Guide to ACL Reconstruction Exercise Prescription for Physical Therapists | Part 1 | FPF Show Episode 48

By dpope2020

September 2, 2022

acl exercises, acl injury, acl reconstruction, acl reconstruction phase 1, acl reconstruction rehab, acl rehab, acl rehab exercises, acl rehabilitation, acl strengthening exercises, acl surgery, ACL tear, acl tear rehab, alex holland, anterior cruciate ligament, anterior cruciate ligament injury, axe physio, best acl exercises, dan pope, fitness pain free, how to recover from acl reconstruction surgery, how to strengthen your acl following surgery, physical therapy

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

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  1. 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.

  2. 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.

  3. 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.

  4. 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.