Many physiotherapists you talk to over the course of your recovery will refer to the phases of ACL surgery rehab in different names. Here is a quick breakdown of the phases and their names...
Early Rehabilitation Phase
1-2 weeks - Phase 1
FOCUS - RICE(rest, ice, compression, elevate)
Second Rehabilitation Phase
3-4 weeks - Phase 2
FOCUS - Improve Range of motion
Controlled Ambulation Phase
4-6 weeks - Phase 3
FOCUS - Bend the knee to at least 130 degrees
Protection Phase
6-8 weeks - Phase 4
FOCUS - ACL surgery exercises will be increased in intensity
Light Activity Phase
8-10 weeks - Phase 5
FOCUS - Balance and movement - combining strength, range of motion and balance work together
Functional Activity Release
10+ weeks - Phase 6
FOCUS - Being released by physio and surgeons to return to pre injury activities
Everyone is different and this ACL surgery rehab process is highly dependent on what condition you are before you have surgery and what level of activity you are looking to return to.
Image from Phase 1 of my ACL Surgery Rehab process
After ACL Surgery the most important thing to do is rehab. I learned this the hard way after re-tearing my ACL after my first ACL surgery due to not doing enough rehab. This site looks at the ACL Surgery Rehab timeline and helps other people going through ACL surgery.
Showing posts with label physio. Show all posts
Showing posts with label physio. Show all posts
Sunday, December 12, 2010
ACL Surgery Rehab Phases
There are 6 phases of ACL surgery rehab. That cover from week 1 to after week 10. The focus of rehab is on getting your strength, balance and range of motion back in the affected leg. Many factors will come into play to determine how quickly your will move through the phases.
ACL Surgery Rehab - Phase 2 - Weeks 3-4
In phase 2 of ACL surgery rehab the focus is on joint protection as you may begin to feel like you can do more than your knee is actually ready for. Some milestones for phase 2 include
ACL Surgery Rehab - Phase 3 - Weeks 4-6This phase of ACL surgery rehab is sometimes called the controlled ambulation phase. The range of motion should increase from 0-130 degrees. You will also start on exercises involving the leg mini squats, single leg bridges etc. New and more difficult balance exercises will also be introduced into the rehab routine.
ACL Surgery Rehab - Phase 4 - Weeks 6-8
At tjhe end of week 8 in your ACl surgery rehab schedule you should have full range of motion. This is the key milestone to achieve in phase 4. Also during phase 4 weight will be added to your regular ACL surgery exercises to help stimulate increased strength.
ACL Surgery Rehab - Phase 5 - Weeks 8-10
Finally...we are back at the light activity phase. Here you can start with some light jogging, elliptical machine, stepping exercises etc. The emphasis during this phase of physiotherapy is improved strength and balance and bringing the two exercises together ie 1 exercise to improve both strength and balance as opposed to strength exercises which only isolate strength.
ACL Surgery Rehab - Phase 6 - Weeks 10-and up
Depending on how your rehab has gone to this point you may begin to be cleared to return to activity. You may require to be fit for a brase or other device. You will likely be required to do some testing so that the surgeon and physio are confident that you are strong enough to return to sports.
Hopefully understanding the phases of rehab after ACL surgery will help you through the process. It can be very time consuming and frustrating however it is absoloutly critical that you take your physio efforts seriously as you do not want to end up like me going through the process for a second time.
If you have any suggestions to the process please leave a comment below.
ACL Surgery Rehab - Phase 1 - First Couple of Weeks
The first phase of rehab is the realy rehabilitative phase. In phase 1 using some basic ACL surgery exercises and RICE(rest, ice, compress, elevate) in weeks 1-2 you should be able to...- Manage Pain
- Reduce Swelling
- Improve Range of Motion
ACL Surgery Rehab - Phase 2 - Weeks 3-4
In phase 2 of ACL surgery rehab the focus is on joint protection as you may begin to feel like you can do more than your knee is actually ready for. Some milestones for phase 2 include
- Range of motion from 0 - 100 degrees
- Walking with minimal limp
- Improved balance
ACL Surgery Rehab - Phase 3 - Weeks 4-6This phase of ACL surgery rehab is sometimes called the controlled ambulation phase. The range of motion should increase from 0-130 degrees. You will also start on exercises involving the leg mini squats, single leg bridges etc. New and more difficult balance exercises will also be introduced into the rehab routine.
ACL Surgery Rehab - Phase 4 - Weeks 6-8
At tjhe end of week 8 in your ACl surgery rehab schedule you should have full range of motion. This is the key milestone to achieve in phase 4. Also during phase 4 weight will be added to your regular ACL surgery exercises to help stimulate increased strength.
ACL Surgery Rehab - Phase 5 - Weeks 8-10
Finally...we are back at the light activity phase. Here you can start with some light jogging, elliptical machine, stepping exercises etc. The emphasis during this phase of physiotherapy is improved strength and balance and bringing the two exercises together ie 1 exercise to improve both strength and balance as opposed to strength exercises which only isolate strength.
ACL Surgery Rehab - Phase 6 - Weeks 10-and up
Depending on how your rehab has gone to this point you may begin to be cleared to return to activity. You may require to be fit for a brase or other device. You will likely be required to do some testing so that the surgeon and physio are confident that you are strong enough to return to sports.
Hopefully understanding the phases of rehab after ACL surgery will help you through the process. It can be very time consuming and frustrating however it is absoloutly critical that you take your physio efforts seriously as you do not want to end up like me going through the process for a second time.
If you have any suggestions to the process please leave a comment below.
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