MPFL Rehab Protocol
Keys to a Successful Outcome
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Therapy should start 7 to 10 days after the surgery to prevent knee stiffness
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Avoid over-stressing fixation or dynamic valgus early in the rehabiliation process
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No running until week 16
Phase | Brace | WB Status | Range of Motion | Exercises |
|---|---|---|---|---|
Weeks 0-4 | At all times, locked in extension* | WBAT w/ brace locked in extension | P/AAROM 0-90° | Quad sets, ankle pumps/isotonics, 4-way leg lifts w/ brace |
Weeks 4-8 | Can transition to lateral buttress knee brace if desired | WBAT | AROM - gradual | Gentle strengthening, closed chain movements in shallow arc, un-weighting techniques (pool/double leg support) |
Weeks 8-12 | Lateral buttress brace | WBAT | FAROM | Balance/proprioception, single leg stance, gait drills |
Weeks 12-16 | Lateral buttress brace | WBAT | FAROM | Stationary bike, CC strengthening, single-leg press, hip/core, Stairmaster** |
Weeks 16+ | None | WBAT | FAROM | Impact control exercises, progression to multi-planar agility drills |
*Should be worn night and day, can be removed for therapy and hygiene
**Avoid closed chain exercises on land past 90° of knee flexion to avoid over-stressing the repair