Table 3.
Rehabilitation Progression Days 5-12
| PAIN/EFFUSION MANAGEMENT | |||||
| Conventional TENS p.r.n. | |||||
| RICE p.r.n. | |||||
| Bracing | |||||
| GAIT | |||||
| Non weight bearing (NWB) progressed to full weight bearing (FWB) | |||||
| NWB swing through gait advance to 3 point pattern weight bearing as tolerated (WBAT) on involved lower extremity from day 5 until day 6 | |||||
| WBAT with one axillary crutch until day 7 | |||||
| d/c crutch to FWB on day 7 in brace | |||||
| ENDURANCE | |||||
| Warm-up cycling progressed to full aerobic sessions (10 min progressed to 30 min) | |||||
| STRENGTH | |||||
| Closed-Kinematic Chain Progressive Resistive Exercises(PREs) and Open-Kinematic Chain (OKC) quadriceps in pain-free ROM | |||||
| Exercise | Sets × Reps | Rest | Load | Pain-free limit | Progression |
| Unilateral Step-downs | 2×8 | 45s | -- | 8 reps | 3×12 30s rest |
| Body Weight Squat | 2×12 | 120s | 12 reps | 2×14 90s rest | |
| OKC Leg Extension | 2×8 | 60s | 48 lbs | 8 reps | 3×14 30s rest 60lbs |
| Leg Press | 2×12 | 120s | 110lbs | -- | 2×20 90s rest 140lbs |
| OKC Hamstring and Hip PREs | |||||
| Exercise | Sets × Reps | Rest | Load | Pain-free limit | Progression |
| Bilateral Leg Curl | 2×8 | 60s | 36lbs | 8 reps | 3×14 30s rest 48lbs |
| OKC Hip abduction/ adduction/flexion/ extension | 3×8 | 60s | 96lbs | -- | -- |
| MOBILITY/FLEXIBILITY | |||||
| Patellar mobilization | |||||
| Flexion active assistive range of motion (AAROM) | |||||
| Hamstring Quadricep Iliopsoas Gastroc/Soleus stretching | |||||
| NEUROMUSCULAR RE-EDUCATION | |||||
| Standing balance/proprioception on non-compliant surface for 2 bouts in 20s with 120s rest | |||||
| Progressed to compliant surface training for 3 bouts in 30s with 90s rest | |||||
| CONDITIONING | |||||
| Resume upper body and core program | |||||