ACL Rehabilitation: Rehabilitation Planning: Difference between revisions
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Page is under work: <div class="noeditbox">This page is currently undergoing work, but please come back later to check out new information!!</div> | Page is under work: <div class="noeditbox">This page is currently undergoing work, but please come back later to check out new information!!</div> | ||
== | == Considerations Before Setting up a Plan == | ||
After ACL reconstruction and the acute management after surgery, creating a log-term rehabilitation plan can be challenging for physiotherapists. It is important to set specific goals and milestones for your athlets and build time frames accordingly. These goals should be priotorized depending on athletic needs. | After ACL reconstruction and the acute management after surgery, creating a log-term rehabilitation plan can be challenging for physiotherapists. It is important to set specific goals and milestones for your athlets and build time frames accordingly. These goals should be priotorized depending on athletic needs. | ||
The evidence is rich in ACL-rehabilitation protocols. There is no specific program that is superior to the others, however, there are mutual | The evidence is rich in ACL-rehabilitation protocols. There is no specific program that is superior to the others, however, there are mutual characteristics that should be considered in all rehabilitation progrmas. | ||
In the acute management phase, there are some considerations to protect the surgical repair and allow scar heeling without compromising ROM: | |||
1-ROM: patient can move freely either actively or passively throughout the availbale ROM within pain tolerance. | |||
2-Bracing: This is an area of great controversy in the literature and in clinical practice. While bracing may not be beneficial on the long run, some clinicians prefer placing the knee in a mobilizer then replace it with a c-hinge functional knee brace once femoral nerve block is off following the surgery. However, the main purpose here of bracing is to prevent re-injury in the acute stage. This is dependable on the on the environmental exposure for example, a patient in risk for slipping due to snow bracing is essential to prevent re-injury. A different environment may not require bracing. | |||
3-Weight-Bearing: while full weight-bearing may be tolerated in the first few weeks, partial weight bearing is preferred to protect scar, allow healing and restore joint homeostasis as soon as possible. | |||
4- Stationary bike: introduced on day 10 or once a 110° of knee ROM is achived. However, you may use a small range,rocking back and forth, as a way of facilitating ROM if the whole range is still restricted. | |||
5-Resistance weight-bearing strength training: delayed until 6 weeks after surgery to avoid scar hypertrophy and stiffness. | |||
Revision as of 13:51, 13 November 2018
Original Editor - Mariam Hashem
Top Contributors - Mariam Hashem, Kim Jackson, Tony Lowe, Tarina van der Stockt, Simisola Ajeyalemi, Jess Bell, Chelsea Mclene, Robin Tacchetti, Rachael Lowe, Leana Louw, Wanda van Niekerk, Abbey Wright and Olajumoke Ogunleye
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Considerations Before Setting up a Plan[edit | edit source]
After ACL reconstruction and the acute management after surgery, creating a log-term rehabilitation plan can be challenging for physiotherapists. It is important to set specific goals and milestones for your athlets and build time frames accordingly. These goals should be priotorized depending on athletic needs. The evidence is rich in ACL-rehabilitation protocols. There is no specific program that is superior to the others, however, there are mutual characteristics that should be considered in all rehabilitation progrmas.
In the acute management phase, there are some considerations to protect the surgical repair and allow scar heeling without compromising ROM:
1-ROM: patient can move freely either actively or passively throughout the availbale ROM within pain tolerance.
2-Bracing: This is an area of great controversy in the literature and in clinical practice. While bracing may not be beneficial on the long run, some clinicians prefer placing the knee in a mobilizer then replace it with a c-hinge functional knee brace once femoral nerve block is off following the surgery. However, the main purpose here of bracing is to prevent re-injury in the acute stage. This is dependable on the on the environmental exposure for example, a patient in risk for slipping due to snow bracing is essential to prevent re-injury. A different environment may not require bracing.
3-Weight-Bearing: while full weight-bearing may be tolerated in the first few weeks, partial weight bearing is preferred to protect scar, allow healing and restore joint homeostasis as soon as possible.
4- Stationary bike: introduced on day 10 or once a 110° of knee ROM is achived. However, you may use a small range,rocking back and forth, as a way of facilitating ROM if the whole range is still restricted.
5-Resistance weight-bearing strength training: delayed until 6 weeks after surgery to avoid scar hypertrophy and stiffness.
