ACL rehab protocols used in Nepal are generally done after the ACLR ( Anterior Cruciate Ligament Reconstrution ) surgery and this phyio rehabilitation are generally the same evidence-based, phase-wise protocols used worldwid

THe steps and the rehabiliation protocoal are adapted by physiotherapists depending on your surgeon, graft type, and access to rehab facilities as per need.

Here’s a clear, practical ACL rehabilitation protocol (used in most Nepali physio rehabiliation centers and phyisotherapy clinics too):

---

🦵 ACL Rehab Protocol (Step-by-step)

🔹 Phase 1: Immediate Post-op (0–2 weeks) Physio Rehab

Goals: To reduce swelling, regain knee extension, activate muscles

What you have to do:

• RICE (rest, ice, compression, elevation)
• Knee brace + crutches (as advised)
• Gentle exercises:
  • Quadriceps sets
  • Straight leg raises
  • Heel slides
• Try to achieve:
  • Full knee extension
  • ~70–90° flexion

👉 Early motion + weight bearing (as tolerated) is encouraged to avoid stiffness

---

🔹 Phase 2: Early Rehab (2–6 weeks) Phyiso

Goals: TO improve ROM, start strength, normalize walking

Core Exercises:

• Stationary cycling
• Closed-chain exercises (mini squats, step-ups)
• Balance training
• Gradually stop crutches and
• Partial weight bearing followed by full weight bearing

👉 By ~6 weeks: YOu have to Aim for near full ROM and normal gait

---

🔹 Phase 3: Strength & Control (6–12 weeks) Phyiso Rehab

Goals: To build muscle strength + stability of the Join

Core Exercises:

• Leg press, lunges
• Hamstring curls
• Core & hip strengthening
• Proprioception (balance boards)

👉 Focus shifts to endurance and neuromuscular control

---

🔹 Phase 4: Advanced Training (3–6 months)

Goals: prepare for running & sports

Core Exercises:

• Jogging → running progression
• Plyometrics (jumping drills)
• Agility drills

👉 Running starts only when:

• Full ROM
• No swelling
• Strength ≥ ~80% of other leg

---

🔹 Phase 5: Return to Sport (6–9+ months) Phyiso

Goals: safe return without re-injury

Criteria:

• Strength symmetry (≥90–95%)
• Good balance & hop tests
• No pain/swelling

👉 Aftere completion of all the rehab phyiso for post ACLR Most athletes return around 6–9 months (sometimes up to 12 months)

---

---

⚠️ Important Advice

• Rehab is criteria-based, not just time-based
• Don’t rush phases → increases re-tear risk
• Consistency matters more than intensity
• Always follow your surgeon + physio plan

🦵 ACL Rehab Protocol (Table Format)

Phase	Timeline	Goals	Key Exercises / Activities	Criteria to Progress
Phase 1: Immediate Post-op	0–2 weeks	– Reduce swelling – Restore full extension – Activate quadriceps	– RICE (rest, ice, compression, elevation) – Quad sets – Straight leg raises – Heel slides – Ankle pumps	– Minimal swelling – Full knee extension – Flexion ~70–90° – Good quad activation
Phase 2: Early Rehab	2–6 weeks	– Improve ROM – Normalize walking – Begin strength	– Stationary cycling – Mini squats – Step-ups – Balance exercises – Gait training	– Full/near full ROM – Walking without crutches – Minimal pain/swelling
Phase 3: Strength & Control	6–12 weeks	– Build strength – Improve stability & control	– Leg press – Lunges – Hamstring curls – Core strengthening – Balance board training	– Strength ≥70% of other leg – Good balance – No swelling after exercise
Phase 4: Advanced Training	3–6 months	– Prepare for running – Improve agility	– Jogging progression – Plyometrics (jumping) – Agility drills – Sport-specific drills	– Full ROM – Strength ≥80% – No pain/swelling
Phase 5: Return to Sport	6–9+ months	– Safe return to sport – Prevent re-injury	– Full training drills – Cutting/pivoting drills – Functional testing	– Strength ≥90–95% – Pass hop tests – No instability

🇳🇵 What’s specific in Nepal?

In Nepal, the phyisotherapy protocol after ACLR surgery is similar, but differences may include:

• More manual therapy + exercise-based rehab
• Limited access to advanced equipment (isokinetic machines, Alter-G treadmill)
• Greater reliance on:
  • Therabands
  • Bodyweight exercises
  • Home programs

Top centers in Kathmandu (like sports physio clinics) usually follow international guidelines (Aspetar / Melbourne protocols).