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Meniscal Repair

Dr. Bowen's PT Protocol

No. Of Weeks Post Op Goals Brace Strength Exercises ROM Exercises
0-2
  • Control Pain, inflammation, and effusion
  • Independent in HEP
  • Ambulate w/o assistive device in extension brace
Brace locked at 0 WBAT*
  • Quad sets
  • SLR
  • Prone hip extension
  • Side lying hip abduction
  • Stool laps
  • Calf raises
  • Passive, 0-90
  • Hamstring Stretch
  • Bike for ROM only
  • Seated assisted heel slides with towel
  • Prone hangs to facilitate extension
  • Prone flexion with rope to facilitate flexion
  • Supline swiss ball knew flexion
2-6
  • Control pain, effusion, edema
  • FWB with good quad control
  • Gain full knee ROM
  • Neuromuscular reeducation for quadriceps
Brace locked at 0 WBAT*
  • Quat sets w/ Biofeedback
  • Heelwalks/Calf Raises
  • Hip flex/abd/add/ext 4 way SRL's
  • Low resistance bilateral leg press w/ limited ROM (begin at week 4)
  • Supine Swiss Ball Curls for Hamstrings
  • Open chain resisted knee extension
  • Open chair hamstring curl
  • Balance exercises
  • PROM, full by end 6-10 weeks
  • Bike
  • Prone hangs as needed
  • Prone flexion to reach goal
6-10
  • Progression of LE strength
  • Gain full knee ROM
D/C brace at 6 weeks
  • Open chain resisted knee extension
  • Open chair hamstring curl
  • Balance exercises
  • Leg press bilateral w/ limited ROM gradual progression with resistance level and ROM
  • PROM, full by end 6-10 weeks
  • Bike
  • Prone hangs as needed
  • Prone flexion to reach goal
10-16
  • Improve neuromuscular control
  • Progress skill training for sport
  • Achieve maximal strength and endurance required for return to sport
  • Return to Sport after follow up M.D. appointment at 4 months and passing scores on Isokinetic/Functional testing
N/A
  • Open chain resisted knee extension
  • Open chair hamstring curl
  • Balance exercises
  • Leg press bilateral and unilateral
  • Sports specific exercises
  • Begin jogging at week 10
  • Plyometrics at week 14
  • Functional testing at week 16
  • Ensure full knee extension