ACL injuries

All posts tagged ACL injuries

Are you at risk of OA(Osetoarthritis)?

Posted by Sports Rehab PA on February 10, 2020
Posted in: Injury Prevention, Recovery & Regeneration. Tagged: , , . Leave a comment

I recently read two separate articles from two separate publications and they discussed OA (Osetoarthritis) which is what an athlete can develop with each traumatic joint injury suffered, plus the lasting effects and prevention strategies. 

Osetoarthritis is the gradual wearing out of the protective cartilage that covers the end of our bones, which leads to pain, stiffness, and loss of flexibility in the joint, most commonly affects the knee, hip, hands and spine.

Because of the associated damage that occurs, ACL injuries can increase the risk of future knee osteoarthritis. Studies suggest that one third of athletes who sustain an ACL tear and reconstruction will develop knee OA within 10 years.

Both publications went on to say that lower extremity injuries can be reduced 40-70% by implementing a structured prevention program, especially for female soccer players!

Hence, why I decided to come up with a quick at home workout. The program can be done in the confines of your living room.

Click link to receive your FREE ACL Injury Reduction At Home Workout

https://mailchi.mp/0a0a298d6e5e/acl-recovery-program

Early Stages of Post-PT Sports Rehab

Posted by Sports Rehab PA on December 12, 2019
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Stimulating the somatosensory system during rehabilitation after ACL (anterior cruciate ligament) reconstruction may be necessary for complete neuromotor restoration.


Neuromotor deficits associated with quadriceps activation, postural control, and joint position and movement sense have been identified in patients who have undergone ACL reconstruction (ACLR).


These deficits may provide insight into sources of movement dysfunction in this population.


The further examination of the impact of #ACLinjury on the somatosensory system may provide additional insights into the underlying causes of these impairments.

Read 👀Full 📑article…⤵️
Somatosensory deficits following ACL surgery | Lower Extremity Review Magazine https://lermagazine.com/article/somatosensory-deficits-following-acl-surgery



#sportsmedicine#soccerdoctor
#aclrehab#aclsurgery#aclrecovery#postrehab#kneesurgery#kneerehab#kneeinjury#sportsrecovery

ACL Injury Reduction Program: Part 3 “Lunge Matrix”

Posted by Sports Rehab PA on February 10, 2019
Posted in: Uncategorized. Tagged: , , .

The lunge matrix is a series of lunges get you moving in all three planes of motion: the sagittal plane (lateral or side movements), frontal plane (moving forward), and transverse plane (rotational).


Running is mostly about moving forward, but the lunge matrix helps you become a better runner by practicing with all three planes of motion.

Part 3 Lunge Matrix

– Lateral x 4 each leg

– Diagonal x 4 each leg

– Backward x 4 each leg

– Forward x 4 each leg


#sportsinjury #sportsrecovery #sportsrehab #prehab #garyveechallenge

Fundamental Performance in Post-Rehab

Posted by Sports Rehab PA on February 1, 2019
Posted in: Recovery & Regeneration, strength training. Tagged: , , , , . Leave a comment

Fundamental Performance in the Rehab continuum begins to reestablish fundamental strength and power.

Amanda is just about nine months post-op and we continue to produce strength in order to perform our more powerful movements.

During this progression to recovery she is relearning proper linear movements , multi-directional movement, jumping and landing.

Ake is 1.5 years out from tearing his ACL. Had surgery in June 2018, and currently seven months post-op, so we are working on building basic fundamental strength.

Post-rehab training is essentially designed to continue where you the physical therapist left off so that they can safely continue improving in areas such as strength, flexibility, balance and stability. 

Post-physical therapy training will be tailored to meet their needs so that you can safely achieve the level of fitness and wellbeing they desire without injuring or re-injuring themselves.

If you have any clients that you feel would benefit from continuing to rehab after PT, I ask for your referral. 

“A referral is the greatest compliment, you can give”. Thank you in a advance.

Email me and schedule your FREE Evaluation! joe@onlinefitlife.com

Click below for more information on our Post-PT Sports Rehab Program ⤵️

https://mailchi.mp/0a0a298d6e5e/acl-recovery-program

Athletes and Knee Injuries

Posted by Sports Rehab PA on June 18, 2018
Posted in: Recovery & Regeneration, Uncategorized. Tagged: , , , , , , . Leave a comment

The knee is the largest joint in the body, and is subjected to an enormous workload during many sports. That is why the knee is the most frequently injured joint in the human body. The most commonly known knee injuries in sports are the ACL and Meniscus tears.

