Posterior cruciate ligament rupture without surgery – Step 4

Rehabilitation starts with the exercises in Step 1. When the exercises can be performed without pain, rehabilitation starts on the next step.

How often and for how long should I train? Training frequency and duration are individual. Start with about 3 repetitions per workout. exercise and at least 3 times a week. Slowly increase the number of repetitions and load without exceeding the pain threshold

Do I have to do the whole program every time? No, you can divide the exercises into different days. The most important thing is to exercise regularly and gradually increase the intensity

Instruction

Read the full instruction for rehabilitation here

The time in minutes indicates the time distribution between stretching, balance and strength if you train for one hour.
Whether you train for one hour or 10 minutes, for example, is adapted to your starting point – and can be increased over time.

Surgery for a rupture of FrontCruciate ligaments usually only happens, if the tear is accompanied by other symptomsserious knee injuries. In such cases, one should the department thatis in charge of the operation, draft an individualt rehabilitation programme.

This training programme only applies to ACL tears where no surgery has been performed on the ACL.

Condition

(Unlimited): Cycling. Swimming (backstroke). Gradually increasing pace

Stretching

10 minutes of each training session

Stand with your training leg straight on a step/stool while bending your front body slightly forwards. Hold the stretch for 20 seconds.

Stand on one leg. Support yourself with one hand against a wall or chair. Bend the opposite knee and grasp your foot with the hand on the same side. Pull your foot upwards and your knee slightly backwards, so that you feel a gradual stretch in your thigh. Hold the stretch for 20 seconds. Repeat the exercise, alternating between your right and left legs.

Stå ved at krydse træningsbenet strakt ind bagved støttebenet samtidig med, du bøjer dig ud til siden ud over træningsbenet, så der kommer tiltagende udspænding af ydersiden af låret. Hold udspændingen i 20 sekunder. Gentag øvelse skiftevis på højre og venstre ben

Sit on your left knee and right foot. Bend your right leg at a 90-degree angle at the hip and knee. Extend your left knee as far back as possible, with your foot raised and resting on a small box. Push your hips forwards and downwards without arching your lower back, so that you feel a gradual stretch at the front of your hip. Hold the stretch for 20 seconds. Repeat the exercise on the other leg.

Stand with your legs apart. Keep one leg straight and the other slightly bent. Shift your weight to the side onto the bent leg, so that you feel a gradual stretch on the inside of the opposite thigh. Hold the stretch for 20 seconds. Repeat the exercise on the other leg.

Coordination

10 minutes of each training session

Hold balancen på to ben på vippebrættet. Støt i starten med hånden mod væggen. Senere holdes balancen på ét ben uden støtte. Prøv senere at holde balancen med lukkede øjne.

Lig på ryggen med bold under træningsbenet. Løft hoften op fra gulvet og stræk det raske ben. Hold stillingen i 10 sekunder. Gentag øvelsen skiftevis med højre og venstre ben.

“The Runner”. Stand on your training leg with your knee straight. Bend your body forwards at a 90-degree angle and lift your good leg straight backwards and the opposite arm straight forwards. Maintain your balance on the supporting leg for as long as possible. If necessary, use one hand to support yourself against the wall at the start. Once you feel confident, you can make the exercise more challenging by closing your eyes.

Strength

40 minutes of each training session

Fastgør en træningselastik i hoftehøjde foran dig. Sid på stol med ansigtet mod træningselastikken. Træningselastikken føres om anklen. Løft og stræk benet. Bøj herefter langsomt knæet, så træningselastikken strammes. Hold spændingen i få sekunder og stræk langsomt knæet igen.

Fastgør en træningselastik i ankelhøjde bag dig. Sid på stol med ryggen mod træningselastikken. Træningselastikken føres om skinnebenet lige over fodleddet. Stræk langsomt knæet, så træningselastikken strammes. Hold spændingen i få sekunder og bøj langsomt knæet igen.

Fastgør elastikken i hoftehøjde. Stå med ansigtet mod elastikken foran en skammel/et trappetrin. Før elastikken om ryggen. Gå baglæns op og ned ad skamlen så elastikken strammes. Skiftevis højre og venstre ben først.

”Lunges”. Stå oprejst med begge ben samlet. Gå frem på træningsbenet med bøjning på knæet til max 90 grader. Hold forreste knæ bag tæerne. Hold forreste fod i gulvet. Bøj i det bagerste ben og kom helt frem på tæerne på bagerste ben. Rejs dig op på samme ben og vend tilbage til udgangspositionen

Stå med ryggen mod vægen og med vægten på træningsbenet. Løft det raske ben op på en skammel. Bøj langsomt knæet på træningsbenet til 90 grader. Støt igen med det raske ben og brug dette til komme op og stå.

Lie on your side, supporting yourself on your elbow and hip. Place your top leg on a chair. Lift yourself up so that you are supported only by your elbow and the leg resting on the chair. Your body should be horizontal. Hold the position for a few seconds, then slowly lower your body back to the starting position. Repeat the exercise on both sides.

“Nordic hamstring curls”. Kneel down. Keep your lower legs still*. Lean forward slowly in a smooth motion. Keep your back and hips straight (tighten your glutes) and engage the muscles at the back of your thighs. When you can’t lean any further forward without your head falling towards the floor, push back with your arms. Push off with your arms so that you can use your hamstrings to pull yourself back up to the starting position.

*) The feet can be secured either by placing them under a sofa, by having someone hold them by the ankles, or by fastening a belt around the ankles and threading the belt under an open door, with the ankles on either side of the door.

Lie on your back with your heel resting on a chair, one knee bent and the other leg raised towards the ceiling. Lift your pelvis and back so that you are supported only by your heel and shoulders. Hold the position for a few seconds, then lower your pelvis back to the starting position.

Stand on the bottom step with your right side facing the steps. Shift your weight onto your right leg. Push off with your right leg and jump down to the floor, landing on your left leg. Then push off with your left leg and jump back up onto the step, landing on your right leg.

The exercise can be repeated on the opposite side by turning 180 degrees so that your left leg is facing the steps.