meniscus repair exercises pdf
Control pain and swelling 2. The protocol is divided into phases.
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Isokinetic exercises 180 150 120 90 60sec 8-10 reps up and down each speed Treadmill forward and retro-walking.
. SLR all 4 planes progressive resistance prone ham curls knee 2 off table light theraband. Avoid forced knee flexion deep squatting and twisting. Do at least 10 ankle pump exercises each hour to help prevent phlebitis blood clots in the veins.
Hamstring and calf stretch. Meniscal root repairs and radial tear repairs should be progressed slowly because the tear involves complete disruption of the circumferential fibers of the meniscus. Quad Set SLR.
Guelich This rehabilitation protocol was developed for patients who have isolated meniscal repairs. Meniscal extrusion and accelerated arthritic degeneration if left untreated. Microsoft Word - Meniscus repair rehab protocoldoc Created Date.
2-4 WEEKS POSTOPERATIVE GOALS. Some meniscal injuries can heal on their own and some do not heal but may not cause any symptoms. Wake Forest University School of Medicine Medical Center Boulevard Winston-Salem NC 27157-1070 Patient Appointments.
Meniscus Repair and Transplantation. Progressive resistance exercises PREs 1-5 pounds. Make sure you do the exercises as this is an.
Hold for 3-5 seconds then return the leg to the ground and repeat with the opposite leg. Therapeutic Exercises 3 times per day. Pause extend your leg.
However the only definitive treatment for meniscal tears requires surgery. 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. WBAT in brace with crutches.
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-. VanderHave KL Perkins C et al. The following protocol is a guideline for rehabilitation following meniscus repair.
Keep your pelvis level as you lift your hipspelvis and buttocks into the air. Bought this along with another brace after a recent meniscus tear. The interventions included within this protocol are not intended to be an inclusive list of exercises.
MENISCAL REPAIR PROTOCOL P. Weeks 2 4 Precautions. PROM 0-90 degrees.
Bridge Exercise - Starting Position. Bridge Exercise with Straight Leg Raise. The listed clinical recommendations are a result of the co mplexity of the surgical technique.
NWB-TDWB brace locked in extension for ambulation brace when good quad control after 6 weeks Dr Exercise. Lay on your back with your knees bent to prepare for the bridge exercise. One report showed that less than 10 of meniscal tears occurring in patients greater than 40 years of age were repairable.
The protocol may be modified depending on the location and extent of the meniscal tear and subsequent repair. Microsoft Word - MENISCUS REPAIRdocx Created Date. If there are no symptoms there is no known problem with leaving the meniscus alone no surgery.
Surgical repair will heal or that the surrounding meniscus will be strong enough to hold the sutures used to repair it. Incredible quality effective. The following is a protocol for postoperative patients following ACL reconstruction and meniscus repair medial or lateral.
The outer portion of the meniscus has a good blood supply whereas the inner portion has a very poor blood supply. The following is a protocol for postoperative patients following ACL reconstruction and meniscus repair medial or lateral. Brace x 6 weeks Locked in extension Crutches PWB in brace EXERCISES.
Brace locked at 0 ext to protect repair GOALS OF PHASE. Seated Knee extension 60 -0 degrees. 40 Allied Drive Dedham MA 02026 781-251-3535 office.
Patellar mobilizations ankle pumps gastrocsoleus stretch HS. Horizontal cleavage tears can result in advanced degeneration of the meniscus tissue and underlying cartilage especially during high-impact activity. The first week after surgery.
Paineffusion control No extensor lag Improve local muscular endurance AMBULATION AND BRACE USE. _____ WEEKS 1-2_____ ROM. Meniscus Repair Rehabilitation Dr.
These FDA medical devices are made in the USA for home use. MENISCAL REPAIR ALL-INSIDE REHABILITATION PROTOCOL. 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.
Meniscal repairs located in the vascular zones of the periphery or outer third of the meniscus are progressed more rapidly than those repairs that are more complex and located in that avascular. The primary goal of this protocol is to protect the reconstruction and while steadily progressing. Only teach patients exercises appropriate for this time frame if they were able to demonstrate functional criteria listed above.
Weightbearing versus nonweightbearing after meniscus repair. Moderate Protection- Weeks 6-10. REHABILITATION AFTER KNEE MENISCUS REPAIR.
The Orthopedic Surgeon may modify the time frames and weight bearing status as. Control pain inflammation and effusion Adequate quadVMO contraction Independent in HEP TDWB to PWB as noted by Dr. Weight shift exercises at 3 weeks - if weight bearing is allowed.
Un-resisted prone ham curl Week 2-4 ROM- 90100 degrees except posterior horn limit 90 until wk 5 Add exercises. Specific intervention should be based on the needs of the individual and should consider clinical decision making. In addition if the medial meniscus is involved active.
Without an adequate blood supply the area of torn. For exercises until otherwise informed by the physician after first post-operative visit. Activate the quadriceps muscles.
Brace 0 90 for 6 weeks post op 50 weight bearing for 6 weeks post op Use of crutches for 6 weeks post op. 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. 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.
SLR - eccentric and weighted until able to do 7lbs. Symptoms of a degenerative meniscus tear include swelling pain along the joint line catching and locking. Lowe Phase 2-Weeks 2-4 Meniscal Repair WEEK EXERCISE GOAL 2-4 ROM 0-120 Passive 0-120 Patellar mobs Gastocsoleus stretch.
Meniscus Repair Patient Name. Initiate knee motion 3. The first 6 weeks are a strict protection phase and the patient is non-weight bearing.
Surgery may provide complete healing in 6 weeks. 6142017 22414 AM. Ad Heal Quickly and Relieve Pain the same way Pro Athletes and Doctors treat themselves.
- Ankle pumps - Knee extensionhamstring stretching with heel prop - Sitting leg dangle to 90 degrees using unaffected leg for support.
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