ACL post-surgery rehabilitation protocol

ACL post-surgery rehabilitation protocol for the first 21 days:

*Days 1-7:*

1. Pain management

2. Swelling reduction (ice, compression, elevation)

3. Range of motion (ROM) exercises:

    - Knee flexion (bending): 0-90 degrees

    - Knee extension (straightening): 0-10 degrees

4. Quadriceps strengthening:

    - Straight leg raises

    - Quad sets

5. Patellar mobilization:

    - Patellar glides

    - Patellar tilts

*Days 8-14:*

1. Continue ROM exercises:

    - Increase knee flexion to 120 degrees

    - Increase knee extension to 0-20 degrees

2. Progress quadriceps strengthening:

    - Add resistance bands or weights

3. Introduce hamstring strengthening:

    - Straight leg raises with resistance

4. Continue patellar mobilization

5. Start gait training:

    - Walking with crutches or walker

*Days 15-21:*

1. Advance ROM exercises:

    - Increase knee flexion to 140 degrees

    - Increase knee extension to 0-30 degrees

2. Progress strengthening exercises:

    - Increase resistance or weight

3. Introduce calf strengthening:

    - Calf raises

4. Continue gait training:

    - Gradually reduce crutch or walker use

5. Start balance and proprioception exercises:

    - Single-leg standing

    - Heel-to-toe walking

*Additional considerations:*

1. Pain and swelling management

2. Wound care and dressing changes

3. Regular follow-up with the surgeon and physical therapist

4. Patient education and compliance