Guide to ACL Reconstruction Exercise Prescription for Physical Therapists | Part 1 | FPF Show Episode 48
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In today's episode we go over Guide to ACL Reconstruction Exercise Prescription for Physical Therapists | Part 1 | FPF Show Episode 48:
- 0:00 Introduction
- 2:54 Lecture Key Points
- 5:29 How concomitant pathology (meniscus pathology, MCL sprain, cartilage injury etc.) affect rehabilitation
- 7:37 Why physical therapists should care about exercise selection after ACL Reconstruction
- 10:18 Understanding hamstrings and quad "co-contraction" and it's effect on ACL graft stress
- 13:10 Open vs. closed chain exercises after ACL Reconstruction
- 15:18 How much stress does the ACL graft take during exercise after ACL Reconstruction?
- 17:24 At what degree of knee flexion does the ACL take the most stress?
- 20:31 Are squats, lunges and step-ups safe after ACL Reconstruction?
- 21:36 How torso inclination and knee position (over toes?) affects ACL stress
- 23:10 How altering lunge stride length and adding a heel lift affects the ACL after reconstruction
- 24:19 How changing squat variation influences stress on the knee after ACL Reconstruction
- 25:43 How tibial plateau angle affects knee stress after ACL Reconstruction
Listen and Subscribe to the Podcast
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Show Notes / Relevant Articles:
- FPF Mini Course - 7 Reasons Why Injuries Happen in the Gym and What to do About it
- The Evidence Based Guide to Patellofemoral Pain Syndrome for Physical Therapists
- Physical Therapy Evaluation and Treatment (Meniscus Tear Case Study)
- The Ultimate Guide to Getting Out of Knee Pain and Back to Squatting and Olympic Lifts
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Thank you!
Dan Pope DPT, OCS, CSCS
References:
Escamilla RF, Macleod TD, Wilk KE, Paulos L, Andrews JR. Cruciate ligament loading during common knee rehabilitation exercises. Proc Inst Mech Eng H. 2012 Sep;226(9):670-80. doi: 10.1177/0954411912451839. PMID: 23025167.
Manske RC, Prohaska D, Lucas B. Recent advances following anterior cruciate ligament reconstruction: rehabilitation perspectives : Critical reviews in rehabilitation medicine. Curr Rev Musculoskelet Med. 2012 Mar;5(1):59-71. doi: 10.1007/s12178-011-9109-4. PMID: 22249750; PMCID: PMC3535126.
Perriman A, Leahy E, Semciw AI. The Effect of Open- Versus Closed-Kinetic-Chain Exercises on Anterior Tibial Laxity, Strength, and Function Following Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis. J Orthop Sports Phys Ther. 2018 Jul;48(7):552-566. doi: 10.2519/jospt.2018.7656. Epub 2018 Apr 23. PMID: 29685058.
Wilk KE, Arrigo CA, Bagwell MS, Finck AN. Considerations with Open Kinetic Chain Knee Extension Exercise Following ACL Reconstruction. Int J Sports Phys Ther. 2021 Feb 2;16(1):282-284. doi: 10.26603/001c.18983. PMID: 34395052; PMCID: PMC8341750.