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The gains made during the first week after surgery are maintained during stage 3. Range of motion exercises are continued until the patient has full knee extension and flexion. As soon as possible the crutches are discarded and the physiotherapist should make sure the patient is walking normally and is able to deal with stairs, both up and down.
The patient can continue stationary cycling and progress to the step machine. Quadriceps and hamstring strengthening is progressed mainly through squatting type exercises, although the physiotherapist must take care not to subject the shin bone to excessive forward movement during strengthening exercises.
As well as regaining normal strength and range of motion around the knee, the physiotherapist must enhance proprioception - that is the sensation of joint movement and joint position sense, which are so crucial to sporting activity.
Proprioception explained
Proprioception
exercises
Examples of proprioceptive exercises:
Wall slides to enhance proprioception, range of motion and strength:
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