HUR Medical Concepts 2018 | Page 72

Example of HUR concept for ACL reconstruction rehabilitation The main factors defining the rehabilitation process are the surgical approach and the general state of the patient. Whether the patient desires to gain physical fitness or wishes to recover for recreational activity should also be considered when establishing the rehabilitation program. The given order is not fixed and should be interpreted as an example. However, it shows a progressive contribution of the patient in the therapy. It should start as soon as possible according to the patient’s tolerance and medical recommendations. Action Brace: immobilizer for patient comfort Post-operative Weeks 1-2 3-4 X (X) 5-6 Post-operative Months 7-8 9-12 4 5 6 7-12 X X X X X X Range of motion minimum goals: 0°-110° X 0°-120° X 0°-135° X Weight bearing: 1/2 body weight X X Full Patella mobilization X X X Electrical muscle stimulation X X X Pain/edema management (cryotherapy) X X X Modalities: 72