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PCL Arthroscopy PT Protocol

This document outlines a physiotherapy protocol for patients undergoing PCL arthroscopy. It includes pre-operative, post-operative, and rehabilitation phases. The pre-operative phase focuses on reducing swelling, restoring range of motion, and educating patients. The post-operative program has 3 phases, with phase 1 (weeks 0-4) focusing on protecting healing tissues, restoring gait, and increasing range of motion and strength. Phase 2 (weeks 4-12) progresses weight bearing and introduces closed chain exercises. Phase 3 (months 3-6) focuses on achieving full range of motion and normal gait before progressing to more advanced exercises.

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147 views4 pages

PCL Arthroscopy PT Protocol

This document outlines a physiotherapy protocol for patients undergoing PCL arthroscopy. It includes pre-operative, post-operative, and rehabilitation phases. The pre-operative phase focuses on reducing swelling, restoring range of motion, and educating patients. The post-operative program has 3 phases, with phase 1 (weeks 0-4) focusing on protecting healing tissues, restoring gait, and increasing range of motion and strength. Phase 2 (weeks 4-12) progresses weight bearing and introduces closed chain exercises. Phase 3 (months 3-6) focuses on achieving full range of motion and normal gait before progressing to more advanced exercises.

Uploaded by

vasudevan07
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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PCL ARTHROSCOPY PT PROTOCOL

PURPOSE:
The purpose of this procedure is the address the physiotherapy regime for PCL
arthroscopy
SCOPE:
This procedure is applicable to rehabilitation department, bone and joint
hospital.
It is applicable for all patients scheduled for PCL arthroscopy orthopedic
procedure.
RESPONSIBILITY:
All Physiotherapy personnel are responsible for implementing the activities
detailed out in this procedure.
PROCEDURE:
Preoperative Phase
Goals
To diminish inflammation, swelling and pain and restore the normal
ROM.
Restore voluntary muscle activation .
To provide patient education to prepare patient for surgery.
a. Brace
It is an elastic wrap, which is used to reduce swelling.
b. Weight bearing
Weight bearing is encouraged as tolerated with or without crutches.
c. Exercises:
Explain the post operative regime on the sound limb for example,
Isolated Quadriceps exercises.
SLR & resistive harmstring & gastrosoleus exercis
Relaxed & coordinated knee swinging.
Instruction is given for balancing and weight transferring.

Postoperative program:

GENEAL GUIDELINES:
No open chain exs.
No CPM.
Caution against posterior tibial translation ( gravity, muscle action,etc).
phase 1 : weeks 0-4.
GOALS:
Protect healing bony and soft tissue structures.
Minimize the effects of immobilization.
Restore normal gait.
Early protected Rom , increase ROM.
Improve and increase muscle, strength, power and endurance.
WEIGHT BEARING :
As tolerated with cruthes, braces, braces locked in extension.
Special considerations:
Pillow under proximal posterior tibia at rest to prevent posterior sag.
Therapeutic exercise
Patellar mobilization.
Prone passive flexion and extension.
Quadriceps sets.
Hip abduction and adduction.
Ankle pumps.
Hamstrings and calf strechings.
Calf exercise with theraband, progressing to standing calf raise with full knee
extension.
Standing hip extension from neutral.
Functional electrical stimulation ( may be used for trace to poor quadriceps
contraction).
Phase 2: week 4-12:
Weight bearing:
4-8 weeks WB as tolerated with crutches.
8 wk may discontinue crutches if patient exhibits no quads lag with SLR, FULL
KNEE EXTENSION, knee flexion 90, normal gait pattern.

Therapeutic exercise
Week 4-8
Wall slides (0-45 degrees).
Mini squats (0-45 degrees).
Leg press (0-60 degrees).
4 way hip exs with knee extended.
Week 8-12
Stationary cycle or bike.
Stair master, elliptical steeper.
Balance and proprioception activites.
Seated calf raises.
Leg press(0-90 degrees)..
PHASE 3: MONTHS 3-6:
Criteria fr progreesion for phase 3:
pain free full ROM.
Normal gait.
Good to normal quadriceps strength.
No petallofemoral complaints.

Therapeutic exercise:
Continue closed chain exercise progression.
Threadmil walking.
Jogging in pool with belt.
Swimming (no frog kick).

PHASE 4: MONTH 6:
Full activity.

Ref : S. Brent Brotzman.

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