Rehabilitation Protocols – Kevin Wilk & Others

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Nonoperative, Postoperative, and Return to Sport Protocols for the Shoulder, Elbow, Hip, Knee, and Ankle

Kevin Wilk, Mike Reinold, and Dr. James Andrews

It’s hard to stay on top of the current research and know how to progress your patients after a variety of different injuries and surgeries. There are so many different types of surgeries that can come into your clinic, each with their own subtle variations. Rehabilitation protocols are an important tool that you can use to:

• Assure you are following the precautions and time restrictions based on the tissue healing time frames following injury or surgery
• Know how fast or slow to progress a patient
• Know if you are falling behind and assure people are making adequate progress
• Know the criteria to transition to more advanced phases of rehabilitation
• Understand how different concomitant injuries speed up or slow down the process

HAVE YOU EVER THOUGHT

• What exercises should I perform at week 6 following a total knee replacement?
• How does rehabilitation differ after a large or small rotator cuff tear?
• How much range of motion should I have at week 8 following a SLAP repair?
• How does rehabilitation differ based on using a patellar tendon or hamstring autograft during ACL reconstruction?
• How does adding a subacromial decompression change your rate of progression after a labral repair?

Take the guess work out of how to progress your patients following an injury or surgery. AdvancedCEU has the latest rehabilitation protocols from Kevin Wilk, Mike Reinold, and James Andrews. Our protocols are backed by evidence and experience, being used in our own rehabilitation clinics everyday.

Rehabilitation Protocols by Wilk, Reinold, and Andrews

Kevin Wilk, DPT, Mike Reinold DPT, SCS, CSCS, and James Andrews, MD have created some of the most widely used, published, cited, and respected rehabilitation protocols based on exactly how they progress their patients. These are some of the same protocols that have been published in journals such as:

We’ve recently updated and expanded our collection of protocols. You can now access over 177 rehabilitation protocols that cover the most commonly seen injuries and surgeries. There are many variations based on surgical technique, concomitant procedures, and patient activity level. Many different types of rehabilitation protocols are included:

• Postoperative rehabilitation protocols
• Preoperative rehabilitation handouts
• Nonoperative rehabilitation protocols
• Exercise handouts
• Interval return to sport programs

What protocols are included?

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In total there are 177 newly revised and expanded protocols for nonoperative and postoperative rehabilitation of the shoulder, elbow, hip, knee, foot, and ankle, plus exercise handouts and interval return to sport programs!

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Shoulder Protocols

Rotator Cuff Protocols

• Mini-open rotator cuff repair Type I
• Mini-open rotator cuff repair Type II
• Mini-open rotator cuff repair Type III
• Arthroscopic rotator cuff repair Type I – small tear
• Arthroscopic rotator cuff repair Type II – medium tear
• Arthroscopic rotator cuff repair Type III – large tear
• Arthroscopic rotator cuff repair medium-large tear with PRP injection
• Arthroscopic rotator cuff repair in the overhead athlete
• Arthroscopic rotator cuff repair with Bankart repair
• Traditional open and mini-open rotator cuff repair
• Subacromial decompression
• Rotator cuff debridement
• Partial thickness transtendinous rotator cuff repair
• Preoperative guidelines for subacromial decompression
• Preoperative guidelines for rotator cuff repair
• Arthroscopic subscapularis repair
• Open subscapularis repair with biceps tenodesis

Shoulder Instability Protocols

• Arthroscopic labral debridement
• Anterior capsular shift – accelerated
• Anterior capsular shift – regular
• Anterior and posterior capsular shift – congenital laxity
• Arthroscopic anterior Bankart labral repair
• Arthroscopic anterior Bankart labral repair revision
• Open anterior Bankart labral repair
• Arthroscopic anterior Bankart repair with subscapularis repair
• Arthroscopic anterior and posterior Bankart labral repair
• Open posterior Bankart labral repair
• Arthroscopic posterior Bankart labral repair
• Arthroscopic 360 degree labral repair
• Arthroscopic laterjet procedure
• Arthroscopic laterjet procedure with posterior capsular plication
• Arthroscopic capsular plication
• Arthroscopic capsular plication – overhead athlete
• Thermal capsular shrinkage – acquired laxity
• Thermal capsular shrinkage – congenital laxity
• Thermal capsular shrinkage with SLAP repair
• Thermal capsular shrinkage with SAD

SLAP Protocols (Superior Labrum Protocols)

• SLAP Type I and III debridement
• SLAP Type II repair
• SLAP Type II repair in the overhead athlete
• SLAP Type II repair with SAD
• SLAP Type II repair with bursectomy
• SLAP Type IV with biceps tenodesis

Other Shoulder Rehabilitation Protocols

• AC joint reconstruction
• Total shoulder arthroplasty – normal
• Total shoulder arthroplasty – tissue deficient
• Hemi-cap humeral head replacement
• Reverse total shoulder arthroplasty
• Distal biceps repair
• Proximal biceps repair
• Triceps repair
• Open pectoralis major repair
• Biceps tenodesis

