0-2 Weeks:
TDWB in brace in extension with crutches
Brace in extension for sleeping 0-2 wks
Active/Passive ROM 0-90 degrees
Quad sets, SLR, Heel Slides
Patellar Mobilization
2-4 Weeks:
Advance to FWBAT
May unlock brace when quad control is adequate
D/C crutches when gait normalizes with brace
Progress with ROM
Mini Squats/Weight Shifts
No weight bearing with knee flexion past 90 degrees
4-8 Weeks:
D/C brace when quad strength adequate (typically around 5 weeks)
Achieve Full ROM by week 6
Begin Stationary Bike
Progress with closed chain exercises
Wall sits to 90 degree
Leg press 0-90 degrees
Proprioception exercises
Core stabilization
8-16 Weeks:
Lunges from 0-90 degrees
Initiate Step-up followed by Step-Down Program
Progress Strengthening exercises
Emphasis on single-leg strengthening and balance
Retrograde treadmill ambulation
>16 Weeks:
Begin run/walk progression
Agility drills
Begin Plyometric program
Sports 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.
