Asynch - Treatment and Early Rehabilitation of PCL Injuries.pptx

Treatment of Early Rehabilitation of PCL Injuries

1. TREATMENT AND EARLY REHABILITATION OF PCL INJURIES U31972 – Rehabilitation in Strength and Conditioning Dr Joe Moore

2. Ligament Healing PCLs have the capacity to heal, however It is essential the ligament heals with as little laxity as possible Avoid tibial sag due to gravity Avoid hamstring forces

3. Ligament Healing: Bracing Operative Immobilizer brace (at least 3 days but up to a month) PCL Jack Brace worn at all times (even whilst sleeping) for 24 weeks Non-operative PCL Jack Brace worn at all times (even whilst sleeping) for 12 weeks

4. Ligament Healing: Hamstring Operative Avoid isolated hamstring exercises until week 16 Non-operative Avoid isolated hamstring exercises until week 12

5. Thunder Thighs! Quadriceps result in an anterior force supporting the PCL in resisting posterior translation of the tibia

6. Constraints 6-12 Weeks 13-18 Weeks 19-24 Weeks 25-36 Weeks OPERATIVE Avoid hamstring activation Progress to weight bearing as tolerated Avoid flexion beyond 70° Avoid hamstring activation Weight bearing whilst braced Avoid flexion beyond 70° All activities wearing the Jack brace Avoid absorption activities Weaned off brace Begin to introduce absorption activities NON-OPERATIVE Avoid hamstring activation Weight bearing whilst braced Avoid flexion beyond 70° Begin to introduce absorption activities Weaned off brace Progress active ROM beyond 70°

7. Stability Training Operative From week 13 begin to work on stability Non-operative From week 6 begin to work on stability Static with minimal weight bearing Dynamic multi-planar