brooks, Dr King patientBrooks, Dr. King's patientDr King

KNEE
Medial Collateral
Ligament (MCL)


MEDIAL COLLATERAL LIGAMENT (MCL) INJURY
REHABILITATION

Strengthening Exercises
All exercises should not cause increased pain or swelling. Work up to at least 3 sets of 20 repetitions, at least 4 days a week. See Fig 2-7.

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mcl range of motion
Fig 2: Range of Motion. Advancing motion but straightening
and bending the knee joint.

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Fig 3: Quadricepts Isometrics. Lie with leg straight, tighten
quad as you push the back of the knee flat on the ground.
Hold and repeat.

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Fig 4: Short Arc Quadriceps. Place a roll or bolster under the knee,
and tighten the front of the thigh while lifting the heel off the floor.
Hold and repeat.


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Fig 5: Isometric Quadriceps Strengthening. Sit with knee bent 75- 90 degrees.
Palpate the muscle just above the kneecap on the inside of the thigh (VMO).
Push foot into the floor, tightening the thigh, concentrate on the VMO.
Hold and repeat.

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Fig 6: Standing Quarter Squats. Start standing with weight on both legs,
then progress to weight on the affected leg.
Do not bend more that 45 degrees.

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Fig 7: Leg Press. These are best done with one leg at a time
always with a low weight and high repetitions.
Do not bend the knees further than 45 degrees.

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Fig 8: Stationary Bike and Eliptical machine are lower impact
cardiovascular exercise that promotes strengthening.

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Fig 9: Hip Abduction. Lie on the side with weak side on top.
With upper leg straight, lift up leading with the heel
Hold, lower and repeat.


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Fig 10: Hip Extension. Lie on your back with knees bent. Raise hips/buttocks off the floor,
keeping the pelvis straight. Start with two feet on the floor progress to one on the floor.

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Fig 10: Hamstring Curls. Lie on the stomach, bend knee to 90 degrees.
Hold, slowly return to start and repeat.