The main causes of these injuries are sports related, such as a violent twisting of the knee while the foot is fixed or excessive knee twisting. Most often ACL injuries occur when pivoting, cutting or landing from a jump. Majority of sports- related ACL injuries are non- contact injuries like soccer and basketball. Female athletes are known to have a higher risk of ACL injury while competing in competitive sports. IMG_8180Why woman are more prone to ACL injuries is unclear, some experts say it’s due to a combination of theories such as Anatomic differences between men and woman the Q-(quadriceps) Angle the angle at which the femur (upper leg bone) meets the tibia (lower leg bone) this angle is greater in woman then in men it is thought this increased angle places more stress on the knee joint. Muscular imbalances may be another cause, Hamstring/Quadriceps strength imbalances. Most athletes tend to have strong quadriceps and tight hamstrings. A good strength training program along with a stretching program will help to correct these hamstring/quadriceps strength imbalances. A proper training program on jumping and landing technique can reduce the likelihood of an ACL injury.
Meniscus tears occur with a twisting turning or violent bend of the knee while the foot is planted. Basketball, Football and Soccer have high rates of meniscal injuries. fullsizeoutput_4ddInjuries to the medial meniscus are about five times more likely then lateral meniscus tears. An athlete with a meniscus injury who wants to continue sports activities will have to undergo surgery. An injury to the meniscus will almost never heal by itself, due to lack of blood to that area. If you feel you have an ACL or Meniscus tear seek medical attention for further evaluation and treatment.

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Part 2 “Post-PT for ACL Reconstruction”

Posted by Sports Rehab PA on May 29, 2018
Posted in: Injury Prevention, Recovery & Regeneration. Tagged: , , , , , , , , , , , , , . Leave a comment

Functional Integration
Functional integration may begin with basic activity as early as 12 weeks post-surgery and can be progressed toward athletic activity between four and six months. The goal during this time (i.e., 12 weeks to six months) is to safely load the knee in all planes of motion without compromising the graft site.

IMG_7311

Flexibility
Stretching the muscles around the knee is a priority for the client. Specifically targeting the quadriceps, hamstrings, and calves should maintain adequate flexibility around the knee.

Hamstring stretch
Ankle mobility
Groin/Hip/Thoracic
Calf stretch

Balance
Balance activity should have been implemented in
the early stages of rehabilitation. At the time of fitness activity, the client should have good balance with basic single-leg activities. Progressively challenging the knee in multiple planes will help prepare the joint for higher- level activity.

Strength training
Training should focus on developing symmetrical strength between the quadriceps, hamstrings, and hip muscles. Strengthening of the hip muscles helps restore stability in the lower limbs and decreases strain on the reconstructed ligament. The hamstrings and quadriceps are particularly important because they add stability to the injured knee and are critical in long-term knee function and prevention of further injury.

IMG_7354

Month 6 – 9

  • Sport specific training and preparation to play phase.
  • Improve fitness, Improve strength, Improve proprioception, and Return to sports training.
  • Plan to return to sport when confidence has returned – usually 9 months

Month 9 – 15

  • Return to sport phase
  • At 9 months the knee will start to free up and feel less tight
  • Full proprioception to where the knee feels normal usually takes about 15 months.

Click below for more information on our Post-PT Sports Rehab Program ⤵️

https://mailchi.mp/0a0a298d6e5e/acl-recovery-program

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Part 3 “Treatment options for ACL tears”

Posted by Sports Rehab PA on May 22, 2018
Posted in: Injury Prevention, Recovery & Regeneration, Uncategorized. Tagged: , , , , , , , , . 1 Comment

Surgical Considerations
There are several procedures currently used by surgeons to repair the ACL. Surgery involving the medial third of the patellar tendon and the medial hamstring (i.e., semitendinosus) are the two most common procedures.

The Patellar Tendon Graft
This procedure involves taking the middle third of the patellar tendon (autograft) to replace the damaged ACL. The procedure has consistently demonstrated excellent surgical outcomes with a 90 to 95% success rate in individuals returning to pre-injury levels of activity. patellar-tendon-graft

This procedure may not be indicated for people with a history of patellofemoral pain, arthritis, or patellar tendinitis, or for smaller individuals with a narrow patellar tendon. Reported problems with the procedure include post-operative pain behind the kneecap, pain with squatting, and a low risk of patellar fractures.

The healing patellar graft has been linked to anterior knee pain.The prevalence ranges from 15 to 25%, with reported incidences as high as 55%.

The Hamstring Tendon Graft
With this procedure, the surgeon typically harvests strands of tendons from the medial semitendinosus to reconstruct the ACL. This procedure has fewer problems with pain behind the knee-cap, better cosmesis (no anterior incision), decreased post-operative stiffness, and faster recovery. Reported problems with the procedure include increased laxity of the new ligament due to graft elongation (stretching), slower healing of the tendon graft, and loosening of the graft at the anchoring site in the bone. knee_acl_hamstring_tendon_intro02

The Allograft
Surgeons also use cadaveric or allograft grafts from the Achilles tendon, tibialis anterior, and patellar tendon to replace the torn ACL. The allograft procedure may be beneficial for patients who have failed prior ACL reconstruction or who have multiple ligaments that need repair. Problems with the allograft procedure include risk of infection and graft elongation.

Non-operative Management
Non-operative treatment may be beneficial for older, sedentary individuals, but it may be problematic for younger, active individuals. The ACL-deficient knee may still cause instability with activity and may lead to further injury to knee structures such as the menisci or articular cartilage. The focus of treatment is to maintain adequate ROM, gait, proprioception, and strength of the muscles around the knee specifically, strengthening the hamstrings.