Nonoperative Shoulder Rehabilitation Programs

• General PRP injection protocol
• Internal impingement
• Subacromial impingement
• Multi-directional instability
• Atraumatic instability
• Traumatic anterior instability
• Dynamic stability for the overhead athlete
• Rehabilitation of the overhead athlete
• Adhesive capsulitis / frozen shoulder

Elbow Protocols

• Nonoperative UCL rehabilitation
• Nonoperative UCL rehabilitation – accelerated
• PRP Injection for UCL
• UCL reconstruction using palmaris graft
• UCL reconstruction using gracilis graft
• UCL reconstruction using gracilis graft – accelerated motion program
• UCL reconstruction using palmaris graft– accelerated motion program
• UCL reconstruction using the docking technique
• UCL repair with augmentation
• Pre-operative UCL reconstruction program
• LCL reconstruction
• Ulnar nerve transposition
• Loose body removal
• Elbow arthroscopy with Microfracture of OCD Lesion
• Olecranon fracture ORIF
• Nonoperative epicondylitis
• PRP Injection for Lateral Epicondylitis
• General postoperative arthroscopic program
• General nonoperative rehabilitation program
• Radial tunnel release
• Valgus extension overload decompression
• Valgus extension overload posterior decompression with microfracture
• Flexor pronator release/debridement
• Flexor pronator release/debridement with extensor release attachment

Hip Protocols

• Hip labral repair
• Hip femoroplasty with labral repair
• Hip microfracture
• Iliopsoas release
• Proximal hamstring repair
• Rehabilitation of hamstring strains

Knee Protocols

ACL Protocols

• ACL reconstruction – accelerated patellar tendon autograft
• ACL reconstruction – regular patellar tendon autograft
• ACL reconstruction – contralateral patellar tendon
• ACL reconstruction – hamstring autograft
• ACL reconstruction – allograft tissue
• Nonoperative ACL injury
• Preoperative ACL reconstruction guidelines
• ACL reconstruction with MCL repair
• ACL reconstruction with meniscus repair
• ACL reconstruction with microfracture and meniscus repair
• ACL and PCL combined reconstruction
• ACL, PCL, MCL reconstruction
• ACL, MCL, LCL, posterior lateral corner reconstruction
• ACL, PCL, LCL, posterior lateral corner
• ACL, PCL, LCL, posterior lateral corner and lateral hamstring reconstruction
• ACL, LCL, posterior lateral corner, and medial capsular reconstruction
• ACL reconstruction with LCL repair
• ACL with contralateral graft and primary LCL repair

PCL Protocols

• Nonoperative PCL injury
• PCL reconstruction – double tunnel
• PCL reconstruction – single tunnel
• PCL and posterior lateral corner reconstruction
• PCL and ACL combined reconstruction

Meniscus Protocols

• Meniscus repair – peripheral tear
• Meniscus repair – complex tear
• Meniscus allograft transplant
• Partial meniscectomy

Articular Cartilage Protocols

• Arthroscopic chondroplasty
• Microfracture – small condyle lesion
• Microfracture – medium to large condyle lesion
• Microfracture – patellofemoral lesion
• Autologous chondrocyte implantation (ACI – Genzyme) – condyle and patellofemoral lesions
• Osteochondral autograft transplantation (OATS / mosaicplasty) – Condyle
• Osteochondral autograft transplantation (OATS / mosaicplasty) – Patellofemoral

Osteoarthritis Rehabilitation Protocols

• Nonoperative osteoarthritis
• Preoperative total knee replacement
• Total knee replacement – regular
• Total knee replacement – active patient
• Unicompartmental knee replacement
• High tibial osteotomy
• Hyaluronic viscosupplementation injection

Patellofemoral Protocols

• Distal realignment
• Lateral retinacular release
• Proximal and distal realignment
• Medial patellofemoral ligament repair
• Medial patellofemoral ligament repair with lateral release
• Quadriceps tendonitis
• Patellar tendonitis
• Patellar tendon repair
• Patellar tendon repair for an incomplete tear
• Patellar tendon repair revision
• Nonoperative patellofemoral rehabilitation
• Plica resection
• ORIF patella fracture

Other Knee Rehabilitation Protocols

• General knee arthroscopy
• Quadriceps tendon repair
• Nonoperative hamstring strain
• Nonoperative MCL injury

Foot and Ankle Protocols

• PRP injection to Achilles tendon
• Achilles Tendon Repair – Accelerated
• Achilles Tendon Repair – Conservative
• Achilles tendonitis
• Lateral ankle sprain
• Plantar fasciitis

Exercise Programs

• Fundamental shoulder program
• Throwers ten program
• Advanced throwers ten program
• Little league injury prevention program
• Golfers ten program
• Post-operative shoulder program
• Scapular training program

Interval Return to Sports Programs

• Interval throwing program
• 10-day throwing program
• 14-day throwing program
• 21-day throwing program
• Interval throwing program – catchers
• Interval Little League / Softball throwing program
• Interval Softball pitching program
• Interval hitting program
• Interval tennis program
• Interval tennis program – advanced
• Interval golf program
• Interval football throwing program
• Interval javelin throwing program
• Interval running programs

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