PCL/ACL and PCL Reconstruction Protocol The intent of this protocol is to provide the clinician with a guideline for the post-operative rehabilitation course of a patient that has undergone a PCL or PCL/ACL reconstruction. jumping sports. The PCL stops the tibia from moving backwards. Posterior Cruciate Ligament Rehabilitation Protocol **It is important to understand that all time frames are approximate and that progressions should be based on individual monitoring. too much and stabilizes the knee to allow cutting, twisting and . ACL Reconstruction Protocol (Allograft) Week one Week two Initial Evaluation Evaluate ... PCL injury Follow PCL protocol as it will be a slower rehab than ACL ... K. E. et al. Recovery after knee surgery entails controlling swelling and discomfort, healing, return of range-of-motion of the knee joint, regaining strength in the muscles around the knee joint, and a gradual return to activities. ACL, PCL & POSTEROLATERAL CORNER RECONSTRUCTION REHABILITATION PROTOCOL ! Post-operative Rehabilitation Protocol Knee Multiple Ligament Injury Reconstruction / Repair (ACL, PCL, +/- MCL, LCL, or PLC) The goals of this protocol are to protect the reconstructions while preventing knee stiffness. Early activity following PCL repair can lead to increased laxity. It is no means intended to be a substitute for one’s clinical decision making regarding the progression of Studies have demonstrated that the The ACL prevents the lower bone (tibia) from sliding forward . The ACL forms an “X” with a structure called the PCL (posterior cruciate ligament) that runs behind the ACL. (2012). A common mechanism of injury to the MCL occurs when a force is applied to the outer knee while the *COLE,*MD,*MBA WEIGHT BEARING BRACE ROM EXERCISES PHASE I 0-6 weeks Heel touch WB in brace * 0-2 weeks: Locked in full extension for ambulation and sleeping 2-6 weeks: Unlocked for ambulation 0-90, remove for sleeping** 0-2 weeks: 0-45 motion of a joint. Reconstruction This protocol is designed to assist you ... (PCL) in the middle ... are the Medial Collateral Ligament (MCL) and the Lateral Collateral Ligament (LCL). The primary goal of this protocol is to protect the reconstruction while steadily progressing towards and ultimately achieving pre-injury level of activity. the front (anterior) is the ACL and the one toward the back . POSTERIOR CRUCIATE LIGAMENT (PCL) RECONSTRUCTION REHABILITATION PROTOCOL The following is a protocol for postoperative patients following PCL reconstruction. Journal of Orthopaedic & Sports Physical Therapy, 42(3): 153–171. HOW CAN THE ACL TEAR? General Precautions: 1. Injury to the ACL causes the knee joint to … Early passive ROM exercises are very important, as is preventing excessive anterior and/or posterior tibia translation. o Begin prone hangs and HSL (if PCL reconstruction) x Goals: o Walk 1-2 miles at 15 min/mile pace REINTEGRATION PHASE (Months 3- 5) x Weight Bearing and Range of Motion: o Full x Brace Use: o None o If return to sport, fitting for custom brace … (LCL) (Figure 1b), anterior cruciate ligament (ACL) (Figure 2a) and posterior cruciate ligament (PCL) (Figure 2b). The role of the ACL is to prevent forward movement and rotation of the shin bone and thigh bone. Discharge Instructions & Physical Therapy Protocol for Combined ACL/PCL Reconstruction. Loss of knee extension has been shown to result in a limp, quadriceps muscle weakness, and anterior knee pain. The MCL connects the femur and tibia medially (on the inside) and resists valgus (knee buckling in) knee motion. Goals: ACL Allograft Reconstruction Protocol The intent of this protocol is to provide the clinician with a guideline for the post-operative rehabilitation course of a patient that has undergone an ACL allograft reconstruction. ACL Reconstruction Rehabilitation Protocol One of the most common complications following ACL reconstruction is loss of motion, especially loss of extension. Recent Advances in the Rehabilitation of Anterior Cruciate Ligament Injuries. of the knee (posterior) is the posterior cruciate ligament (PCL). ACL INJURY: The role of the Anterior Cruciate Ligament (ACL) is to prevent forward movement and rotation of the tibia (shin bone) on the femur (thigh bone). COPYRIGHT*2014*CRC*©BRIAN*J. The focus of this rehab protocol is on
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