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KNEE MEDIAL COLLATERAL LIGAMENT (MCL) SPRAIN NON-OPERATIVE GUIDELINES . The following guidelines for the non-operative management of medial collateral ligament (MCL) sprains of the knee were developed by HSS Rehabilitation. They are divided into four phases dependent on patient presentation and grade of the sprain (grade I-3).
Rehabilitation after Injury to the Medial Collateral Ligament of the Knee. This handout is to help you rebuild the strength of the knee muscles after injury to the MCL of the knee. It is intended as a guideline to help you organize a structured approach to strengthen the knee.
It is designed for rehabilitation following isolated MCL knee sprains. Modifications to this guideline may be necessary dependent on physician specific instruction, specific tissue healing timeline, chronicity of injury and other contributing impairments that need to be addressed.
journal of orthopaedic & sports physical therapy | volume 42 | number 3 | march 2012 | 231 Goals for All Phases • Early, pain-free full range of motion of the knee • Minimal loss of quadriceps strength • Healing of injured ligament complex with little to no residual instability
REHABILITATION OF ISOLATED MCL SPRAINS This program may be accelerated for Grade I MCL Sprains or may be extended depending on the severity of the injury. The following schedule serves as guidelines to help in the expediency of returning a patient to his or her pre-injury state.
Medial Collateral Ligament (MCL) Rehabilitation Protocol Grade I Injuries: • WBAT with crutches if necessary • Active ROM exercises to achieve full ROM as tolerated • Active strengthening exercises—open and closed chain as tolerated • Progress agility, proprioceptive and sport specific drills as tolerated
MEDIAL COLLATERAL LIGAMENT (MCL) OF THE KNEE. PHASE 1: THE FIRST SIX WEEKS AFTER INJURY (grade 2 and 3) THREE WEEKS AFTER INJURY (grade 1) The knee should be to be protected with a hinged brace for 3 to 6 weeks, depending upon the severity of the injury. Crutches and restricted weight bearing
