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    Achilles

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    john hagis
    This document outlines a 3 phase rehabilitation protocol for Achilles tendon repair. Phase I from 0-8 weeks involves limited weight bearing, use of a brace locked in plantar flexion, avoiding active dorsiflexion and stretching. Phase II from 8-12 weeks progresses to full weight bearing and focuses on range of motion and strengthening exercises. Phase III from 12 weeks to 5 months aims to achieve full range of motion without pain and more advanced strengthening.

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    Achilles

    Uploaded by

    john hagis
    30 views1 page
    This document outlines a 3 phase rehabilitation protocol for Achilles tendon repair. Phase I from 0-8 weeks involves limited weight bearing, use of a brace locked in plantar flexion, avoiding active dorsiflexion and stretching. Phase II from 8-12 weeks progresses to full weight bearing and focuses on range of motion and strengthening exercises. Phase III from 12 weeks to 5 months aims to achieve full range of motion without pain and more advanced strengthening.

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    This document outlines a 3 phase rehabilitation protocol for Achilles tendon repair. Phase I from 0-8 weeks involves limited weight bearing, use of a brace locked in plantar flexion, avoiding active dorsiflexion and stretching. Phase II from 8-12 weeks progresses to full weight bearing and focuses on range of motion and strengthening exercises. Phase III from 12 weeks to 5 months aims to achieve full range of motion without pain and more advanced strengthening.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    30 views1 page

    Achilles

    Uploaded by

    john hagis
    This document outlines a 3 phase rehabilitation protocol for Achilles tendon repair. Phase I from 0-8 weeks involves limited weight bearing, use of a brace locked in plantar flexion, avoiding active dorsiflexion and stretching. Phase II from 8-12 weeks progresses to full weight bearing and focuses on range of motion and strengthening exercises. Phase III from 12 weeks to 5 months aims to achieve full range of motion without pain and more advanced strengthening.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    ACHILLES TENDON REPAIR

    REHABILITATION PROTOCOL

    WEIGHT BRACE ROM THERAPEUTIC


    BEARING EXERCISE

    PHASE I 0-4 weeks: heel-toe 0-2 weeks: worn at 0-2 weeks: NO 0-2 weeks: NO physical therapy or
    0 - 8 weeks touchdown weight all times physical therapy or motion
    bearing in post-op 2-4 weeks: locked motion 2-8 weeks: Inversion/eversion ROM,
    splint in 20 of plantar- 2-6 weeks: limit active stationary bike with brace on, knee/ hip
    4-8 weeks: as flexion - worn at all dorsiflexion to 90 strengthening, joint mobilizations - NO
    tolerated with times except for ex- with knee flexed at 90 passive heel cord stretching
    crutches and cam- ercise and hygiene* 6-8 weeks: ROM to
    walker 4-8 weeks: worn tolerance
    during weight
    bearing activities

    PHASE II As tolerated with None Gain full and pain-free Begin light resistive dorsi/plantarflexion
    8 - 12 weeks crutches - discontinue exercises with knee flexed, inversion/
    crutch use when eversion isometrics, continue with
    gait is normalized bicycle and knee/hip strengthening

    PHASE III Full with a normalized None Full and pain-free Progress phase II activities, begin
    12 weeks - gait pattern inversion/eversion isotonics, aggressive
    5 months dorsi/plantarflexion resistive exercises
    with emphasis on plantar eccentrics

    *More tenuous repairs may be required to be immobilized for up to 4 weeks post-operative

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