation 5 Figure 6. Stationary Bicycle helps to increase strength 6 Figure 7. Use the non-injured leg to straighten the knee 10 Figure 8. Passive Flexion allowing gravity to bend the knee to 90 degrees 10 Figure 9. Straight leg raises – lying (left) and seated (right) 11 Figure 10. Partial squat using Table for stabilization 13 Figure 11. Toe Raise 14 Figure 12. Leg press using 90-0 degree range 16 - 2 - Peter J. Millett, MD, MSc Sports Medicine and Orthopaedic Surgery ACL Reconstruction Rehabilitation Protocol One of the most common complications following ACL reconstruction is loss of motion, especially loss of extension. Loss of knee extension has been shown to result in a limp, quadriceps muscle weakness, and anterior knee pain. Studies have demonstrated that the timing of ACL surgery has a significant influence on t