Rehabilitation

The intermediate phase of rehabilitation is typically started between 4 and 6 weeks postoperatively, dependent upon the surgical procedure and weight-bearing restrictions. The second phase of rehabilitation includes a progression of ROM/stretching, gait training, and strengthening. PROM and stretching exer-

Fig. 9. Single leg cord rotations.

Fig. 10. Sidestepping with resistance.

cises should be continued as needed to achieve full ROM. Gait training should take place both in the pool and on land as the patient is progressed off of crutches. Intermediate strength exercises include double one third knee bends (Fig. 5), side supports (Fig. 6), stationary biking with resistance, swimming with fins, single leg stance on a Dyna Disc (Exertools, Novato, California) (Fig. 7), advanced bridging (Fig. 8), single leg cord rotations (Fig. 9), Pilates skaters, sidestepping with resistance (Fig. 10), and single knee bends (Fig. 11). Cardiovascular training is achieved with the use of an elliptic machine or stairclimber during this phase. Once the goals of phase II have been met, patients are progressed to the advanced phase of rehabilitation.

Windsor Pilates Guide

Windsor Pilates Guide

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