meniscus repair exercises pdf

PROM and AAROM 0-90 for 3 weeks. Tears are noted by how they look as well as where the tear occurs in the meniscus.

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The decision by the surgeon to repair or remove is based primarily on the location of the meniscal tear.

. Hold for 3-5 seconds then return the leg to the ground and repeat with the opposite leg. 40 Allied Drive Dedham MA 02026 781-251-3535 office. 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.

Meniscus Repair Rehabilitation Dr. Seated Knee extension 60 -0 degrees. The interventions included within this protocol are not intended to be an inclusive list of exercises.

Weightbearing versus nonweightbearing after meniscus repair. The listed clinical recommendations are a result of the co mplexity of the surgical technique. Gradual increase in flexion ROM is based on assessment of pain and site of repair 0-90 degrees.

Isokinetic exercises 180 150 120 90 60sec 8-10 reps up and down each speed Treadmill forward and retro-walking. 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. Brace 0 90 for 6 weeks post op 50 weight bearing for 6 weeks post op Use of crutches for 6 weeks post op.

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. Symptoms of a degenerative meniscus tear include swelling pain along the joint line catching and locking. The protocol is divided into phases.

Horizontal cleavage tears can result in advanced degeneration of the meniscus tissue and underlying cartilage especially during high-impact activity. No CKC exercises 90º x. 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.

2-4 WEEKS POSTOPERATIVE GOALS. In addition if the medial meniscus is involved active. Progressive resistance exercises PREs 1-5 pounds.

PROM 0-90 degrees. The outer portion of the meniscus has a good blood supply whereas the inner portion has a very poor blood supply. Bridge Exercise with Straight Leg Raise.

Closed Chain exercises. The protocol may be modified depending on the location and extent of the meniscal tear and subsequent repair. Guelich This rehabilitation protocol was developed for patients who have isolated meniscal repairs.

- Ankle pumps - Knee extensionhamstring stretching with heel prop - Sitting leg dangle to 90 degrees using unaffected leg for support. Microsoft Word - Meniscus repair rehab protocoldoc Created Date. Without an adequate blood supply the area of torn.

Therapeutic Exercises 3 times per day. Pause extend your leg. 6142017 22414 AM.

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. Paineffusion control No extensor lag Improve local muscular endurance AMBULATION AND BRACE USE. 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.

Arthroscopically assisted open repair or all inside repair. REHABILITATION AFTER KNEE MENISCUS REPAIR. Do at least 10 ankle pump exercises each hour to help prevent phlebitis blood clots in the veins.

100Xday SLR 4 way SAQ LAQ. The first 6 weeks are a strict protection phase and the patient is non-weight bearing. Isolated meniscal repair Primary surgery.

Progression is criterion-based and dependent on soft tissue healing patient demographics and clinical. WBAT in brace with crutches. Control pain and swelling 2.

Meniscus Repair and Transplantation. Brace x 6 weeks Locked in extension Crutches PWB in brace EXERCISES. PWB is allowed for the first 3 weeks.

VanderHave KL Perkins C et al. Avoid forced knee flexion deep squatting and twisting. Lay on your back with your knees bent to prepare for the bridge exercise.

EXERCISES STRENGTH AND NM CONTROL Quad sets with EMS or biofeedback the more the better. Meniscal tears occur in different ways. Common tears include longitudinal parrot-beak flap bucket handle and mixedcomplex.

Moderate Protection- Weeks 6-10. Weeks 2 4 Precautions. One report showed that less than 10 of meniscal tears occurring in patients greater than 40 years of age were repairable.

Initiate knee motion 3. Hamstring and calf stretch. MENISCAL REPAIR PROTOCOL P.

The following protocol is a guideline for rehabilitation following meniscus repair. 3Page Minisquatminilungesbridgessportcordwallsquatsstepupdown. Keep your pelvis level as you lift your hipspelvis and buttocks into the air.

No resisted hamstring exercise Milestones Full knee extension AROM knee flexion to 900 Superior patellar glide with QS AROM hipankle WNL SLR without quad lag Weeks 3-4 1-3 visitsweek. Surgical repair will heal or that the surrounding meniscus will be strong enough to hold the sutures used to repair it. Activate the quadriceps muscles.

MENISCAL REPAIR ALL-INSIDE REHABILITATION PROTOCOL. 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-. Quad Set SLR.

Meniscal extrusion and accelerated arthritic degeneration if left untreated. The first week after surgery. Weight shift exercises at 3 weeks - if weight bearing is allowed.

Tissue around the repair site. Patellar mobilization Scar tissue mobilization Passive ROM Exercises o Quadriceps isometrics o Hamstring isometrics if posterior horn repair no hamstring exercises for 6 weeks o Hip abduction and adduction. The Orthopedic Surgeon may modify the time frames and weight bearing status as.

Bridge Exercise - Starting Position. Meniscal root repairs and radial tear repairs should be progressed slowly because the tear involves complete disruption of the circumferential fibers of the meniscus.

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