Rehabilitation Guidelines for MPFL Reconstruction

Post-Op Rehabilitation Guidelines for MPFL Reconstruction

0-2 Weeks:

• WBAT, Brace locked at 0 degrees for ambulation and sleeping
• ROM: 0-30º with emphasis on full extension
• SLR supine with brace locked at 0 degrees, Quad Sets
• Ankle Pumps

2-4 Weeks:

• WBAT, Brace locked at 30 degrees for ambulation and sleeping
• ROM: 0-60 degrees (Maintain full extension)
• Proprioception training
• SLR, quad sets, ankle pumps

4-6 Weeks:

• WBAT, Brace locked at 60 degrees for ambulation and sleeping
• ROM: 0-90 degrees (Maintain full extension)

6-14 Weeks:

• D/C Brace and wean from crutches
• Progressive Squat program
• Initiate Step Down program
• Leg Press, Lunges
• Isotonic Knee Extensions (90-40 degrees, closed chain preferred)
• Agility exercises (sport cord)
• Versaclimber/Nordic Track
• Retrograde treadmill ambulation

14-22 weeks:

• Begin forward running (treadmill) program when 8” step down satisfactory
• Continue Strengthening & Flexibility program
• Advance Sports-Specific Agility Drills
• Start Plyometric program

22 weeks:

• Advance Plyometric program, Return to Sport (MD Directed)