Guide to ACL Reconstruction Exercise Prescription for Physical Therapists | Part 2 | FPF Show Episode 49
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In today's episode we go over Guide to ACL Reconstruction Exercise Prescription for Physical Therapists | Part 2 | FPF Show Episode 49:
- 0:00 Introduction
- 2:44 What's the difference between open and closed chain exercises and stress on the ACL?
- 3:07 Are open chain exercises more stressful for the ACL graft?
- 3:40 Are lunges and step-ups more stressful on the ACL compared to knee extensions?
- 3:54 Stress on the ACL with common exercises (Squats, leg press, lunges, knee extensions, jumping and landing)
- 8:23 Are open chain knee extensions safe after ACL reconstruction?
- 9:43 When can open chain knee extension be introduced safely after ACL reconstruction?
- 13:48 When does Kevin Wilke believe we can safely incorporate heavy open chain knee extensions after ACL reconstruction?
- 14:27 Guidelines on how to use open chain knee extensions with patients after ACL reconstruction (What I do)
- 15:58 Do all patients NEED open chain knee extension after ACL reconstruction surgery?
- 17:44 What loads are appropriate during open chain knee extension?
- 17:58 How blood flow restriction training (BFR) early on after ACL reconstruction can improve quad strength with less ACL graft stress
- 18:16 Potentially safer alternates to open chain knee extensions
- 19:10 Is the amount of attention open chain knee exercises get even warranted?
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
- Guide to ACL Reconstruction Exercise Prescription for Physical Therapists | Part 1 | FPF Show Episode 48
- 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.