ACL rehabilitation program using a combined isokinetic and isotonic strengthening protocol

2002 ◽  
Vol 10 (4) ◽  
pp. 211-219 ◽  
Author(s):  
P. Tsaklis ◽  
G. Abatzides
Author(s):  
Sineenad Janewanitsataporn

Objective: This study aims to compare the functional tests after anterior cruciate ligament reconstruction (ACLR) with and without meniscal repair after the rehabilitation program and before returning to sports. Material and Methods: Patients who underwent ACLR using hamstring tendon autograft during 2016-2017 were invited to participate in this study and divided into 2 groups including with and without meniscal repairs according to the surgical reports. A group of ACLR with meniscal repair required the conservative anterior cruciate ligament (ACL) rehabilitation program because the non-weight-bearing approach should be applied during the first 6 weeks. These patients were followed up clinically until the rehabilitation program finished. The functional tests were applied with the 4 single-leg hop tests, as reported in the limb symmetry index (LSI). Results: Forty-three patients were enrolled in the program. These patients were divided into 2 groups: ACLR with meniscal repair (n=20) and ACLR without meniscal repair (n=23). It was found that there was no statistically significant difference between the two groups with respect to duration for completing the rehabilitation program (p-value=0.38). Also, there was no statistically significant difference between the two groups with respect to the LSI of all 4 singleleg hop tests of duration for completing the rehabilitation program. Conclusion: The conservative ACL rehabilitation program after meniscal repair surgery did not affect the function tests in terms of duration for completing the rehabilitation program before return to sports (RTS).


2015 ◽  
Vol 2 (4) ◽  
pp. 183-188
Author(s):  
T. C. Munteanu ◽  
Ana-Raluca Mihalcea ◽  
B. Nistor ◽  
G. Dinu

The floppy Anterior Cruciate Ligament (ACL) sign is a well-established arthroscopic and MRI indicator of Posterior Cruciate Ligament (PCL) insufficiency. We explored the diagnostic and therapeutic options in such cases by retrospectively analyzing the management of a series of five consecutive cases of iatrogenic floppy ACL reconstructions which resulted in fixed posterior drawer. All patients were young athletes. Because their ACL rehabilitation program was failing they sought for a new medical expertise. In all cases arthroscopic PCL reconstruction was performed and the acquired injuries after the initial ACL reconstruction were treated. All patients regained full range of motion and stable knees. Confusion between a PCL and an ACL injury still seems to be high. If not addressed accordingly, the fixed posterior drawer may lead to irreversible damage of the knee joint.


2019 ◽  
Vol 4 (6) ◽  
pp. 1399-1405 ◽  
Author(s):  
Jennifer Christy

Purpose The purpose of this article was to provide a perspective on vestibular rehabilitation for children. Conclusion The developing child with vestibular dysfunction may present with a progressive gross motor delay, sensory disorganization for postural control, gaze instability, and poor perception of motion and verticality. It is important that vestibular-related impairments be identified early in infancy or childhood so that evidence-based interventions can be initiated. A focused and custom vestibular rehabilitation program can improve vestibular-related impairments, enabling participation. Depending on the child's age, diagnosis, severity, and quality of impairments, vestibular rehabilitation programs may consist of gaze stabilization exercises, static and dynamic balance exercises, gross motor practice, and/or habituation exercises. Exercises must be modified for children, done daily at home, and incorporated into the daily life situation.


2015 ◽  
Author(s):  
Liz Midence ◽  
Susan Holtzman ◽  
Donna E. Stewart ◽  
Adrienne Kovacs ◽  
Sherry L. Grace

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