PROTECTION PHASE - 4-12 WEEKS - PCL REHAB I Dr Soundar I Tamil скачать в хорошем качестве

PROTECTION PHASE - 4-12 WEEKS - PCL REHAB I Dr Soundar I Tamil

# #drsoundar 📲For Appointments Contact : 80727 34795 Posterior Cruciate Ligament (PCL) injuries (less common than ACL), can significantly impact knee stability/function. Often overlooked, PCL tears require proper diagnosis, treatment and optimal recovery . Surgical: Recommended for complete tears (Gr III) or combined ligament injuries - Arthroscopic: Less invasive, faster recovery Post-operative considerations If the patient develops a fever, unresolving numbness/tingling, excessive drainage from the incision, uncontrolled pain or any other symptoms you have concerns about you should contact the referring physician. PHASE II: PROTECTION PHASE (4-12 WEEKS AFTER SURGERY) Rehabilitation Goals • Increase knee ROM, particularly flexion • Normalize gait • Improve quadriceps strength and hamstring flexibility Weight Bearing During this phase, the brace is progressively unlocked (when able to perform SLR) and weight bearing increased: • Weeks 4-6: WBAT with crutches, brace unlocked for gait in controlled environment only • Weeks 6-8: WBAT with crutches, brace unlocked for all activities • Week 8: brace discontinued (as allowed by surgeon). Patient may discontinue crutches if they demonstrate the following: o No quadriceps lag with SLR o Full knee extension o Knee flexion AROM 90-100 degrees o Normal gait pattern (may use 1 crutch/cane until gait normalized) Precautions • Avoid hamstring activation or guarding • Avoid hyperextension activities • Prevent posterior tibial translation Additional Interventions *Continue with Phase I interventions as indicated Therapeutic Exercise: exercise progressions below should be in respect to timeline of healing as well as patient ability to perform appropriately, if unable to perform with proper form, delay adding to program Weeks 4-8: • Wall slides (0-45 degrees knee flexion) • Leg press (0-60 degrees knee flexion) • Standing 4 way hip exercise for resisted hip flexion, extension, abduction, and adduction. Place resistance above knee for hip abduction and adduction • Sidelying hip external rotation-clamshell • Hooklying transversus abdominus progression Weeks 8-12: • Stationary bike (foot placed forward on pedal without use of toe clips to minimize hamstring activity, seat height slightly higher than normal), Elliptical trainer • Gait training over level ground • Closed kinetic chain terminal knee extension using resistance band or weight machine • Mini squats (0-90 degrees knee flexion) • Leg press (0-90 degrees knee flexion) • Seated calf raises Balance/Proprioception • Single leg standing balance (knee slightly flexed) static progressed to dynamic and level progressed to unsteady surface Criteria to Progress • No effusion/swelling/pain after exercise • Normal gait • ROM equal to contra lateral side SHARE you knee injury journey & experience 🔗Website: https://www.smclinics.com/ 🔗Facebook: https://www.facebook.com/profile.php?... 🔗Instagram:   / dr_soundarmanickam   🔗Linkedin:  / dr-soundar-manickam-93047a193   Location : https://goo.gl/maps/qDeDhG69HkDZ4irm7 DISCLAIMER: This content (the video, description, links, and comments) is not medical advice or a treatment plan and is intended for general education and demonstration purposes only. This content should not be used to self-diagnose or self-treat any health, medical, or physical condition. Don’t use this content to avoid going to your own healthcare professional or to replace the advice they give you. Consult with your healthcare professional before doing anything contained in this content. You agree to indemnify and hold harmless Dr. Soundar, its officers, employees, and contractors for any and all losses, injuries, or damages resulting from any and all claims that arise from your use or misuse of this content. Dr.Soundar makes no representations about the accuracy or suitability of this content. Use of this content is at your sole risk. For Appointments Contact : 80727 34795 SM Ortho & Skin Care No. 6 Sivagnanam Street T- Nagar Chennai - 600017 pcl ligament injury, posterior cruciate ligament injury, posterior cruciate ligament injury NHS, posterior cruciate ligament injury test, posterior cruciate ligament injury recovery time, posterior cruciate ligament injury radiology, posterior cruciate ligament injury exercises, posterior cruciate ligament injury orthobullets, posterior cruciate ligament injury physiopedia, posterior cruciate ligament injury causes