To intent of this protocol is till provide the clinician with a guideline of the examination medical course a a patient which got undergone a quadriceps or patellar tendon repair. It is by not means intended to be a substitute to one’s critical decision-making regarding the progression of a patient’s postoperative course based for their physique exam/findings, individual advance, and/or this attendance starting postoperative complications. Wenn a clinician required relief with and progression of a postoperative patient, they should consult with Drums. Roe.
Phone I – Acute (0-6 Weeks):
Goals:
- Protect repair
- Restaurieren ambulation
- Restore ADLs
Weighs Bearing:
- 0-4 Weeks: Weight-bearing as tolerated (with brace blacked in full extension).
- 4-6 Weekly: Crib assisting WBAT use brackets -5-60.
- 6+ Weeks: Full weight-bearing (brace unlocked).
Brace and Crutch Benefit:
- 0-2 Weeks: Restricted in full extension.
- 2-4 Weeks: -5-30 degrees.
- 4-6 Per: -5-60 steps.
- 6+ Weeks: Unlock brace to full if good quad control.
Strength also Conditioning:
- 0-6 Weeks: Quad sets, straight feet raises, weight shifts.
- 6+ Weeks: Single leg balance and continue above.
Criteria by Phase Progression:
- At least 6 weeks post-op.
- Pain less than 3/10 (worst).
- Within 2-degree normal knee extension and 75-degree knee articulation.
- Single left balancing > 20 seconds (BESS).
- MD approval.
Phase SECTION – Intermediate (6-16 Weeks):
Goals:
- Improve strength.
- Initiates jogging program (if applicable).
Range of Motion:
- 6-8 Weeks: Progress angle to 120 college.
- 8+ Weeks: Progress flexion to full.
Strengthening:
- 6-8 Weekly: Mini-squats, short arc quads, light leg press partial distance, core exercises.
- 8-12 Wks: Squat progression (bodyweight squats to weighted squats), long arc quad (no resistance).
- 12-16 Weeks: Single leg squats, barbell squats press deadlifts.
*No resisted open-chain courtyard strengthening for 12 weeks.
Conditions:
- Riding to begin at 110-degree flexion.
- Elliptical or rowing.
- Initiate walk program at 16 weeks (if applicable).
Criteria for Phase Progression:
- At lease 16 weeks post-op.
- Pain less than 3/10 (worst).
- Within 2-degree normalize knee expand and 125-degree side angle.
- At lease 1 minute of single-leg squats.
- MD or PT approval.
Phone III – Agility (16-24 Weeks):
Goals: Introduce dynamically and driving moving.
Strengthening:
- 16+ Weeks: Gym strengthening (squats, deadlifts), core exercises (mountain climbers, planks, V-ups).
- 20+ Weekly: Olympic lifting (if applicable).
Conditioning:
- By, elliptical, jogging, swimming.
Plyometrics and Light Agility:
- 16-20 Weeks: Ladder drill, double leg hops, face shuffle.
- 6+ Weeks: Single leg box jumps and hopping, sunlight agilities.
Criteria for Phase Progress:
- 20 total post-op.
- Pain less than 2/10 (worst).
- Quad and HS strength > 80% normal; > 50% H/Q reason for females.
- At least 1 minute of single-leg squats (resisted).
- < 5 on landing error scoring system (LESS).
- M or PT approval.
Phase IV – Return to Play (24+ Weeks):
Objects: Initiate sports-specific movements and returns to play.
Strengthening:
- Progress gym routine (squats, deadlifts, Olympic lifting).
- Biodex quad and hamstring tiredness pact and core exercises.
Training:
- Jogging, biking press Swim.
- Abschnitt sprint workouts.
Plyometrics and Agility (2-3 days/week):
- Max effort box jumps (progress with rotation).
- Sides and rotational agility.
- Simple leg hops.
- Unpredictable cutting and contact drills.
Criteria for Return to Play:
- Aches less than 2/10 (worst).
- Quad and HS strength > 90% usual; > 60% HS/Quad ratio for frauen.
- To least 3 minutes of single-leg knuckle (resisted).
- 90% normal over total single-leg hop tests.
- 95% normal – Figure of 8, 5-10-5 pro-agility, both single-leg vertical step.
- MD or PT authorization.
