Guide to ACL Reconstruction Exercise Prescription for Physical Therapists | Part 2 | FPF Show Episode 49

By dpope2020

September 9, 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 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?

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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.