Weeks 1 &2:
WBAT w/ crutches
Soft tissue mobilization
PROM > AAROM> AROM, advance as tolerated
Wean off crutches when gait normalizes
Quad & Glute Sets
Seated knee extensions
Bridging Progression, Pelvic Tilts
Clam shells
Supermans
Baby Cobra pose
Abduction isometrics
Mini Squats
Stationary bike w/o resistance
Goals:
D/C crutches, full AROM, prevent muscle atrophy
Weeks 3-5:
Incorporate resistance to abduction, adduction & extension
SLR
Dead bugs
Planks/Side planks
Leg press
Prone hamstring curls
Forward and side steps over mini hurdles
Goals:
Closed-chain, double-leg strength progression, focus on more FUNCTIONAL exercises. Core stabilization
Weeks 6-8:
BOSU squats
Single-leg strength training i.e. bridges, squats
Resisted side-steps
Forward and side lunges
Step-ups
Begin increasing stationary bike resistance
Goals:
Progress to open-chain, single-leg strength training. Emphasis on restoration of strength, balance and proprioception. Advance exercises only as patient exhibits
good control with previous exercises (proximally and distally)
Weeks 9-12:
Plyometrics
Ladder agility training
Single leg RDL
Split squats
Jump squats
Elliptical
Goals:
Restore neuromuscular endurance
Weeks 12+:
Begin running progression
Sport specific exercise
Please note that these instructions are general guidelines to be followed; however, any written or verbal instructions provided by Dr. Nwachukwu supersede the instructions below and should be followed.
