Post-Operative Rehabilitation Following Brostrom-Gould Procedure

Thank you for using Carondelet Orthopaedic Surgeons to provide medical care for your needs.

I. IMMEDIATE PROTECTION PHASE (0-6 WEEKS)

GOALS:

• Protect healing tissue
• Decrease pain and inflammation
• Retard muscular atrophy
• Control weight bearing forces

WEIGHTBEARING – Non-weight bearing with crutches first 6 weeks

STRENGTH EXERCISE –

• No strengthening first two weeks
• Begin submaximal isometrics at two weeks
• Hip abduction
• Hip adduction
• Straight leg raises into flexion

II. INTERMEDIATE PHASE (6-12 WEEKS)

GOALS:

• Protect healing tissue
• Retard muscular atrophy
• Progress weight bearing tolerance
• Begin proprioceptive drills

WEIGHTBEARING – Begin Full Weight bearing as Tolerated

ROM -

• Begin passive dorsiflexion, plantarflexion, and eversion
• NO active INVERSION past neutral for 12 weeks

STRENGTH EXERCISE -

• Begin strengthening exercises; PRE's 75% of opposite LE
• (Theraband)
• Emphasize eversion – peroneal strengthening ( Theraband)
• NO active INVERSION past neutral for 12 weeks

Continue above exercises

• Hip Abduction
• Hip Adduction
• Straight leg raises into flexion
• Bicycle

Week 6 – 8

• 3 – way Theraband isotonics (dorsiflexion, plantarflexion, eversion)
• Seated proprioceptive drills
• Leg press
• Knee extensions

Week 8 – 9

• Vertical squats
• Side and front lunges
• Lateral step-ups

Week 10 – 12

• Standing proprioceptive drills
• Stair climbing machine

Pool Program:

• Swimming week 6 – 8
• Fast-paced walking week 8 – 10
• Running in pool week 10 - 12

III. ADVANCED MOTION AND STRENGTHENING PHASE (Week 12 – 18)

GOALS:

• Progress to full motion
• Advance proprioceptive drills
• Increase strength, power, and endurance
• Gradually initiate sporting activities

EXERCISES: Continue strengthening exercises

• Theraband strengthening inversion/eversion. Dorsi/plantarflexion
• Towel gathering
• Standing toe-calf raises
• Bicycle
• Stair climbing machine
• Vertical squats
• Front lunges
• Proprioceptive training

Initiate plyometric program

Initiate running program

Initiate agility drills

Intitiate Sport specific training and drills

IV. RETURN TO ACTIVITY PHASE (Month 41/2 – 6)

GOALS:

• Continue to increase strength, power, and endurance of lower e extremity
• Gradual return to sports activities

EXERCISES:

• Continue strengthening program
• Continue closed chain strengthening program
• Continue plyometric program
• Continue running and agility program
• Accelerate sport specific training and drills