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