Table 3.
Example of six week post operative interventions.
| Rehabilitation Component | Intervention | Duration |
|---|---|---|
| Patellar mobility | Superior/inferior patella, quadriceps tendon, and patella tendon Medial/lateral patella mobilization |
10 minutes |
| Tibiofemoral Extension (as needed) | Posterior capsule stretch Screw home mobilization / posterior femoral glide | 5-10 minutes |
| Tibiofemoral Flexion (as needed) | Edge of table with therapist assistance Supine on ball with therapist assistance Wall slide (supine on back |
10-15 minutes |
| Hip, knee, and core strengthening | As previous | |
| Standing heel raises | 3 sets x 20 reps | |
| 4 way hip (standing or on table; flexion/abduction/adduction/extension) | 3 sets x 15 reps (resistance) | |
| Supine HS curl | 3 sets x 15 reps (resistance) | |
| Balance (interventions include but are not limited to tandem stance, rhomberg stance, single leg stance, unstable surfaces, eyes opened/eyes closed) | ||
| Edema management/Soft tissue mobilization (as needed) | Quad/knee Hamstring Calf |
10-20 minutes |
| Stationary upright bike (no resistance) | 20 minutes | |
| Gait training (as needed) | Level surface | 5-10 minutes |
| Discharge assistive device | Reciprocating on stairs |
HS = hamstring.
The above mentioned interventions are appropriate during Phase I of rehabilitation and can be used and should serve as a guideline for clinicians between the first and sixth weeks of rehabilitation if determined appropriate by the clinician.