Apex Motion PT

Sports & Orthopedic Rehab
410 Riverside Drive, Bay 2
Denver, CO 80216
(303) 555-0198
apexmotionpt.example
Plan of Care · Rehabilitation
Plan #
AM-7745
Start
Mar 9, 2026
Re-Eval
May 4, 2026
Patient
Marcus BellAge 27 · Recreational soccer · Chart AM-7745
Treating Therapist
Dana Reyes, DPTDoctor of Physical Therapy · OCS
Course
8 Weeks · 3×/Wk24 visits · referred by Dr. L. Hart, MD
Assessment & baselineEval · 03/09/26
Knee Flexion ROM
75°
Goal 135°
Knee Extension
-8°
Goal 0° full
Quad Strength (MMT)
3/5
Goal 5/5
Single-Leg Balance
8s
Goal 30s
Status-post right ACL reconstruction (hamstring autograft, 03/01/26). Patient presents 8 days post-op with limited knee range of motion, quadriceps inhibition, antalgic gait with crutches, and a goal of returning to recreational soccer. No signs of infection or graft compromise. Cleared for protected weight-bearing per surgeon protocol.
Rehab goalsMeasurable
1
Restore full knee range of motion
Achieve 0° full extension and ≥135° flexion, symmetrical to the left knee, with no swelling after activity.
By Week
6
2
Rebuild quad & hamstring strength
Return quadriceps to 5/5 manual muscle test and reach 80% limb-symmetry index on isokinetic testing.
By Week
8
3
Return to sport readiness
Pass hop-test battery at ≥90% symmetry and demonstrate confident cutting and pivoting for clearance to phased running.
By Week
8+
Phase progression8-week roadmap
Phase 1
Wks 1–3 · Protect & restore
  • Control swelling: ice, elevation, compression
  • Regain extension to 0°, flexion to 110°
  • Quad sets, straight-leg raises, patellar mobs
  • Normalize gait, wean off crutches
Phase 2
Wks 4–6 · Strengthen
  • Closed-chain squats, leg press, step-ups
  • Hamstring curls & calf work
  • Stationary bike & pool conditioning
  • Single-leg balance & proprioception
Phase 3
Wks 7–8 · Return to function
  • Progressive plyometrics & landing mechanics
  • Agility ladder, cutting & pivoting drills
  • Hop-test battery & symmetry testing
  • Build toward phased return-to-run program
Current exercise prescriptionSets × Reps
1
Quad sets with biofeedback
Supine, tighten thigh and hold; focus on full quad contraction.
Sets
3 × 10
Freq
Daily
2
Heel slides for flexion
Slide heel toward glutes to end-range, hold 5s, return slowly.
Sets
3 × 15
Freq
2×/day
3
Straight-leg raise
With knee locked, lift to 45°; add ankle weight as tolerated.
Sets
3 × 12
Freq
Daily
4
Mini-squats (0–45°)
Bodyweight, even loading, slow tempo; progress depth weekly.
Sets
3 × 12
Freq
3×/wk

Visit schedule

Frequency3× per week
Duration45–60 min
Total visits24 over 8 wks
Re-evaluationWk 4 & Wk 8
Home programDaily HEP

Plan agreement

I have reviewed this plan of care with my physical therapist, understand the goals and home program, and agree to participate. A copy is mine to keep.

Patient signature · Date
Dana Reyes, DPT · Date
Apex Motion PT · 410 Riverside Drive, Bay 2, Denver, CO 80216 · (303) 555-0198 · apexmotionpt.example
Plan of care subject to physician orders and ongoing re-assessment. Progress is reviewed at each milestone visit.