Posterior Cruciate Ligament Nonoperative

DAY 1 - WEEK 4:

Weight Bearing

  • Day 1 to 5 Weightbearing as tolerated with crutches
  • Day 5 to 7 Progress as tolerated
  • Week 2 to 3 Without crutches week 3

Brace

  • Day 1 to 5 0-60°
  • Day 5 to 7 0-90°
  • Week 2 to 3 0-115°

Therapeutic Exercise

Day 1 to 5

  • Muscle stimulation to quads
  • Quad sets
  • Straight leg raises (all 4 planes)
  • Knee extension (60-0°)
  • Multi-angle isometrics at 60, 40, 20° (for quads)
  • Mini squats (0-50°)
  • Leg press (45-90°)
  • Avoid active knee flexion

Day 5 to 7

Continue all strengthening exercises Initiate wall squats (0-50°) Initiate proprioceptive training

Week 2 to 3

  • Progress exercises, using weight progression
  • Bicycle for ROM stimulus (week 2-4)
  • Pool program
  • Leg press (30-90°)
  • Vertical squats (0-60°)
  • Lateral step ups
  • Single leg squats

WEEK 3-6:

Weight Bearing

  • Weightbearing as tolerated

Brace

Week 3
  • Discontinue
  • ROM 0-125° as tolerated
Week 4-6
  • Fit for function brace

Therapeutic Exercise

Week 3
  • Continue all above exercises (progress weight)
  • Bicycle
  • Stairmaster
  • Rowing
  • Knee extension (90-0°)
  • Mini squats (0-60°)
  • Leg press (0-100°)
  • Wall squats (0-75°)
  • Step-ups
  • Hamstring curls (light resistance from 0-45°)
  • Hip abduction/adduction
  • Toe-calf raises
  • Proprioceptive training
Week 4-6
  • Continue all above exercises
  • Pool running
  • Agility drills

WEEK 7-12:

Weight Bearing

  • Weightbearing as tolerated

Brace

  • Functional brace

Therapeutic Exercise

  • Continue all strengthening exercises
  • Initiate running program
  • Gradual return to sport activities

Criteria for Return to Sport Activities:

Therapeutic Exercise

  • Isokinetic quad torque to body weight ratio
  • Isokinetic test 85% > of contralateral side
  • No change in laxity
  • No pain/tenderness or swelling

Related Links