Week 6-9

Ambulation

• Full weight bearing - discontinue the splint
  
  
• Continue the functional brace when active
  
  
• Exercises and Activities
  
  
• Swimming - add flutter kick at pool side or flutter board, progress to front crawl/back crawl if comfort permits
  
  
• Easy jogging in waist deep water
  
  
• Cycle outdoors - no toe clips or standing. On level terrain
  
  
• Power walking
  
  
• Hamstring reconstruction may start hamstring resisted exercises
  
  

Goals

• Progress to full range of motion
  
  
• Increase functional activities
  
  
  
  

Weeks 9-12

Ambulation

• Full weight bearing
  
  
• Exercises and Activities
  
  
• Progress power walking to walk/jog on level surface
  
  

• Lunges
  
  
• Cycling - all terrain
  
  
• Phantom chair - begin at 45* and progress to 90*
  
  
• Cybex - only with anti-shear device
  
  
• Skipping - both legs
  
  

Goals

• Increase functional activities and endurance
  
  
  
  

Weeks 12+

Ambulation

Full Weight Bearing

Exercises and Activities

• Begin Nautilus program - concentrate on leg press, leg curls, and squats. No leg extensions beyond 45*
  
  
• Straight ahead running at 1/2 speed on level terrain
  
  
• Running upstairs/walking down
  
  
• Introduce interval training on bike
  
  
• Proprioception and strength
  
  
• Hopping drills (2 legs) progress to one leg - work all directions, gradually increasing height and/or distance of hops
  
  
• Add plyometric exercises  - hopping down from stairs/boxes
  
  

Goals

• Full range of motion
  
  
• Increase function, strength, and endurance
  
  
  
  

Week 14+

Exercises and Activities

• Light sport activities ( x-county skiing, curling, golf, ice skating)
  
  
  

Only if:

• No effusion
  
• Full range of motion
  
• 75% quad/ham strength ratio ( 85% for rollerblading)
  
• Negative Lachman
  
• M.D. approval