Acute Phase I: (0-2 weeks)
Goals:
- Alleviate acute pain and swelling
- Increase ROM
- Increase hip, hamstring and quadriceps strength
- Promote normal ambulation
- Maintain cardiovascular conditioning
Plan:
- ROM
- Heel/wall slides for ROM
- Aquatic therapy
- Hamstring and gastroc stretching
- Kinesiotaping as necessary
- Bicycle as tolerated
- Patellar mobilization
- Prone and/or standing knee flexion
- 4-Quad (hip flexion, abduction, adduction, extension)
- Modalities for pain and edema control
Sub-Acute Phase I: (2-4 weeks)
Goals:
- Decrease swelling
- Increase ROM
- Increase strength hip/knee
- Improve general conditioning
- Independent ambulation w/o assistive device
Plan:
- Continue Phase I exercises
- N-K for hamstrings only
- ROM knee flex/ext
- Stairmaster, treadmill, bicycle
- Universal equipment PRE’s – leg press
- Proprioceptive and balance training BAPS and trampoline
- Closed chain activity and calf raises
Phase III: (4-6 weeks)
Goals:
- Full ROM (pain free)
- Increase strength and power
Plan
- Continue Phase II exercises
- Increase closed chain activities (step up, side, down)
- Increase proprioception activity (sport cord)
- Light jogging on trampoline