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Rehabilitation guidelines for Arthroscopic ACL reconstruction

  • The time-lines mentioned are approximate and actual progression depends on individual recovery.
  • Patients can weight bear as tolerated from day 1. Please use crutches till good pain control, quadriceps strength and walking mechanics are achieved.
  • Avoid pillow under knees and focus on knee extension and quadriceps exercises from day 1.
  • For the first 2 weeks – Apply icepacks 3-5 times daily for 10 minutes each time.

First 2 weeks

  • Seated knee range of motion(ROM) exercises.
  • Quadriceps sets, hip abductor exercises, core strengthening and upper body conditioning exercises.
  • Gait training. Wean off assistive walking devices.

2-6 weeks

  • Closed chain exercises – Start squats, bridge exercise.
  • Progress with core strengthening.
  • Stationary bike.
  • Functional and activity based exercises.

6-12 weeks

  • Add eccentric exercises, lateral training exercises.
  • Bike with minimal resistance.
  • No cutting, pivoting.

After 12 weeks

  • Progress with strengthening and endurance training.
  • Low level jumping exercises.
  • Work specific and sport specific training.