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Lateral Release Rehab Protocol

   

2 days post-op

  • Remove dressing.  Do not remove steri-strips.   Place bandaids over incisions.
  • WBAT with crutches as needed.
  • Begin gentle AROM exercises
  • Hip isotonics
  • Quad/Ham string Sets
  • SLR
  • Crutch Training
  • Modalities for swelling/pain
  • Thigh high Ted-hose for universal compression.
  • Begin patellar mobilizations (Medial glides and Medial tilts)

Phase I (2 days – 1 week)

  • VMO/Quad retraining
  • WBAT, may discontinue crutches when Quad function / knee control has returned.  Generally 1-4weeks.
  • Continue modalities for swelling/pain
  • Stationary bike for ROM (no resistance)
  • Hip isotonics
  • Continue thigh-high Ted hose for universal compression

Phase II (1 – 3 weeks)

  • VMO/Quad retraining / strengthening
  • WBAT, may discontinue crutches when Quad function / knee control has returned.  Generally 1-4weeks.
  • Start weight activities (hip sled, hip machine, ham curls, heel raises, TKE’s, Ball wall squats (VMO strengthening)
  • Closed kinetic strengthening exercise, high-reps, low weight
  • Eccentric strengthening (Step downs, TKE’s)
  • ROM (0-120º)
  • Slowly wean from thigh-high Ted hose provided swelling has completely resolved

Phase III (4 – 6 weeks) 

  • VMO/Quad Strengthening
  • Full ROM
  • Work into sport specific training if symptom free, good strength, no swelling
  • Provide home exercise program.
  • Patella stabilization brace
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