Ther Ex: ch 21

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ROM goal for Max protection phase of ACLR

0-110*
Max protection phase of ACLR
- PROM/A-AROM
- gait training with assistive device
- patellar mobs
- isometric setting
- Assistive SR
- closed chain activities
- hamstring strengthening
- open chain knee extension limit to 90-40*
Mod protection phase of ACLR
- advance closed chain activities
- LE strengthening
- endurance training
- proprioceptive training
- walk/jog
Min protection phase of ACLR
- plyometrics
- agility
- work/sport specific training
- full speed run & cut
Max protection phase of PCLR
- patellar mobs
- quad sets
- 4-way SLR
- gravity assisted knee flexion(passive)
Mod/Min Protection phase of PCLR
- 2-3 months post-op begin hamstring strengthening
- begin closed chain bridging
Signs and Sx's of Meniscus Tear:
- popping, clicking, catching
- joint effusion
- joint line tenderness
buckethandle tears-locking of joint
Anatomy of Meniscus
- outer-highly vascular
- central- moderately vascular
- inner-avascular
when is a meniscal repair needed?
- indicated tear in outer 1/3 of meniscus
- extending to central region
Max protection phase of meniscal repair
- WB: partial-full
- restricted motion for 4-6 wks
- flexion progressed by 10 degrees per week
- isometrics-->SLR
Mod protection phase of meniscal repair
- low-intensity exercise: stationary bike
- hip and ankle exercises
- closed chain and standing balance activities
return to function after meniscal repair

3-4 months post-op
Partial menisectomy

arthroscopic excision of torn portion of meniscus
post-op tx of partial menisectomy
- control inflammation
- ROM
- strengthening exercises
- return to function activities
- limit loading activities
return to function post-op partial menisectomy

2-6 wks post-op
Screw-home mechanism
- femur rotates medially
- tibia rotates laterally

Author

laneaustin

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Card Set

Ther Ex: ch 21

Description

knee

Updated

2013-11-16T15:49:59Z