Anterior Cruciate Ligament: Page 2 – Post operative physiotherapy
The early phase following anterior cruciate ligament (ACL) reconstruction focuses on protecting the surgical graft while restoring normal knee movement and muscle function. One of the most important goals is regaining full knee extension, as difficulties straightening the knee can affect walking mechanics, muscle activation and long-term recovery.
Early rehabilitation also aims to reduce swelling, improve range of movement and re-establish activation of the quadriceps muscles, which are often inhibited after surgery. Gentle, progressive exercises help restore confidence in the knee while building a strong foundation for later strength, running and return-to-sport rehabilitation.
Post operative Physiotherapy (outpatients)
On your first outpatient physiotherapy appointment your therapist will conduct a needs analysis so your rehabilitation is tailor made to you. Regular physiotherapy and exercise will be extremely important to achieve your specific goals.
The main aim of physiotherapy immediately after injury/surgery is to:
Evaluate/test dysfunction: using a specific needs analysis for your specified goals
Reduce swelling: ICE, anti-inflammatory medication
Reduce pain: pain medication provided following your injury or surgery from the doctor
Protect the graft
Regain full range of mobility/movement (especially full extension of the knee)
Re- educate muscles and begin muscle activation
The Exercises
Participating in an exercise program carries a certain element of risk for some people. You should consult with your physiotherapist before initiating this program to ensure your safety.
If you have any issues please do not hesitate to contact the physiotherapy department. If you feel light headed, dizzy or have issues with your breathing please contact your general practitioner (GP) immediately.
When carrying out this exercise program you may feel some discomfort in your knee. It is important that the pain does not exceed 3-4/10, where 10/10 is the maximum and 0/10 is no pain. Remember some levels will overlap, this is normal.
Level One: Immediately post op, duration 1 - 2 weeks
Movement and waking your muscles up.
Range of Motion
Remember to give 5 - 10 minutes rest before going from each type of movement as it can be quite painful. You are not causing any harm to the knee pushing into some low levels of pain.
Extension
Static quad, with opposite leg lift
Inner range quad in lying
Inner range quad in standing
Flexion
Flexion in lying
Flexion on wall
Function
Stand up from a chair
Bridge
Clam
Hip Abduction
Heel Raises