Download MPFL Reconstruction Rehab Protocol

0-2 Weeks:

  • WBAT, Brace locked at 0 degrees for ambulation and sleeping
  • ROM: 0-30º with emphasis on full extension
  • SLR supine with brace locked at 0 degrees, Quad Sets
  • Ankle Pumps

2-4 Weeks:

  • WBAT, (Weight Bearing As Tolerated)  Brace locked at 30 degrees for ambulation and sleeping
  • ROM: 0-60 degrees (Maintain full extension)
  • Proprioception training
  • SLR, quad sets, ankle pumps

4-6 Weeks:

  • WBAT, Brace locked at 60 degrees for ambulation and sleeping
  • ROM: 0-90 degrees (Maintain full extension)

6-14 Weeks:

  • D/C Brace and wean from crutches
  • Progressive Squat program
  • Initiate Step Down program
  • Leg Press, Lunges
  • Isotonic Knee Extensions (90-40 degrees, closed chain preferred)
  • Agility exercises (sport cord)
  • Versaclimber/Nordic Track
  • Retrograde treadmill ambulation

14-22 weeks:

  • Begin forward running (treadmill) program when 8” step down satisfactory
  • Continue Strengthening & Flexibility program
  • Advance Sports-Specific Agility Drills
  • Start Plyometric program

22 weeks and over:

  • Advance Plyometric program, Return to Sport (MD Directed)

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.