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. 2017 Jun 1;11(6):YC05–YC09. doi: 10.7860/JCDR/2017/27528.10137
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