Stage 3 - Proprioception
Time period: Six - 12 Weeks
Aim
- To improve neuromuscular control
- To improve proprioception.
Goals
- Continue to improve total leg strength
- Enhance the endurance capacity of muscles
- Deepen patient confidence.
Possible Problems
- Arthrofibrosis
- Patellofemoral irritability
- Chronic inflammation
- Graft laxity and rupture
Treatment Guidelines
- Continue to develop co-contractions into more dynamic movements (e.g. step lunges and half squats).
- Proprioceptive work should become more dynamic from week 9 (e.g. lateral stepping and slide board).
- Heighten resistance on gym equipment using leg presses and hamstring curls. The aim of the hamstring strengthening program is for an enhancement in both power and speed of contraction.
- Commence cycling on a normal bike from week 9.
- Monitor pelvic and ankle control in addition to cardiovascular fitness.
NB: do not engage in chain quadriceps exercises. Solo sports such as swimming and cycling are usually permitted with few restrictions during this stage.
