14.6.1 Protocol
Weeks 1 – 16: ACL
During the first two weeks of treatment, the following 3 objectives must be worked towards and
achieved:
• Eliminate muscle wastage.
• Familiarise the patient with the NMES technique so that the patient can work with high levels of
stimulation energy.
• Obtain the first signs of regaining trophicity (slight increase in volume, improvement in tone, etc.).
During the following weeks, the objective is the restoration of near-normal muscle volume.
When open kinetic chain exercises are permitted, which is normally at the end of the fourth month after
the operation, NMES of the quadriceps can be continued using the Reinforcement programmes Level 1
then 2.
14.6.2 Treatment frequency
One to two sessions every day (if two sessions are carried out every day, enough time must be given to
rest between the two sessions).
Minimum: three sessions per week.
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