Dr. Knoll ZsoltDr. Knoll Zsolt
SPORTS EXPERT'S OPINION
Squash Wall climbing Skiing Beach volleyball Tennis Indoor football
THERAPY & REHABILITATION
THERAPY & INVESTIGATION
CRUCIATE LIGAMENTS REHABILITATION exercises    after injuries  |   from the time of suture removal to the 2nd week of rehabilitation  |   from the 3rd week  |   from the 5th-6th weeks  |   from the 8th week on (patients after kneecap tendon replacement), and from the 5th-6th week on (patients after replacement with semitendinosus tendon)  |   from the 3rd month  |   from the 5th-6th month  |   Sport-specific exercises

CRUCIATE LIGAMENT REHABILITATION
Exercises from the time of suture removal to the 2nd week of rehabilitation
Postoperative rehabilitation protocol after anterior cruciate ligament replacement

 

  • Achieving full extension of the joint is extremely important in this phase of rehabilitation.

 

Cruciate ligament rehabilitation

Cruciate ligament rehabilitation

Cruciate ligament rehabilitation

Cruciate ligament rehabilitation

Cruciate ligament rehabilitation

Cruciate ligament rehabilitation

Cruciate ligament rehabilitation

Cruciate ligament rehabilitation

Cruciate ligament rehabilitation

Cruciate ligament rehabilitation

Cruciate ligament rehabilitation

Cruciate ligament rehabilitation

Cruciate ligament rehabilitation

Exercise in closed kinematical chain /Active exercise:

  • Patient lies leaning on her/his elbows, keeping the operated limb extended and the forefoot retracted; she/he presses down a plastic ball placed under the popliteal region for 3 seconds. The exercise should be repeated twenty times.





Exercise in open kinematical chain /Passive exercise:

  • The patient sits on a chair, leans her/his heel on another chair while keeping her/his forefoot in an upright position for 20 minutes. This exercise should be performed twice. In the course of this exercise, full extension is achieved using the force of gravity.





Activating the function of the adductor muscles of the thigh:

  • Patient sits on a floor mat, keeping her/his operated limb extended. She/he adducts the limb up to 45 degrees from the centerline against resistance exerted by the physiotherapist. The heel remains on the floor mat throughout. This exercise should be performed twenty times.





Activating the function of the abductor muscles of the thigh:

  • Continuing the former exercise, the patient abducts her/his operated limb against a slight resistance exerted by the physiotherapist. This exercise should be performed twenty times.






Exercises performed leaning on elbows:

  • The patient, leaning on her/his elbows, draws short perpendicular lines in the air with the limb, starting from an elevated position of 40 degrees, keeping the forefoot retracted. This exercise should be performed twenty times.




  • The patient, leaning on his/her elbows, draws short horizontal lines in the air with the limb, starting from an elevated position of 45 degrees and keeping the forefoot retracted. This exercise should be performed twenty times.





  • The patient, leaning on his/her elbows, performs waving movements with the heel, in an elevated position of 45 degrees and keeping her/his knee extended. This exercise should be performed twenty times.







  • The patient performs small limb-elevating movements with the forefoot rotated externally and internally, leaning on his/her elbows and keeping the knee extended. This exercise should be performed twenty times.






Exercises in sitting position:

  • Patient performs short and quick limb-elevations, while sitting on a floor mat, leaning back with extended arms, keeping her/his operated limb externally rotated. This exercise should be performed fifteen times.






Exercises performed kneeling on one knee:

  • The patient, kneeling on one knee, keeping her/his back straight and the operated knee flexed, performs short, quick, perpendicular elevations. This exercise should be performed twenty times.





  • The patient, kneeling on one knee, keeping her/his back straight, keeps her/his operated limb extended and externally rotated, and performs short elevations of the heel; the heel should be elevated 10-15 centimeters from the ground. This exercise should be performed twenty times.






Active ROM-exercise (range of motion):

  • The patient is in prone position and bends her/his knee in the painless range of motion. This exercise should be performed fifteen times.







Muscle stimulation therapy:

  • Stimulation of the muscles is performed with the use of an EMS-equipment, fixed over the extensor muscle of the thigh with the knee extended: after semitendinosus tendon replacement we apply a frequency of 0-10 Hz, whereas after replacement with kneecap tendon a constant frequency of 5 Hz, for 20 minutes in both cases.