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Review Question - QID 3

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QID 3 (Type "3" in App Search)
A patient undegoes an uncomplicated anterior cruciate ligament reconstruction. Which of the following activities are generally not recommended during the first 6 weeks of physical therapy?

Patellar mobilizations

1%

5/770

Passive extension

3%

20/770

Heel slides to improve flexion

6%

45/770

Isometric quadriceps strengthening

16%

122/770

Isokinetic quadriceps strengthening

74%

571/770

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The initial goals of rehabilitation focus on achieving full extension, activation of the quadriceps muscles, progressive flexion, and restoring normal gait. Closed chain rehabilitation has been emphasized because it allows physiologic contraction of the musculature around the knee. Isometric exercises such as quad sets and straight leg raises are encouraged. Isokinetic exercises are generally reserved until after the graft attachment sites have healed.

The reference is a systematic review of topics related to ACL rehabilitation.

Video V demonstrates a vertical heel slide. They can also be performed in a horizontal position.

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