Assessment & baselineEval · 03/09/26
Knee Flexion ROM
75°
Goal <b>135°</b>
Knee Extension
-8°
Goal <b>0°</b> full
Quad Strength (MMT)
3/5
Goal <b>5/5</b>
Single-Leg Balance
8s
Goal <b>30s</b>
<b>Status-post right ACL reconstruction</b> (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.
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.