Lower limb muscle tear protocol
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The document outlines a rehabilitation protocol for lower limb muscle tears, divided into five stages, detailing care and exercise regimens from the acute inflammatory phase to the remodelling phase. Each stage includes specific management strategies, such as immobilization, early mobilization, exercise prescription, and progression to functional activities. The protocol emphasizes the importance of supervised sessions for exercise technique and volume adjustments throughout recovery.
Lower limb muscle tear protocol
- 1. LOWER LIMB MUSCLE TEAR PROTOCOL Stage 1 2 sessions • ACUTE INFLAMMATORY NECROTIC PHASE • Day 0-‐3 • Immobilisa7on, ice and rest helps control ini7al bleeding and inflammatory response, protects from further mechanical insult • I session is required for acute care. A second followup session if imaging is required or DVT risk • Followup call to pa7ent next day or review app. Statement of advice emailed to pa7ent next day if necessary. • Management -‐ Complete rest, non weigtbearing if possible, boot?, Strapping, ice, compression, immobilise muscle in painfree lengthened posi7on if possible. Adust painfree lengthened posi7on day 2. Stage 2 2-‐3 sessions • LATE PART OF INFLAMMATORY PHASE BEGINNING OF PROLIFERATIVE PHASE • Day 4 • Early mobiisa7on promotes more capilliary ingrowth as well as bePer muscle fibre orienta7on • 2 -‐ 3 supervised sessions are required to teach exercises, ensure that volume is appropriate and technique is correct. Some support tape may be required. • Management -‐ Teach pain free stretch, exercises to maintain fitness, incuding upper body and core strength program, massage to uninvolved part of muscle, strapping , unassisted ambula7on if painfree, stretching to uninjured musles Stage 3 2-‐3 sessions • REGENERATIVE/REPAIR/PROLIFERATIVE PHASE • Approximately day 7-‐10 • No pain with moderate stretch and normal amula7on • Early mobilisa7on promotes more capilliary ingrowth as well as bePer muscle fibre orienta7on • Visits 2-‐3 are required for exercise prescrip7on to ensure volume is appropriate and to ensure technique is correct, massage to affected muscle, • Basic concentric and eccentric strengthening for involved muscle including use of pilates bed, general strengthening and more advanced cardiovascular condi7oning, stretching to uninjured muscles. Stage 4 3 sessions • CONTINUATION OF THE REGENERATIVE PHASE AND START OF THE REMODELLING PHASE • Approximately day 14 -‐ 21 • Progression of weight training to func7onal and ac7vity specific ac7viites including co-‐ordina7on drills and plyometrics • 3 visits are required for exercise prescrip7on to ensure volume is appropriate and to ensure technique is correct, massage to affected muscle Stage 5 1 session • FITNESS TEST • Approximately day 21 -‐ 35 • 1 visit is required for fitness test -‐ check range, concentric/eccentric strength, func7onal strength, sports specific ac7vity