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We explore the final stages of rehabilitation for quadriceps and patellar tendon repairs, focusing on the progression from 12 weeks post-operation to full functional recovery. This episode completes our four-part series on tendon repair rehabilitation with practical guidance for therapists and patients navigating the return to higher-level activities.

• By 12 weeks, patients should have nearly full knee range of motion and natural gait on level surfaces
• Continue avoiding high-impact activities and forceful eccentric contractions
• Progress balance training from double to single leg, stable to unstable surfaces
• Advance cardiovascular training with stationary bike and elliptical
• Implement forward, backward and lateral walking with resistance for gait training
• Begin closed chain quad exercises with mini squats up to 70° knee flexion
• Carefully progress core exercises considering tension on the extensor mechanism
• Transition to higher activities around 4 months when meeting specific functional criteria
• Work on deceleration activities and controlled change of direction
• Progress from assisted hopping to full body weight jumping activities
• Take a more conservative approach with smokers or less active patients
• Be aware that quinolone antibiotics increase rupture risk during rehabilitation

If you're listening before May 31st, 2025 and interested in my upcoming live shoulder course in Auburn, Maine, check out the agenda on my website through the link in the show notes.

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