STAGES : | WEIGHT BEARING | BRACE | ROM | THERAPEUTIC EXERCISE | ADVISE TO PATIENT |
Pre rehab | As tolerated with walker | Knee extensor brace | As tolreated | Hip flexion,abduction,extension STQ, Core exercise | Reduce pain and swelling. Avoid stair climbing. |
PHASE-1 0-4 weeks | As tolerated with walker | Knee extensor brace | Knee flexion must 0-90 | Full knee extension, Leg circle, Ankle toe movement STQ, Hip abduction , extension without brace, Hip SLR with brace | Control knee swelling. |
PHASE-2 4-6weeks | Full weight bearing with stick | Functional Hinge knee brace | Knee flexion must 0-120 | Strengthening of hip muscles with 1 kg, Start open kinetic chain exercise, Knee to chest, Static cycling, Hamstring stretch, Leg curls. | Avoid step up and step down. |
PHASE-3 6-8 weeks | Full weight bearing without stick | Functional Hinge knee brace | Knee flexion near to normal | Proprioception training, One leg stand (affected and unaffected leg), Lunges, Steps up and steps down, Wall glide, Increase strengthening | Can drive Four-wheeler / Car with Brace on |
PHASE-4 2-4 months | Full weight bearing without stick | Functional Hinge knee brace | Knee flexion must full | Balance training (tilt table,BOSU ball), Supported& Unsupported squat , Increase weight training | Can drive two wheeler with hinged Brace on |
PHASE-5 4 -6 month | Full weight bearing without stick | Functional Hinge knee brace use only long time journey and field work | Knee flexion must full | Endurance training | Back to field work |
PHASE-6 >6 month | Normal gait pattern | Can discontinue | Knee flexion must full | Sports person agility training | Back to his / her work (occupation) |
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