Table 3.
Phase | WB | Brace | Range of Motion | Exercises |
---|---|---|---|---|
I, 0 to 2 wk | As tolerated with crutches and brace | Locked in full extension for sleeping and all activity; off for exercises and hygiene | 0° to 45° when non-weightbearing | Heel slides, quad sets, patellar mobs, SLRs, calf pumps |
II, 2 to 8 wk | Full WB while in brace | 2 to 4 wk: locked in full extension day and night 4 to 6 wk: off at night; locked in full extension daytime 8 wk: discontinue brace |
2 to 3 wk: 0° to 60° 3 to 4 wk: 0° to 90° 4 to 8 wk: progress slowly as tolerated; refer to physical therapist for restrictions |
Advance phase I exercises Add side-lying hip/core/glutes Begin WB calf raises No WB with flexion >90° Progress slowly as tolerated; refer to physical therapist for restrictions |
III, 8 to 12 wk | Full | None | Full | Progress closed-chain activities Begin hamstring work, lunges/leg press 0° to 90°, proprioception exercises, balance/core/hip/glutes Begin stationary bike when able |
SLR, straight leg raise; WB, weightbearing.