non-operative pcl rehabilitation program - omgtb.com · clinical examination and/or pcl stress...

Dx: Right Left Non-operative PCL Rehabilitation program Date of Surgery: ____________ Patient Name: _____________________________ PT/OT: Please evaluate and treat. Follow attached protocol. 2-3 x per week x 6 weeks. Signature/Date: ______________________________

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Page 1: Non-operative PCL Rehabilitation program - omgtb.com · Clinical examination and/or PCL stress radiographs to objectively verify healing of PCL after week 15 Continue exercises and

Dx: o Right o Left Non-operative PCL Rehabilitation program Date of Surgery: ____________ Patient Name: _____________________________ PT/OT: Please evaluate and treat. Follow attached protocol. 2-3 x per week x 6 weeks. Signature/Date: ______________________________

Page 2: Non-operative PCL Rehabilitation program - omgtb.com · Clinical examination and/or PCL stress radiographs to objectively verify healing of PCL after week 15 Continue exercises and

Page 3: Non-operative PCL Rehabilitation program - omgtb.com · Clinical examination and/or PCL stress radiographs to objectively verify healing of PCL after week 15 Continue exercises and

Page 4: Non-operative PCL Rehabilitation program - omgtb.com · Clinical examination and/or PCL stress radiographs to objectively verify healing of PCL after week 15 Continue exercises and

Page 5: Non-operative PCL Rehabilitation program - omgtb.com · Clinical examination and/or PCL stress radiographs to objectively verify healing of PCL after week 15 Continue exercises and

Reference: Pierce CM, O'Brien L, Griffin LW, Laprade RF. Posterior cruciate ligament tears: functional and postoperative rehabilitation. Knee Surg Sports Traumatol Arthrosc. 2012 Apr 8.

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