Anterior Cruciate Ligament (ACL) Rehabilitation: Difference between revisions
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== Definition/Description == | == Definition/Description == | ||
ACL rehabilitation has undergone considerable changes over the past decade. Intensive research into the biomechanics of the injured and the operated knee have led to a movement away from the techniques of the early 1980's characterized by post operative casting, delayed weight bearing and limitation of ROM, to the current early rehabilitation program with immediate training of ROM and weight bearing exercises[1] (Level A). | |||
The major goals of rehabilitation of the ACL-injured knee: | |||
*Gain good functional stability | |||
*Repair muscle strength | |||
*Reach the best possible functional level | |||
*Decrease the risk for re-injury | |||
Closed kinetic chain exercises (CKC) and Open kinetic chain exercises (OKC) play an important role in regaining muscle (quadriceps, hamstrings) strength and knee stability. | |||
Closed kinetic chain exercises have become more popular than Open kinetic chain exercises in ACL rehabilitation. Clinicians believe that CKC exercises are safer than OKC exercises because they place less strain on the ACL graft. Besides, they also believe that CKC exercises are more functional and equally effective as OKC exercises[3] (Level A).<br> | |||
== Clinically Relevant Anatomy == | == Clinically Relevant Anatomy == | ||
Revision as of 16:17, 17 March 2012
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Key words: anterior cruciate ligament, Open chain exercises, Closed chain exercises, ACL rehabilitation,…
Definition/Description[edit | edit source]
ACL rehabilitation has undergone considerable changes over the past decade. Intensive research into the biomechanics of the injured and the operated knee have led to a movement away from the techniques of the early 1980's characterized by post operative casting, delayed weight bearing and limitation of ROM, to the current early rehabilitation program with immediate training of ROM and weight bearing exercises[1] (Level A).
The major goals of rehabilitation of the ACL-injured knee:
- Gain good functional stability
- Repair muscle strength
- Reach the best possible functional level
- Decrease the risk for re-injury
Closed kinetic chain exercises (CKC) and Open kinetic chain exercises (OKC) play an important role in regaining muscle (quadriceps, hamstrings) strength and knee stability.
Closed kinetic chain exercises have become more popular than Open kinetic chain exercises in ACL rehabilitation. Clinicians believe that CKC exercises are safer than OKC exercises because they place less strain on the ACL graft. Besides, they also believe that CKC exercises are more functional and equally effective as OKC exercises[3] (Level A).
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