meniscus repair exercises pdf
The protocol may be modified depending on the location and extent of the meniscal tear and subsequent repair. WBAT in brace with crutches.
Exercise Chart
CLINICAL PRACTICE GUIDELINE.
. Meniscus Repair Rehabilitation Protocol GENERAL GUIDELINES. Symptoms of a degenerative meniscus tear include swelling pain along the joint line catching and locking. Articular cartilage is made up of collagen proteoglycans and water which lines the end of the bones that meet to form a joint.
Weeks 2 4 Precautions. If the patient has undergone a meniscus repair for a root radial or horizontal cleavage tear please refer to the Advanced Meniscus Repair Clinical Practice Guideline. Articular cartilage and meniscus cartilage.
The following rehabilitation guidelines are specific to patients who have undergone an advanced meniscus repair of a radial root or horizontal cleavage tear. PWB is allowed for the first 3 weeks. Meniscus repair rehabilitation with concurrent anterior cruciate reconstruction.
MENISCAL REPAIR PROTOCOL P. To avoid placing stress on the meniscus repair do not bend your knee beyond 90 degrees bent to a right angle Brace and Crutches. EXERCISES STRENGTH AND NM CONTROL Quad sets with EMS or biofeedback the more the better.
The primary function of the articular cartilage is to provide a smooth gliding surface for joint. 2-4 WEEKS POSTOPERATIVE GOALS. When climbing stairs lead with the non-surgical side when going up the stairs lead with the.
Repair will heal or that the surrounding meniscus will be strong enough to hold the sutures used to repair it. One report showed that less than 10 of meniscal tears occurring in patients greater than forty years of age were repairable. Microsoft Word - Meniscus Repair Protocoldocx.
Closed Chain exercises. No CKC exercises 90ยบ x. Continue to wear knee immobilizer at all times for at least 6 weeks.
Microsoft Word - Meniscus Repair Rehabilitation Protocoldocx Created Date. Meniscus Repair and Transplantation. Continue previous SLR 4 planes LAQ 90-30 Nustep standing multi-hip standing TKE WEEKS 5-7_____ ROM.
Patellar mobilization Scar tissue mobilization Passive ROM Exercises o Quadriceps isometrics o Hamstring isometrics if posterior horn repair no hamstring exercises for 6 weeks. The Orthopedic Surgeon may modify the time frames and weight bearing status as necessary to allow adequate healing time. Quad Set SLR.
Meniscus Repair Post Operative Rehabilitation Protocol Page 23 PHASE 1 0-2 weeks. 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. Walking-Brace locked use crutches 2.
Lowe Phase 2-Weeks 2-4 Meniscal Repair WEEK EXERCISE GOAL 2-4 ROM 0-120 Passive 0-120 Patellar mobs Gastocsoleus stretch. 100Xday SLR 4 way SAQ LAQ. Brace 0 90 for 6 weeks post op.
Gradual increase in flexion ROM is based on assessment of pain and site of repair 0-90 degrees. Avoid forced knee flexion deep squatting and twisting. Progress to full 6 weeks postop gait progressions.
Microsoft Word - MeniscusRepairAllInsidedocx Created Date. Barber A Click S. Please refer to the Ohio States Sports Medicine website for.
The interventions included within this protocol are not intended to be an inclusive list of exercises. 0-120 0-90 Dr Spanger weeks 5-6 Weight Bearing. VanderHave KL Perkins C et al.
MENISCUS REPAIR REHABILITATION The following protocol is a guideline for rehabilitation following meniscus repair. Noyes FR Barber-Westin SD. RADIAL ROOT HORIZONTAL CLEAVAGE TEAR.
Meniscus Repair Protocol Mr Gilbert and Mr Coupe Sports Knee Clinic Wrightington Hospital PHASE 1 Week 1-2 Week Exercise Goals 1-2 ROM 0-90 ROM exs Patellar mobs Ankle pumps Gastrocsoleus stretch HamstringITB stretch Prone hangsheel props STRENGTH Static Qs SLRs. Hamstring and calf stretch. Do at least 10 ankle pump exercises each hour to help prevent phlebitis blood clots in the veins.
Weightbearing versus nonweightbearing after meniscus repair. Meniscus Repair Rehabilitation Protocol PHASE ONE Weeks 1-3 Following surgery the patient will be placed in a ROM Brace which will be worn for at least 3 weeks. Brace locked at 0 ext to protect repair GOALS OF PHASE.
PROM and AAROM 0-90 for 3 weeks. 8 WEEKS Mini-squats wall sits heel raises. Seated Knee extension 60 -0 degrees.
Control pain inflammation and effusion Adequate quadVMO contraction Independent in HEP TDWB to PWB as noted by Dr. Brace x 6 weeks Locked in extension Crutches PWB in brace EXERCISES. Repair of Root and Complex Tears There are two types of cartilage in the knee.
622015 40330 PM. Partial weight bearing 3. Paineffusion control No extensor lag Improve local muscular endurance AMBULATION AND BRACE USE.
40 Allied Drive Dedham MA 02026 781-251-3535 office. PROM 0-90 degrees. Progression is criterion-based and dependent on soft tissue healing.
You will go home with crutches and a knee brace. Off for exercises and hygiene 0-90 when non-weight bearing Heel slides quad sets patellar mobs SLR SAQ No weight bearing with. Isokinetic exercises 180 150 120 90 60sec 8-10 reps up and down each speed Treadmill forward and retro-walking.
- Apply to the knee after performing rehabilitation exercises for the first 6 weeks - If no cryotherapy cuff is provided use a bag of ice for 20 minutes each hour while awake separating the bag of. Outcome Measures The Lower Extremity Functional Scale and MENISCUS REPAIR Return to Sport Index will be used throughout recovery to gauge patient perceived function and self-efficacy with activity. Scar tissue around the repair site.
Only teach patients exercises appropriate for this time frame if they were able to demonstrate functional criteria listed above.
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