meniscus repair exercises pdf

Microsoft Word - MENISCUS REPAIRdocx Created Date. 2-4 WEEKS POSTOPERATIVE GOALS.

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Range of Motion Exercises Knee extension on a bolster Prone hangs Supine wall slides Heel slides caution with posterior medial meniscus repair secondary to the semimembranosus insertion Knee flexion off the edge of the table Suggested Therapeutic Exercise Quadriceps sets Straight leg raises.

. Knee Range of Motion. Brace 0 90 for 6 weeks post op 50 weight bearing for 6 weeks post op Use of crutches for 6 weeks post op Painedema reduction Enhance quad recruitment. Initiate knee motion 3.

Resisted SLR HS curls. 0 2 weeks post op. Incredible quality effective.

Progress to full 6 weeks postop gait progressions depending on pain remove Spangler Exercise. ROM o Quad hamstring and calf stretches Strength o Continue with previous exercises increase resistance and intensity as able o Initiate hamstring curls at week 7 if posterior horn repair o Squats leg press o Step ups. SL squats SL sit to stand progress resistance on leg extensionleg curlleg press machine RDLs lunges multi-direction crunches rotational trunk exercises on static and dynamic.

Meniscus repair rehabilitation with concurrent anterior cruciate reconstruction. Noyes FR Barber-Westin SD. Control pain inflammation and effusion Adequate quadVMO contraction Independent in HEP TDWB to PWB as noted by Dr.

Heel to buttock in prone Flexion. Progress strengthening exercises. Wake Forest University School of Medicine Medical Center Boulevard Winston-Salem NC 27157-1070 Patient Appointments.

Phase 2-Weeks 2-4 Meniscal Repair WEEK EXERCISE GOAL 2-4 ROM 0-120 Passive 0-120 Patellar mobs Gastocsoleus stretch HamstringquadITB stretch Prone hang as needed Heelwall slides to reach goal STRENGTH Quad sets with biofeedback SLR in 4 planes with ankle weight. Exercises Patellar mobilizations Stretch hamstrings and calf Quad sets Straight leg raises Side lying hip abductionadduction Short arc quads 60 to 0 degrees Cryotherapy with elevation for pain and inflammation every hour for 20 minutes Weeks 2 to 6 Brace Brace locked for ambulation and sleeping Exercises. The protocol may be modified depending on the location and extent of the meniscal tear and subsequent repair.

Experience Great Customer Service Order Your Supplies Today. - Leg press 70-0 - Knee extension 90-40 - Hip ABDadduction - Wall squats 0-70 - Vertical squats 0-60 - Lateral step-ups - Front step-downs Balanceproprioception training - Biodex stability - Squats rocker board - Cup walking Bicycle if ROM permits Pool program. 2014 72 NFL athletes averaging 269 years old.

For exercises until otherwise informed by the physician after first post-operative visit. Place an exercise band around your thighs above your knees. Medial lateral proximal distal - Quad isometrics hold for 10 seconds with 5 repetitions.

SLR - eccentric and weighted until able to do 7lbs. 9180 KATY FREEWAY STE. 90 for all repair types.

Brace x 6 weeks Locked in extension Crutches PWB in brace EXERCISES. SL squats SL sit to stand progress resistance on leg extensionleg curlleg pressmachine RDLs lunges multi-direction crunches rotational trunk exercises on static and dynamic. PROM 0-90 degrees.

Painedema control Quad recruitment with Time Modulated AC aka Russian Stim Quad. Pause return back down to the ground. Exercises to promote successful return to sport and reduce injury risk.

Lowe Phase 2-Weeks 2-4 Meniscal Repair WEEK EXERCISE GOAL 2-4 ROM 0-120 Passive 0-120 Patellar mobs Gastocsoleus stretch. You can fully extend straighten the knee. Performance of the quadriceps hamstrings and trunk dynamic stability.

Heel on chair prone hang. MENISCAL REPAIR PROTOCOL P. Moderate Protection- Weeks 6-10.

WBAT in brace with crutches. Hold your knees 4-6 inches apart. MAXIMUM PROTECTION PHASE Weeks 1-4.

To avoid placing stress on the meniscus repair do not bend. Researchers found no significant difference in return to play and activity scores in athletes who underwent meniscectomy and meniscal repair. Quad Set SLR.

Activate the quadriceps muscles. Ad We Have the Largest Selection of Supplies Plus All of the Hard to Find Products. Continue previous addas WB status allows.

Seated Knee extension 60 -0 degrees. Bridge Exercise with an Exercise Band Around Your Knees. Dont let your pelvis wobble as you move up and down.

Rehabilitation Protocol for Arthroscopic Meniscal Repair This protocol is intended to guide clinicians through the post-operative course for meniscal repair. Paineffusion control No extensor lag Improve local muscular endurance AMBULATION AND BRACE USE. These FDA medical devices are made in the USA for home use.

Un-resisted prone ham curl Week 2-4 ROM- 90100 degrees except posterior horn limit 90 until wk 5 Add exercises. Control pain and swelling 2. Weeks 2 4 Precautions.

Forward and lateral with emphasis on slow controlled movement. Single-leg squats on BOSU with manual perturbation to. Continue previous SLR 4 planes LAQ 90-30 Nustep standing multi-hip standing TKE WEEKS 5-7_____ ROM.

The first week after surgery. 200 713 984-1400 AOKCNET Meniscus Repair Rehabilitation Peripheral Tears PHASE I. Limited range knee extension in range less likely to impinge or pull on repair Toe raises Mini-squats less than 90 degrees flexion Cycling no resistance PNF with resistance Unloaded flexibility exercises Phase II.

REHABILITATION AFTER KNEE MENISCUS REPAIR. - Ankle pumps - Knee extensionhamstring stretching with heel prop - Sitting leg dangle to 90 degrees using unaffected leg for support - Patellar mobilizations Stretch in 4 directions. The following protocol is a guideline for rehabilitation following meniscus repair.

The Orthopedic Surgeon may modify the time frames and weight bearing status as. Avoid forced knee flexion deep squatting and twisting. Arthroscopic repair of meniscus tears extending into the avascular zone with or without anterior cruciate ligament reconstruction in patients 40 years of age and older.

Weight shift exercises at 3 weeks - if weight bearing is allowed. This protocol is time based dependent on tissue healing as well as criterion based. 1 Reduce joint effusion Cryotherapy elevation ankle pumps.

Barber A Click S. Progressive resistance exercises PREs 1-5 pounds. Ad Heal Quickly and Relieve Pain the same way Pro Athletes and Doctors treat themselves.

The study also examined a meniscus repair group and found a 21 reoperation rate in meniscal repair compared to 3 for partial meniscectomy. Post-operative Rehabilitation Protocol Meniscal Repair. 0-120 0-90 Dr Spanger weeks 5-6 Weight Bearing.

Therapeutic Exercises 3 times per day. Keep your pelvis level as you lift your hipspelvis and buttocks into the air. 2 Normalize range of motion Determined by contralateral knee.

Brace locked at 0 ext to protect repair GOALS OF PHASE. Hamstring and calf stretch.

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