ACL reconstruction

All posts tagged ACL reconstruction

Early Stages of Post-PT Sports Rehab

Posted by Sports Rehab PA on December 12, 2019
Posted in: Uncategorized. Tagged: , , , , , , , . Leave a comment

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

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

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.

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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.

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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.

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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.

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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.

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

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