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. 2014 Feb 1;15:44. doi: 10.1186/1745-6215-15-44

Table 1.

Rehabilitation protocol

Category Description Expected achievements
Range of motion
• Prone knee flexion AROM
• AROM of 100
• Heel props for extension PROM
• Less than 1cm effusion after exercises
• Stationary bicycle/rowing machine for ROM stimulus and endurance
• Able to attain full extension
• Hamstring, quadriceps & gastrocnemius /soleus stretching
• Total end range time (TERT) of 30 minutes a day until ROM guideline attained (Aim 100°)
Strengthening
• Isometric quads
• Able to achieve voluntary quadriceps control, demonstrated by SLR without lag
• Straight leg raise (if not able)
• Able to perform semi squat equal weight bearing between limbs
• Partial squats to 90°
 
• Supine sub-maximal leg press or equivalent (emphasis on pain free motion and neuromuscular control vs. pure strengthening)
 
• Front and lateral step ups progressing from 10cm
• Resistive exercises against Theraband 90°-30° in sitting – progress to 90°-0°
Proprioception
• Balance exercises in single leg stance
• Able to perform sit-to-stand unsupported
• Sit to stand
• Able to perform single leg stance activities
• Balance ball
 
• BalanceMaster / low wobbleboard if BalanceMaster not available
• Perturbation from soft unstable surface
Balance/Gait
• Braiding – alternate front and back crossover steps whilst moving laterally – progress by increasing speed
• Able to complete multiple changes of direction walking without support
• Tandem Walk forward and backwards
• Walk multiple change in direction on command
  • Shuttle walking to increase stamina