STANDARD
REHABILITATION PROTOCOL
For repair of meniscus tears extending into the avascular region with post-op brace placed at the time of surgery
Please share this with your physical therapist, and contact us if there are any questions.
Initiate
Physical
Therapy
6 weeks
Can ease into
biking, elliptical,
swimming
2 months
Can ease into
squats and lunges
for strengthening
(NOT BEFORE THEN)
4 months
POST OPERATIVE TIME |
0-21 days |
22-35 days |
36-42 days |
---|---|---|---|
------------- | --------- | ------------ | |
Activities of daily living | ------------ | ------------ | |
Brace use (locked in extension during weight bearing) |
true | true | true |
Walking | true | true | true |
Showering | true | true | true |
Bath / Hot tub / Sauna | false | true | true |
Weight with surgical leg bent | false | false | false |
Range-of-motion goals | ------------ | ------------ | |
0°-90° | true | true | true |
0°-120° | arrow4 | arrow4 | arrow4 |
Full ROM | arrow4 | arrow4 | arrow4 |
Patella mobilization |
true | true | true |
Stretching | |||
Hamstring | true | true | true |
Gastroc-soleus | true | true | true |
Iliotibial band | true | true | true |
Quad | arrow4 | arrow4 | arrow4 |
Strengthening | false | false | false |
Active knee extension | true | true | true |
Quadriceps isometrics | true | true | true |
Straight leg raises | true | true | true |
Closed-chain strengthening: | |||
Calf raises with knee in extension | true | true | true |
Wall sits | false | false | false |
Squats | false | false | false |
Lunges | false | false | false |
Open-chain strengthening: | |||
Knee extension quadriceps 0°-90° | false | false | true |
Knee flexion hamstrings 0°-90° | false | false | true |
Multi-hip | false | false | true |
Hip abduction-adduction | false | false | true |
Balance/proprioceptive training | ------------ | ------------ | |
Weight-shifting | arrow4 | arrow4 | arrow4 |
BAPS | arrow4 | arrow4 | arrow4 |
BBS | arrow4 | arrow4 | arrow4 |
Mini-trampoline |
arrow4 | arrow4 | arrow4 |
Plyometrics |
arrow4 | arrow4 | arrow4 |
Conditioning | |||
Upper body ergometer (optional) | true | true | true |
Swimming - freestyle | false | false | false |
Aquatic program | false | false | false |
Bike (stationary) | false | false | false |
Stair climbing machine | false | false | false |
Ski machine | false | false | false |
Running: straight - ease in SLOWLY | arrow4 | arrow4 | arrow4 |
Cutting | false | false | false |
Lateral carioca | false | false | false |
Figure 8s | false | false | false |
Full sports at 6-12 months depending on strength |
arrow4 | arrow4 | arrow4 |
7-8 weeks |
9-16 weeks |
4 months |
5 months |
6-12 months |
---|---|---|---|---|
false | false | false | false | false |
arrow3 | arrow3 | arrow3 | arrow3 | arrow3 |
arrow3 | arrow3 | arrow3 | arrow3 | arrow3 |
arrow3 | arrow3 | arrow3 | arrow3 | arrow3 |
arrow3 | arrow3 | arrow3 | arrow3 | arrow3 |
arrow3 | arrow3 | arrow3 | arrow3 | arrow3 |
arrow3 | arrow3 | arrow3 | arrow3 | arrow3 |
arrow4 | arrow4 | arrow3 | arrow3 | arrow3 |
arrow3 | arrow3 | arrow3 | arrow3 | arrow3 |
arrow3 | arrow3 | arrow3 | arrow3 | arrow3 |
arrow3 | arrow3 | arrow3 | arrow3 | arrow3 |
arrow3 | arrow3 | arrow3 | arrow3 | arrow3 |
arrow4 | arrow3 | arrow3 | arrow3 | arrow3 |
false | false | arrow3 | arrow3 | arrow3 |
arrow3 | arrow3 | arrow3 | arrow3 | arrow3 |
arrow3 | arrow3 | arrow3 | arrow3 | arrow3 |
arrow3 | arrow3 | arrow3 | arrow3 | arrow3 |
arrow3 | arrow3 | arrow3 | arrow3 | arrow3 |
false | false | arrow3 | arrow3 | arrow3 |
false | false | arrow3 | arrow3 | arrow3 |
false | false | arrow3 | arrow3 | arrow3 |
arrow3 | arrow3 | arrow3 | arrow3 | arrow3 |
arrow3 | arrow3 | arrow3 | arrow3 | arrow3 |
arrow3 | arrow3 | arrow3 | arrow3 | arrow3 |
arrow3 | arrow3 | arrow3 | arrow3 | arrow3 |
arrow3 | arrow3 | arrow3 | arrow3 | arrow3 |
arrow4 | arrow3 | arrow3 | arrow3 | arrow3 |
arrow4 | arrow3 | arrow3 | arrow3 | arrow3 |
arrow4 | arrow4 | arrow3 | arrow3 | arrow3 |
arrow4 | arrow4 | arrow4 | arrow3 | arrow3 |
arrow3 | arrow3 | arrow3 | arrow3 | arrow3 |
arrow3 | arrow3 | arrow3 | arrow3 | arrow3 |
arrow3 | arrow3 | arrow3 | arrow3 | arrow3 |
false | arrow3 | arrow3 | arrow3 | arrow3 |
false | false | arrow3 | arrow3 | arrow3 |
false | false | false | arrow3 | arrow3 |
arrow4 | arrow4 | arrow3 | arrow3 | arrow3 |
false | false | false | arrow3 | arrow3 |
false | false | false | arrow3 | arrow3 |
false | false | false | arrow3 | arrow3 |
arrow4 | arrow4 | arrow4 | arrow4 | arrow3 |