Question

My right knee acl reconstruction 6 month knee full
bending but change ke baad bahut tight knee bending
help me.

Dr.Julie Mercy J David · Accepted Answer

Your physical therapist will recommend specific acl rehab exercises to gain muscle strength and improve your range of motion. As you progress through acl rehab, adding more resistance helps you make a full recovery. Here are some exercises you can do early in your recovery to help make your surgery a success.
1. Quadriceps contractions
lying flat, tighten your thigh muscle with a straight knee until the back of the knee pushes into the bed. Hold for 10 seconds and release. Repeat 10 times 3 to 4 times a day. This exercise strengthens your quadriceps—a large muscle group that controls leg movement. It also helps you achieve a straight leg position.
2. Straight leg raises
lying on your back, straighten your leg and lift it off the bed. Early on, you may have your ankle on a towel roll or other support and simply straighten your leg without lifting it. As you progress, you will lift your leg about 12 inches in the air while keeping it straight. Hold this position for a few seconds and slowly lower it. You can repeat this 10 times.
3. Heel slides
lying down on the bed, slide the heel of your foot up toward your buttocks. Your goal is to achieve a bent knee with your heel remaining on the bed. Don’t let your knee roll inward or outward. Once you have bent your knee as far as possible, hold this position for 10 seconds and slowly slide your foot back out. Repeat the bend 20 times in 3 or 4 sessions a day. It helps with range of motion.
4. Patellar mobilizations
sitting on the bed or floor, straighten your leg in front of you. Put a hand on either side of your kneecap. Gently slide your kneecap up and down and side to side. Hold for two seconds in each direction and continue for one minute. Repeat 3 or 4 times a day. Make sure your kneecap slides evenly and doesn’t tilt or tip in one direction. This exercise helps prevent scar tissue from forming and keeps your kneecap mobile.
5. Seated knee flexion
sitting on the edge of a table, chair or bed, let your leg hang down. Cross your uninvolved leg under your ankle and use it to slowly straighten your leg. Then use it to slowly lower your leg and bend it as far as possible. Hold for 10 seconds and repeat 10 times. You can do this exercise 3 to 4 times a day. As you get stronger, you won’t need to use your uninvolved leg.
6. Prone hangs
lie on your stomach with your legs hanging over the bed or table. The edge should be just above your knee. Allow your legs to hang for as long as you can tolerate it, up to a minute. As you progress, you can use your uninvolved leg to apply gentle downward pressure. This helps your knee extend completely straight. Check with your therapist about this exercise if you had a hamstring graft.
7. Core training
a strong core is key to supporting your body during physical activity. It also helps reduce injuries. Your therapist may recommend a variety of core strengthening exercises. This includes crunches, back extension, and bridging. 8. Ambulation training
your therapist will also work with you on your walking gait. The goal is to raise your leg in a normal gait and prevent swinging it out to the side. You will work on weight shifting and walking backward, forward, and sideways. You will also work on stepping over things until you can lift your knee high toward your chest. Balance exercises will also be part of ambulation training.

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