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    PCL Arthroscopy PT Protocol

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    vasudevan07
    This document outlines a physiotherapy protocol for patients undergoing PCL arthroscopy. It includes pre-operative, post-operative, and rehabilitation phases. The pre-operative phase focuses on reducing swelling, restoring range of motion, and educating patients. The post-operative program has 3 phases, with phase 1 (weeks 0-4) focusing on protecting healing tissues, restoring gait, and increasing range of motion and strength. Phase 2 (weeks 4-12) progresses weight bearing and introduces closed chain exercises. Phase 3 (months 3-6) focuses on achieving full range of motion and normal gait before progressing to more advanced exercises.

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    PCL Arthroscopy PT Protocol

    Uploaded by

    vasudevan07
    80 views4 pages
    This document outlines a physiotherapy protocol for patients undergoing PCL arthroscopy. It includes pre-operative, post-operative, and rehabilitation phases. The pre-operative phase focuses on reducing swelling, restoring range of motion, and educating patients. The post-operative program has 3 phases, with phase 1 (weeks 0-4) focusing on protecting healing tissues, restoring gait, and increasing range of motion and strength. Phase 2 (weeks 4-12) progresses weight bearing and introduces closed chain exercises. Phase 3 (months 3-6) focuses on achieving full range of motion and normal gait before progressing to more advanced exercises.

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    Pcl

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    This document outlines a physiotherapy protocol for patients undergoing PCL arthroscopy. It includes pre-operative, post-operative, and rehabilitation phases. The pre-operative phase focuses on reducing swelling, restoring range of motion, and educating patients. The post-operative program has 3 phases, with phase 1 (weeks 0-4) focusing on protecting healing tissues, restoring gait, and increasing range of motion and strength. Phase 2 (weeks 4-12) progresses weight bearing and introduces closed chain exercises. Phase 3 (months 3-6) focuses on achieving full range of motion and normal gait before progressing to more advanced exercises.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    80 views4 pages

    PCL Arthroscopy PT Protocol

    Uploaded by

    vasudevan07
    This document outlines a physiotherapy protocol for patients undergoing PCL arthroscopy. It includes pre-operative, post-operative, and rehabilitation phases. The pre-operative phase focuses on reducing swelling, restoring range of motion, and educating patients. The post-operative program has 3 phases, with phase 1 (weeks 0-4) focusing on protecting healing tissues, restoring gait, and increasing range of motion and strength. Phase 2 (weeks 4-12) progresses weight bearing and introduces closed chain exercises. Phase 3 (months 3-6) focuses on achieving full range of motion and normal gait before progressing to more advanced exercises.

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    PCL ARTHROSCOPY PT PROTOCOL

    PURPOSE:
    The purpose of this procedure is the address the physiotherapy regime for PCL
    arthroscopy
    SCOPE:
    This procedure is applicable to rehabilitation department, bone and joint
    hospital.
    It is applicable for all patients scheduled for PCL arthroscopy orthopedic
    procedure.
    RESPONSIBILITY:
    All Physiotherapy personnel are responsible for implementing the activities
    detailed out in this procedure.
    PROCEDURE:
    Preoperative Phase
    Goals
    To diminish inflammation, swelling and pain and restore the normal
    ROM.
    Restore voluntary muscle activation .
    To provide patient education to prepare patient for surgery.
    a. Brace
    It is an elastic wrap, which is used to reduce swelling.
    b. Weight bearing
    Weight bearing is encouraged as tolerated with or without crutches.
    c. Exercises:
    Explain the post operative regime on the sound limb for example,
    Isolated Quadriceps exercises.
    SLR & resistive harmstring & gastrosoleus exercis
    Relaxed & coordinated knee swinging.
    Instruction is given for balancing and weight transferring.

    Postoperative program:

    GENEAL GUIDELINES:
    No open chain exs.
    No CPM.
    Caution against posterior tibial translation ( gravity, muscle action,etc).
    phase 1 : weeks 0-4.
    GOALS:
    Protect healing bony and soft tissue structures.
    Minimize the effects of immobilization.
    Restore normal gait.
    Early protected Rom , increase ROM.
    Improve and increase muscle, strength, power and endurance.
    WEIGHT BEARING :
    As tolerated with cruthes, braces, braces locked in extension.
    Special considerations:
    Pillow under proximal posterior tibia at rest to prevent posterior sag.
    Therapeutic exercise
    Patellar mobilization.
    Prone passive flexion and extension.
    Quadriceps sets.
    Hip abduction and adduction.
    Ankle pumps.
    Hamstrings and calf strechings.
    Calf exercise with theraband, progressing to standing calf raise with full knee
    extension.
    Standing hip extension from neutral.
    Functional electrical stimulation ( may be used for trace to poor quadriceps
    contraction).
    Phase 2: week 4-12:
    Weight bearing:
    4-8 weeks WB as tolerated with crutches.
    8 wk may discontinue crutches if patient exhibits no quads lag with SLR, FULL
    KNEE EXTENSION, knee flexion 90, normal gait pattern.

    Therapeutic exercise
    Week 4-8
    Wall slides (0-45 degrees).
    Mini squats (0-45 degrees).
    Leg press (0-60 degrees).
    4 way hip exs with knee extended.
    Week 8-12
    Stationary cycle or bike.
    Stair master, elliptical steeper.
    Balance and proprioception activites.
    Seated calf raises.
    Leg press(0-90 degrees)..
    PHASE 3: MONTHS 3-6:
    Criteria fr progreesion for phase 3:
    pain free full ROM.
    Normal gait.
    Good to normal quadriceps strength.
    No petallofemoral complaints.

    Therapeutic exercise:
    Continue closed chain exercise progression.
    Threadmil walking.
    Jogging in pool with belt.
    Swimming (no frog kick).

    PHASE 4: MONTH 6:
    Full activity.

    Ref : S. Brent Brotzman.

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