Exercise Precautions After ACL Reconstruction

In the past, rehabilitation after ACL reconstruction involved long periods of continuous immobilization of the knee in a position of flexion and an extended period (often 6 to 8 weeks) of restricted weight-bearing. Return to full activity often took a full year. What kind of precautions must be taken after ACL Reconstruction is discussed here which are,

Resistance Training—General Precautions

Progress exercises more gradually for reconstruction with hamstring tendon graft than bone-patellar tendon-bone graft.
Progress knee flexor strengthening exercises cautiously if a hamstring tendon graft was harvested and knee extensor strengthening if a patellar tendon graft was harvested.

Closed-Chain Training

When squatting in an upright position, be sure that the knees do not move anterior to the toes as the hips descend because this increases shear forces on the tibia and could potentially place excess stress on the autograft.
Avoid closed-chain strengthening of the quadriceps between 60° to 90° of knee flexion. because some study shows Contraction of the quadriceps in these positions and ranges causes the greatest anterior tibial translation and can create potentially excessive stress to the graft during the early stage of healing.

Open-Chain Training

During PRE to strengthen hip musculature, initially place the resistance above the knee until knee control is established.
Avoid resisted, open-chain knee extension (short-arc quadriceps training) between 45° or 30° to full extension for at least 6 weeks or as long as 12 weeks.
Avoid applying resistance to the distal tibia during quadriceps strengthening.

Comments

What is Anatomical pulley? Example of Anatomical pulley

Understanding the Importance of Anatomical Pulleys in Physiotherapy As a physiotherapy student, it is essential to have a good understanding of the human body's anatomy and how it works. One of the essential structures in the body that plays a significant role in movement and biomechanics is the anatomical pulley. In this article, we will explore what an anatomical pulley is, its types, and its importance in physiotherapy. What is an Anatomical Pulley? A pulley is a simple mechanical machine that consists of a wheel that turns readily on the axle, usually grooved for a rope or a wire cable. In the human body, the pulley is replaced by a bone, cartilage, or ligament, and the cord is replaced by a muscle tendon. The tendon is lubricated by synovial fluid, and the surface of the tendon is covered by a thin visceral synovial membrane. The tendon is lubricated so that it may easily slide over the pulley. Classification of Anatomical Pulleys There are mainly four classes of pulleys ...

Electrotherapy Simplified by Basanta Kumar Nanda PDF Download

Electrotherapy Simplified by Basanta Kumar Nanda The aim of this book is to focus on the electrotherapy simplified. Electrotherapy is one of the important aspects among the various approaches of patient management available to a physiotherapist. Electrotherapy Simplified has tried to give comprehensive knowledge on electrotherapy and actinotherapy, starting from basic electricity and magnetism to the theoretical and clinical aspects of the different modalities applied by physiotherapists. This book consists of 19 chapters, which include an introduction, inflammation, repair, and role of physical agents, electrical fundamentals, magnetic energy, valves, transistors, and rectifiers, electrical measurement systems and distribution of electricity, electrophysiology of nerve transmission, and muscle contraction, low-frequency currents, electrodiagnosis, medium frequency currents, low-intensity laser therapy, ultraviolet radiation, and traction. About 250 objective question ...

Range of Muscle work in Physiotherapy

The degree of the movement done by muscle contraction is known as the Range of muscle work. The range can be measured with the help of a goniometer. Movement is a very complex mechanism, a lot of muscles are working in a group and in synchronized pattern to draw out the perfect desirable movement. As per function we already talked about Agonist, antagonist, Synergist, and fixator muscles.

#stayfitwithanand

Search This Blog