Penrose Physical Therapy

PHASE I (1-6 WEEKS):

Stage 1 (1-3 weeks):

  • ROM 0°-90°, extension priority
  • Swelling controlled (ice, elevation, electrical stimulation)
  • Patellar mobilization
  • Scar tissue mobilization
  • Passive ROM
  • Quadriceps isometrics
  • Hamstrings isometrics
  • Hip ABD & ADD
  • Proprioception training

Stage 2 (3-6 weeks):

  • Progressive resistive exercises (PRE’s)
  • Restore normal gait pattern
  • Limited-range knee extension
  • Toe raises
  • Mini-squats
  • Cycling (no resistance)
  • Theraband exercises
  • Flexibility exercises
  • Full ROM should be achieved by week 4-6

PHASE II (6-10 WEEKS):

  • Progress PREs
  • Lateral step-ups
  • Isokinetic exercises
  • Cycling
  • Stair machine
  • Balance exercises
  • Pylometric program

PHASE III (11-15 WEEKS):

  • Progress all exercises
  • Begin running program

References:
Brotzman SB, Wilk KE. Clinical Orthopaedic Rehabilitation. 2nd ed. Philadelphia, PA: The Curtis Center; 2003.

 

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