Therapeutic exercise | Frequency | Duration |
---|---|---|
Mobility | ||
• Passive patellar glides-four planes. | Twice /day | 2 sets × 20 reps |
• Prone lying knee bending to achieve 100° knee flexion | ||
Stretching | Twice /day | 3 sets × 30 secs hold (5-10 minutes) |
• Hamstring, Gastroc soleus stretches. | ||
• Scar tissue mobilization | ||
Strengthening (with cuffed weights-0.5 to 1 Kg) | Thrice /day | 3 sets × 30 reps |
• Multi angle hip movements in all planes (standing) | ||
• Straight leg raise | ||
• Short arc Terminal knee extension | ||
• Seated knee extension (90° - 0°) | ||
• Hamstring curl in prone lying | ||
• McConnell method of VMO contraction in high sitting | Twice/day | 3 sets × 20 reps |
• Leg press | ||
Closed Chain Activity | ||
• VMO contraction in standing | ||
• Unsupported standing training within parallel bars | Twice/day | |
• Wall slides | ||
• Lateral step up and forward step up (2“-4” block) | ||
• Mini squats | ||
Balance Training | Twice/day | |
• Balance training in standing (foam pad)-with eyes open and closed | Twice/day | 3 sets × 30 reps |
• Balance training in standing (tilt board)-with eyes open and closed | ||
• Single leg stance | ||
Functional Training | ||
• Unsupported ambulation | ||
• Stair climbing and descent using handrail | ||
Aerobic Conditioning | ||
• Stationary cycling (high seat with nil/less resistance | ||
Functional activities | Independent ambulation Stair ascent and descent | |
Criteria for progression | Ability to walk without assistive device Ability to perform phase 2 exercises with ease Ability to perform 0 degree knee extension and 100 degree knee flexion Independent ADL Improved voluntary control of quadriceps |
|
Outcomes measured | Joint mobility using universal goniometry Isometric muscle strength testing using dynamometer Walking distance using six minute walk test Joint specific outcome measure Quality of life –SF36 |