Weeks 0-4:
WBAT w/ crutches
PROM > AAROM> AROM, advance as tolerated
Avoid repetitive hip abduction
Quad & Glute Sets
Seated knee extensions
Hip Isometrics
Bridging Progression, Pelvic Tilts
Supermans
Baby Cobra pose
Mini Squats
Stationary bike w/o resistance
Goals: Prevent muscle atrophy, stiffness
Weeks 4-8:
Wean off crutches when gait normalizes
Soft tissue and scar mobilization
Clam Shells
Incorporate resistance to abduction, adduction & extension
Dead bugs
Planks/Side planks
TRX squats, lunges
Leg press
Prone hamstring curls
Knee extensions
Goals: D/C crutches, Achieve full ROM, Closed-chain, double-leg strength progression, focus on more FUNCTIONAL exercises. Core stabilization
Weeks 8-12:
Continue soft tissue mobilization
Forward and side steps over mini hurdles
Side steps and retro steps with resistance bands
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 12-16: Begin run/walk progression
Ladder agility training
Single leg RDL
Split squats
Elliptical
Goals: Restore neuromuscular endurance
Weeks 16+:
Return to sport program
Plyometrics
Jump squats
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.
