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so what do we do to restore a range of motion in this patient so the process is very similar to this patient prior to surgery okay so every session we like to measure the range of motion at the session start get an idea of how its progressing to see if were giving too much exercise not enough exercise we make our decisions based on the progress over the course of time okay thats going to dictate the tolerance to exercise too so if youre getting stiff or stiff or stiffer theres a chance youre giving that patient too much and or theyre not doing their exercises right so you kind of have to parse that out and figure what the problem is okay so to work on extension Ill do some soft tissue work to the gastroc as well as a hamstring to promote more knee extension and if were really limited into knee flexion I do more work to the quad right patellar moves Superior and inferior so inferior moves are more for knee flexion Superior moves are more for knee extension okay so you can choo
