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Arthroscopy Rehabilitation Protocol
Phase I: Beginning day of surgery
Goals:
Decrease Swelling
Increase Range of Motion
Initiate Strengthening
- Apply ice 15 to 20 minutes, 3 to 5 times per day until swelling is diminished.
- Wear ace wrap until selling is insignificant.
- Elevate leg when not ambulatory until swelling is insignificant.
- Use crutches, beginning with partial weight bearing, and progressing to full weight bearing without crutches when gait is normal.
- If range of motion (ROM) is restricted in flexion extension, do passive ROM stretches, heel slides, wall slides, and heel hangs. (Hold position 20 seconds, and repeat for 5 minutes. Do three sets with 1 minute rest between sets.) Discontinue when active ROM is regained through functional range (0 -120).
- Do active ROM exercises while sitting, prone, and 2 times per day. Discontinue when ROM is normal (0 - 140).
- Do quad sets, two sets of 20, two times per day until quad tone and bulk are equal to unoperated leg.
- Do hamstring sets, two sets of 20, two times per day until quad tome and bulk are equal to unoperated leg.
- Do straight leg raises in flexion, abduction, adduction, and extension, two sets of 20, two times per day until returned to full, unrestricted activity.
Phase II: To be started after 1 week post-op visit.
Goals:
Continue Strengthening
Return to Functional Activity
- When active knee range if motion reaches 90º flexion, begin progressive-resistive knee extension exercise (PRE). The goal of PRE is to achieve strength equal to the normal strength of 33% of body weight plus 10 lbs.
- when active knee ROM reaches 100º flexion, begin cycling for aerobic conditioning and to enhance ROM. Start with 10 minutes of cycling, and add minutes per week.
- When weight bearing without effusion or pain, quad extension exceeds 30 lbs an hamstring flexion exceeds 20 lbs, begin step exercises: start with 4" to 6" steps. Do as many step ups as can be accomplished, up to 200. When goal of 200 is achieved, add 1" to step height.
- Wall sits - three reps, 15 seconds each.
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