meniscus repair exercises pdf

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. American technology and US made.

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. EXERCISES STRENGTH AND NM CONTROL Quad sets with EMS or biofeedback the more the better. When climbing stairs lead with the non-surgical side when going up the stairs lead with the. Avoid exercises that cause pain at the patella Wait until 16 weeks post-op to initiate lateral exercises if meniscal root repairmeniscal transplant Wait until 18 weeks post-op to initiate plyometrics agility running and swimming if meniscal root repairmeniscal transplant Goals.

Improve functional control. Although your knee may feel sore after the operation it is important that you start completing the exercises in order to build up the muscles around. The following protocol is a guideline for rehabilitation following meniscus repair.

Continue to wear knee immobilizer at all times for at least 6 weeks. Therapeutic Exercises 3 times per day. EXERCISES Continue and progress all strengthening exercises and stretching drills - Progress isotonic program.

- Hipglute muscle endurance exercises Weeks 3-4 - Continue progressing exercises from Weeks 1-2 as appropriate - Short arc quads. Brace x 6 weeks Locked in extension Crutches PWB in brace EXERCISES. Do at least 10 ankle pump exercises each hour to help prevent phlebitis blood clots in the veins.

Meniscus Repair Post Operative Rehabilitation Protocol Page 23 PHASE 1 0-2 weeks. PROM and AAROM 0-90 for 3 weeks. 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.

Weeks 2 4 Precautions. Bridge Exercise with Straight Leg Raise. Activate the quadriceps muscles.

Meniscal Repair wwwuhcwnhsuk 3 Exercises The success of your operation will often depend on you following your rehabilitation guidance given to you by the physiotherapist. MENISCAL REPAIR PROTOCOL P. Initiate knee motion 3.

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. 100Xday SLR 4 way SAQ LAQ. The Orthopedic Surgeon may modify the time frames and weight bearing status as.

Ad Pro Athletes Use it. Brace 0 90 for 6 weeks post op 50 weight bearing for 6 weeks post op Use of crutches for 6 weeks post op. Noyes FR Barber-Westin SD.

The protocol may be modified depending on the location and extent of the meniscal tear and subsequent repair. Control pain and swelling 2. Meniscus Repair and Transplantation.

Sports Med Arthrosc Rev. Lowe Phase 2-Weeks 2-4 Meniscal Repair WEEK EXERCISE GOAL 2-4 ROM 0-120 Passive 0-120 Patellar mobs Gastocsoleus stretch. Bridge Exercise - Starting Position.

REHABILITATION AFTER KNEE MENISCUS REPAIR. PWB is allowed for the first 3 weeks. Microsoft Word - Meniscus repair rehab protocoldoc Created Date.

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. Avoid forced knee flexion deep squatting and twisting. Barber A Click S.

The interventions included within this protocol are not intended to be an inclusive list of exercises. 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. 40 Allied Drive Dedham MA 02026 781-251-3535 office.

Weightbearing versus nonweightbearing after meniscus repair. Without an adequate blood supply the area of torn. Weight shift exercises at 3 weeks - if weight bearing is allowed.

Lay on your back with your knees bent to prepare for the bridge exercise. The outer portion of the meniscus has a good blood supply whereas the inner portion has a very poor blood supply. Add light weights as tolerated.

Keep your pelvis level as you lift your hipspelvis and buttocks into the air. Quad Set SLR. Closed Chain exercises.

Walking-Brace locked use crutches 2. Paineffusion control No extensor lag Improve local muscular endurance AMBULATION AND BRACE USE. VanderHave KL Perkins C et al.

The first week after surgery. Hold for 3-5 seconds then return the leg to the ground and repeat with the opposite leg. Control pain inflammation and effusion Adequate quadVMO contraction Independent in HEP TDWB to PWB as noted by Dr.

PROM 0-90 degrees. 2-4 WEEKS POSTOPERATIVE GOALS. Seated Knee extension 60 -0 degrees.

Kozlowski EJ et al. Pause extend your leg. WBAT in brace with crutches.

Figure 6 shows the blood vessels perimeniscular capillary plexus entering the outer portion of the meniscus3 This blood supply is necessary for a tear or a repair to heal. 6142017 22414 AM. Lay on your back with your knees bent to prepare for the bridge exercise.

Moderate Protection- Weeks 6-10. Over 100000 units in use. Meniscus repair rehabilitation with concurrent anterior cruciate reconstruction.

Progression is criterion-based and dependent on soft tissue healing patient demographics and clinical. Surgical repair will heal or that the surrounding meniscus will be strong enough to hold the sutures used to repair it. - Ankle pumps - Knee extensionhamstring stretching with heel prop - Sitting leg dangle to 90 degrees using unaffected leg for support.

The role of accelerated rehabilitation in return to sport. Partial weight bearing 3. Hamstring and calf stretch.

No CKC exercises 90º x. Symptoms of a degenerative meniscus tear include swelling pain along the joint line catching and locking. Un-resisted prone ham curl Week 2-4 ROM- 90100 degrees except posterior horn limit 90 until wk 5 Add exercises.

Isokinetic exercises 180 150 120 90 60sec 8-10 reps up and down each speed Treadmill forward and retro-walking. Ad One of the Largest Inventories of Orthopedic Supplies. Meniscal Repair wwwuhcwnhsuk 3 Exercises The success of your operation will often depend on you following your rehabilitation guidance given to you by the physiotherapist.

SLR - eccentric and weighted until able to do 7lbs. One report showed that less than 10 of meniscal tears occurring in patients greater than 40 years of age were repairable. 40 Allied Drive Dedham MA 02026 781-251-3535 office.

Experience Great Customer Service Order Your Supplies Today. COPYRIGHT2014CRCBRIANJCOLEMDMBA WEIGHT BEARING BRACE ROM EXERCISES PHASE I 0-2 weeks Full in Brace locked in extension Locked in full extension for sleeping and all activity Off for exercises and hygiene 0-90 when non-. Brace locked at 0 ext to protect repair GOALS OF PHASE.

Progressive resistance exercises PREs 1-5 pounds. MENISCAL REPAIR ALL-INSIDE REHABILITATION PROTOCOL.

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