Surgical Explanations
Rehabilitation Protocols
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MPFL
CONSIDERATIONS:
Limit flexion to less than 90 degrees during the first four weeks then gradually increase
Maintain patellar mobility throughout the program
Continue to build quadriceps strength, especially the VMO
PHASE 1: 1-2 WEEKS
Quad sets
Straight leg raises
Patella glides
Weight bear as tolerated, limit flexion to 0-70 degrees
Hip abduction and adduction
Begin working on gastrocnemius strengthening
PHASE 2: 3-4 WEEKS:
Closed chain work from 0-60 degrees
Step-ups
Iliotibial band stretching
Can begin hip abduction at week four
i.e. theraband sidestepping
At week four, begin proprioceptive training with a balance board
PHASE 3: 5-6 WEEKS:
Closed chain work from 0-90 degrees
General strength program
Hamstring exercises
Multi-hip exercises
Heel raises
Lunges
Squats, lunges, and leg presses from 0-90 degrees
Patient may be able to begin riding an exercise bike; however, he must have at least 110 degrees of flexion
PHASE 4: WEEK 12
Can begin jogging
PHASE 5: WEEK 16
Can begin jumping and other plyometrics |
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