ACL RECONSTRUCTION PROTOCOL

Phase II (6-12 weeks)Goals:Decrease swelling and prevent atrophyIncrease ROM 0-full flexionIncrease quadriceps and hamstring strengthIncrease hip strengthStimulate collagen healingIndependent ambulation without crutchesContinue general conditioningPlan:Continue phase I exercisesContinue patellar mobilization and ROM activities as objective findingswarrantStanding ½ squatJoint and soft tissue mobilization as neededIsotonic hamstring NK tableLeg pressContinue closed chain, balance and proprioceptive activitiesContinue EMS as needed for muscle re-ed and edemaStep-ups (controlled-forward and side)*McConnell taping as necessaryGeneral conditioningPhase III (12-16 weeks)Goals:Full ROMContinue all goals from Phase IIPlan:Continue phase II exercises and progress as toleratedStep-up- side and downIncrease proprioceptive training (sport cord, body blade, plyoballs)Treadmill as toleratedContinue Stairmaster½ wall sits as tolerated(16-20 weeks)Plan:Light jogging on trampoline¼ to ½ squats (painfree)Progress with closed chain activityIsotonic terminal knee extension (30-0 degrees)