Post-operative Precautions
During the first six to 12 weeks after surgery, the fixation of the graft into the bone is the weakest point. It is common for clients who return to higher-level activity to develop anterior knee pain.

Post-Ortho Sports Rehab FREE Evaluation—>>>   https://mailchi.mp/0a0a298d6e5e/acl-recovery-program

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“Most common causes for ACL tears”

Posted by Sports Rehab PA on May 10, 2018
Posted in: Injury Prevention, Recovery & Regeneration. Tagged: , , , , , , . Leave a comment

Part 1 of a three part series on ACL tears…

ACL injuries are the most common sports-related injury of the knee. Seventy to 80% of ACL injuries are non-contact, with only 20 to 30% resulting from direct contact.

Pivoting and cutting sports such as soccer and basketball are the most common scenarios, whereas most direct contact ACL injuries occur in American football. Injuries often occur in relatively young athletic individuals 15 to 45 years of age. Females are two to eight times more likely to injure their ACL than males. Also, female basketball players are 7.8 times more likely to injure their ACL than male basketball players.

img_7787.jpg

Mechanism of injury
The mechanism of injury often involves a maneuver of deceleration combined with twisting, pivoting, or side-stepping.

Signs/Symptoms
Most often a client will report hearing or feeling a “pop” during the activity, followed by immediate swelling, insta- bility, decreased ROM, and tenderness often occurs at the lateral line. This typically requires immediate medical care to immobilize and protect the joint, followed by a visit to the orthopedic doctor for further diagnosis and intervention.

Early Intervention
Postsurgery clients typically will be in physical therapy for the first three to four months, depending on the physician’s preferences and the client’s insurance constraints. The client is generally able to perform full weight bearing with crutches and a brace for the first two to six weeks. Physical therapy and a strengthening program continue until the injured knee has 90% of the strength of the other knee.

fullsizeoutput_51d-e1525955734168.jpeg

Common among protocols is a return to functional activity between 12 and 16 weeks after surgery and a return to sporting activities around six months. Clinical results of the ACL reconstruction are quite good, with very low reinjury rates.

The most common complication is residual anterior knee pain.

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Hip Stability Decreases ACL Injuries

Posted by Sports Rehab PA on April 23, 2017
Posted in: Injury Prevention. Tagged: , , , , . Leave a comment

Even though the lateral band walking exercise looks pretty strange (and feels strange at first), this exercise is a perfect way to improve hip stability, strengthen the hip abductors — particularly the glute medius — and increase stability of the knee joint.

As a part of a warm up routine, lateral band walking engages many of the deep muscles that are involved in stabilization of the pelvis. Doing this before working out can help improve hip stability and knee joint stabilization. This, in turn, improves overall body mechanics and movement efficiency during a workout or competition. This preparation is particularly helpful for any athlete who engages in sports that require running, jumping, pivoting and twisting.lateral band walk

Hip Stability Decreases ACL Injuries

A weak glute medius muscle can lead to problems in the knee joint, and is often the underlying reason for knee pain and injury, particularly ACL injuries. A strong glute medius not only stabilizes the hip, but it helps maintain proper tracking in the knee joint, by reducing lateral stress on the knee.

Performing the lateral band walking exercise protects the knee by training correct movement patterns at the knee joint (so it doesn’t cave in or out). Maintaining proper tracking is important when landing a jump safely. Many experts believe improper knee movement biomechanics is one factor that explains why female athletes have a disproportional incidence of ACL injuries.

How to Do Lateral Band Walking

For this exercise to be effective, you need to choose the right strength resistance band. The band colors indicate the level of resistance and progress from yellow (easy), green (moderate), blue (hard), black (hardest). Most athletes can start with the green band and may or may not progress color levels over time. If you can’t do the exercise properly, choose an easy band.

straight-leg-linear-walk

  • Keeping the band flat, not bunched, place it just above each ankle and wrapped around both legs.
  • With your feet shoulder width apart, the band should be taught, but not stretched.
  • Bend your knees slightly and move into a half-squat position in order to activate the glute medius.
  • Keep your feet in line with your shoulders, and face forward with your body weight evenly distributed over both feet.
  • Maintaining the half-squat position, shift your weight over one leg and take a step laterally (sideways) with the other leg. (You will be moving this leg in and out, sideways, for 8-10 reps.)
  • Keep your hips level during the movement. Try not to bounce up and down or sway side to side.
  • Slowly shift your weight to the moved leg and bring the other leg inward to a new ready position maintaining tension of the resistance band.
  • Continue for 8-10 side steps and return the other direction to the start position.
  • Advice: Maintain a low, forward-facing posture. Avoid titling the hips up and down or sideways.
  • Advice: You should feel your glute medius firing (your hips will burn) if you are doing it correctly.If you have trouble with the lateral band walking exercise, you may need to start with a very basice glute medius exercise, such as the Side Lying Hip Abduction, (Clam Exercise) which targets the gluteus medius.
  • Another good exercise to add to your warm up and helps fire the hip stabilizers is the Side Plank Exercise. Add these two to your warm up routine if you have trouble firing your glue mediums. 

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