12 Keys to Post-Operative ACL-Reconstruction Physical Therapy
To go along with today's video I have a nice infographic to share...
Sign up to receive FREE: ACL-Reconstruction Exercise Evidence Based "Cheat Sheet"
Click HERE to Download FREE
Grab the rest of the Mini Course and Sign up for the Certification Pre-sale list:
- FPF Mini Course - 7 Reasons Why Injuries Happen in the Gym and What to do About it
- The Fitness Pain Free Certification
In today's video we go over: 12 Keys to Post-Operative ACL-Reconstruction Physical Therapy - FPF Show Episode 160
- 0:00 Introduction
- 2:34 Key #1 - Why having a successful pre-operative phase is imperative
- 7:19 Key #2 - How to reduce post-operative pain and swelling
- 12:15 Key #3 - How to restore full knee ROM
- 20:48 Key #4 - Individualize based on the individual (graft type, concomitant pathology, sport, individual deficits)
- 28:37 Key #5 - Improving volitional quad control (exercise, NMES, BFR etc.)
- 33:50 Key #6 - Progressive loading for the quadriceps
- 38:22 Key #7 - Building a comprehensive program (strength, neurocog, perturbations)
- 44:44 Key #8 - Progress via timelines & criteria based (LSI, torque, etc)
- 52:37 Key #9 - Psychological readiness - critical for RTS
- 1:02:07 Key #10 - Return to sport testing battery and timelines
- 1:15:32 Key #11 - Collaborate with others for RTS decision making (patient, family, surgeon, psychologist, coaches)
- 1:17:49 Key #12 - The MOST important key (You'll have to watch 😉
- 1:19:58 ACL Tear Surgery FACE-OFF [Which is BEST for Patients?
I Think I'm Ready for Action...
- Dan Pope DPT,OCS,CSCS
Show Notes / Relevant Articles:
- FPF Mini Course - 7 Reasons Why Injuries Happen in the Gym and What to do About it
- Do You Need Physical Therapy BEFORE ACL-Reconstruction Surgery?
- 8 Ways to Wake Up Your Patient’s Quadriceps After Major Knee Surgery
- ACL Tear Surgery FACE-OFF [Which is BEST for Patients?]
- Surgery vs. Physical Therapy for ACL Tears? [Evidence Based Review]
- My favorite beginner exercises for knee pain
- What Physical Therapists Need to Know About ACL Injuries
- Struggling with ACL injuries? Learn how to diagnose them!
Want to support me and decide topics for future episodes? Click HERE to sign up for FPF "Insiders" for just a dollar. You'll gain access to 100+ webinars, e-books and complete guides. Plus, you'll get private access to the "Insiders" Facebook group where you can have all of your questions answered by me.
Looking for other ways to support me that are 100% free?
- Like, comment and share on youtube, facebook and instagram
- Leave a 5-star review on apple podcasts
Thank you!
Dan Pope DPT, OCS, CSCS
References:
Brinlee AW, Dickenson SB, Hunter-Giordano A, Snyder-Mackler L. ACL Reconstruction Rehabilitation: Clinical Data, Biologic Healing, and Criterion-Based Milestones to Inform a Return-to-Sport Guideline. Sports Health. 2022 Sep-Oct;14(5):770-779. doi: 10.1177/19417381211056873. Epub 2021 Dec 13. PMID: 34903114; PMCID: PMC9460090.
Wilk KE, Arrigo CA. Rehabilitation Principles of the Anterior Cruciate Ligament Reconstructed Knee: Twelve Steps for Successful Progression and Return to Play. Clin Sports Med. 2017 Jan;36(1):189-232. doi: 10.1016/j.csm.2016.08.012. PMID: 27871658.
Sonnery-Cottet B, Saithna A, Quelard B, Daggett M, Borade A, Ouanezar H, Thaunat M, Blakeney WG. Arthrogenic muscle inhibition after ACL reconstruction: a scoping review of the efficacy of interventions. Br J Sports Med. 2019 Mar;53(5):289-298. doi: 10.1136/bjsports-2017-098401. Epub 2018 Sep 7. Erratum in: Br J Sports Med. 2019 Dec;53(23):e8. doi: 10.1136/bjsports-2017-098401corr1. PMID: 30194224; PMCID: PMC6579490.
Grindem H, Snyder-Mackler L, Moksnes H, Engebretsen L, Risberg MA. Simple decision rules can reduce reinjury risk by 84% after ACL reconstruction: the Delaware-Oslo ACL cohort study. Br J Sports Med. 2016 Jul;50(13):804-8. doi: 10.1136/bjsports-2016-096031. Epub 2016 May 9. PMID: 27162233; PMCID: PMC4912389.
Hartigan E, Axe MJ, Snyder-Mackler L. Perturbation training prior to ACL reconstruction improves gait asymmetries in non-copers. J Orthop Res. 2009 Jun;27(6):724-9. doi: 10.1002/jor.20754. PMID: 19023893; PMCID: PMC3597104.
Piskin D, Benjaminse A, Dimitrakis P, Gokeler A. Neurocognitive and Neurophysiological Functions Related to ACL Injury: A Framework for Neurocognitive Approaches in Rehabilitation and Return-to-Sports Tests. Sports Health. 2022 Jul-Aug;14(4):549-555. doi: 10.1177/19417381211029265. Epub 2021 Jul 8. PMID: 34236003; PMCID: PMC9214902.
Capin JJ, Snyder-Mackler L, Risberg MA, Grindem H. Keep calm and carry on testing: a substantive reanalysis and critique of 'what is the evidence for and validity of return-to-sport testing after anterior cruciate ligament reconstruction surgery? A systematic review and meta-analysis'. Br J Sports Med. 2019 Dec;53(23):1444-1446. doi: 10.1136/bjsports-2019-100906. Epub 2019 Jul 9. PMID: 31289039; PMCID: PMC6858490.