Anterior cruciate ligament injury of the knee, one of the common sports injuries, requires ligament reconstruction if the injury is severe or ruptured. After surgery, functional rehabilitation exercises should be performed under the guidance of a rehabilitator to restore function as soon as possible.
First day after surgery.
Purpose: To reduce pain and swelling. If the patient has pain, use cold compresses, oral or intramuscular injection of pain relievers such as prednisone and dulcolax.
Training.
1. The patient should rest fully.
2.The affected limb should be elevated and an ice pack should be added around the joint to apply cold compresses intermittently, usually for 30 minutes with an interval of 2 hours.
3.Train the quadriceps and N cord muscles to promote blood circulation, reduce swelling and increase muscle strength.
4.Perform CPM training, from full extension to 90 degrees of flexion, slowly.
Day 2 to 2 weeks post-op.
Purpose: To enable the knee to be fully extended or even hyperextended, minimize swelling, heal well, maintain active control of the quadriceps, and be able to reach 90 degrees of flexion. Ice pack cold compresses for three days after surgery.
Training.
1.Activities are the same as the first day, you can sit up, stand up, walk down to the ground, walk on your toes, crutches, and partially walk with weight.
2. Minimize walking to prevent swelling of the joint. (Adding an ice pack around the affected knee for three days can relieve pain and reduce swelling)
3. Perform CPM training from full extension to 90 degrees of flexion.
4. Passive knee extension: The patient lies flat on his back with the heel pads elevated so that the knee is fully extended.
5.Perform the last 5 degrees of knee extension training: place a soft pillow (15 cm in diameter) at the N fossa, press down with straight leg for 10 seconds and relax.
6.Quadriceps static strength and straight leg raise training.
7, Patellar mobility training (pushing the patella from the inside out) if necessary.
Two weeks postoperative to six weeks postoperative.
Purpose: To achieve 135 degrees of knee flexion, reduce knee swelling, and increase muscle strength.
Training.
1. The patient can move around in bed and under the bed.
2.Exercise of quadriceps muscle – static strength, straight leg raise, medial head.
3.Training of N cord muscle — If the knee joint can be fully straightened, lie flat, flex the hip 90 degrees and use the gravity of the calf to bend.
4, the last 5 degrees of straightening training — N fossa under a soft pillow, straight leg down.
5.If the knee joint can reach 150 degrees, the patient can be instructed to do the pedal test.
Six weeks to nine weeks after surgery.
Objective: The knee joint is able to reach normal extension and flexion (0 degrees of extension and 150 degrees of flexion).
Training.
1.Free walking
2.N rope muscle can resist resistance
Nine to twelve weeks after surgery.
Purpose: To increase muscle strength, further refine the mobility of the knee joint and increase muscle strength.
Training.
1.Activity, walking with weight.
2.Straight leg raise
3.Last 5 degrees of extension
4.Brisk walking
5.Peace running exercises
6.Free bicycle riding
After twelve weeks.
Purpose: To completely restore the normal mobility of the knee joint and further increase muscle strength, mobility and flexibility.
Training.
1.Perform various activities.
2.Walking with full weight bearing.
3.Perform calf training (squatting, standing on toes)
4.Go up and down steps.
Fourteen weeks after surgery: it is best to see if you can participate in sports activities
1.Conduct training and activities
2.Light physical activities
3.Doing these activities must have three conditions: A joint without swelling B quadriceps and N cord muscle strength to 3/4 of normal C Lachman test negative.
Six months after surgery
Competitive activities can be performed with moderate protection of the knee joint.
Note: There is no universal post-operative rehabilitation plan, but rather an individualized design. This plan is intended for professional use, reference and communication only. Patients should consult with your surgeon and rehabilitation physician and should not copy or practice!