Progressive resistance exercises 3050 repetitions, 05 pounds, 3 times per day. Frequency of exercises 34 times per day, unless otherwise indicated. See precautions section for modifications if secondary surgery involved revision, meniscus repair, etc. Acl reconstruction rehab exercises mickhughesphysio. It is dependent on read more acl reconstruction rehabilitation programme.
The exercises will help to strengthen the muscles around the knee and help you to regain full range of movement. Jul 08, 2019 acl rehab protocol is an outline of an anterior cruciate ligament sprain rehabilitation program. No resisted leg extension machines isotonic or isokinetic at any point in the rehab process. Nhs trust acl reconstruction physiotherapy advice for patients. Acl rehabilitation has undergone considerable changes over the past decade. Time frames mentioned in this booklet are based on. Acl reconstruction rehabilitation protocol one of the most common complications following acl reconstruction is loss of motion, especially loss of extension. However, if youre struggling for ideas, ive compiled a few of my favorite exercises into a video in no particular order to get the knee going during different phases of rehab following acl reconstruction. Quadriceps isometrics exercises, straight leg raises, and range of motion exercises should be started immediately. Pull the heel toward the buttocks, flexing the knee. Acl exercises mobility and strengthening for torn acl. The goal of these videos is to maximize your recovery following acl reconstruction surgery. In the early weeks post op it is crucial to control the swelling, restore full joint movement and. Welcome to our acl reconstruction rehabilitation video series.
The physiotherapist must exercise their best professional judgment to determine how to integrate this protocol into an appropriate treatment plan. This protocol is intended to provide the user with instruction, direction, rehabilitative guidelines and functional goals. Acl reconstruction rehab protocol general guidelines brace will remain locked until patient demonstrates good quadriceps control two to four weeks with weight bearing activities. Physiotherapy acl protocol rehabilitation following anterior cruciate ligament reconstruction aclr is an essential part of a full recovery. Loss of knee extension has been shown to result in a limp, quadriceps muscle weakness, and anterior knee pain. Rehabilitation guidelines for acl reconstruction in the adult athlete skeletally mature anterior cruciate ligament acl injuries affect men and women across a wide age range and at all levels of athletics. Physiotherapy following acl reconstruction protocol rehabilitation following anterior cruciate ligament reconstruction aclr is an essential part of a full recovery. In the acute period after acl reconstruction the knee needs some time to recover from the acute trauma of surgery. This video should not be used as a substitute for regular physical therapy visits and guidance from your physician. Leg press with minimal resistance flexion up to 90. It should not be a substitute for ones clinical decision making regarding the. Add wall slides see figure 3 and hand assisted heel drags to increase your range of motion. Rehabilitation protocol for anterior cruciate ligament.
The protocol may be modified if additional procedures, such as meniscus repair or microfracture, were performed. Aug 14, 2019 gsss patients guide to anterior cruciate ligament reconstruction colin walker frcs frank gilroy bsc mcsp 2nd edition 2016 based on previous programme written for gsss written and produced by c. Rehabilitation after anterior cruciate ligament reconstruction. Exercises should focus on proper patella tracking and recruitment of the vastus medialis oblique vmo. Acl reconstruction rehabilitation protocol 6 3 heel slides are used to gain final degrees of flexion. If suspect an acl sprain, we strongly advise you seek professional medical advice as soon as possible. Full extension is obtained by doing the following exercises. The pain and swelling from an acl injury causes decreased strength in the muscles close to the injured joint. A graft that stretches or ruptures during this time period is not repairable.
The guide to rehabilitation of anterior cruciate ligament acl. Salmon l, russell v, musgrove t, pinczewski l, refshauge k. Rehabilitation guidelines after acl reconstruction mark a. Gaining full knee extension early in the rehab process is crucial to prevent graft site adhesion. Click here to download pdf exercises after injury to the anterior cruciate ligament acl of the knee. It contains detailed exercises appropriate for the different phases of rehabilitation. It consists of initial first aid, mobility, strength, balance, fitness and agility exercises both before and after reconstructive knee surgery. Acl reconstruction rehabilitation protocol peter millett, md timing of acl surgery has a significant influence on the development of. This evolution has been driven by a variety of level 1 and level 2 studies. Intensive research into the biomechanics of the injured and the operated knee have led to a movement away from the techniques of the early 1980s characterized by post operative casting, delayed weight bearing and limitation of rom, to the current early rehabilitation program with immediate training of rom and weight. Straighten the leg by sliding the heel downward and hold for 5 seconds. Anterior cruciate ligament hamstring rehabilitation protocol. Anterior cruciate ligament reconstruction rehabilitation. Anterior cruciate ligament acl rehabilitation physiopedia.
No active hamstring exercises electrical stimulation in full extension with quad sets and slr quad sets straight leg raise slr x 4 on mat in brace if poor quad control stationary bike for range of motion 090 degrees ice pack with knee in full extension after exercise goals full passive extension. Research also shows strength decreases in both legs following an acl injury so it is important to exercise both legs. The grafted acl sees minimal force with normal daily activities and immediate weight. Specific intervention should be based on the needs of the individual and should consider exam findings and clinical decision making. Rehabilitation guidelines for acl reconstruction in the adult. They include mobility, strengthening, proprioception and sports specific exercises. You will return to see your surgeon at the following intervals after surgery. Early stretch and strengthen after acl reconstruction the most commonly injured ligament in the knee that undergoes surgical repair is the anterior cruciate ligament acl. Keenan 2009 information on acl ruptures the knee is the largest joint in the body. Basic gentle exercises, regular application of ice and elevation of the knee are bene. Also, acl reconstruction may be done in conjunction with other ry often slowing the rehab process. Operative rehabilitation protocol the following is a generalized outline for rehabilitation following acl reconstruction. Nov 03, 2016 acl exercises form part of acl rehab protocol following an anterior cruciate ligament sprain. Jul 28, 2016 the following acl advanced strengthening and coordination exercises, which are demonstrated in this video, should be conducted during phase 4 of your acl reconstruction rehab.
Physical therapy may be necessary prior to surgery. Incidence and risk factors for graft rupture and contralateral rupture after anterior cruciate ligament reconstruction. Anterior cruciate ligament acl reconstruction rehabilitation has evolved over the past 20 years. Rehabilitation following anterior cruciate ligament reconstruction aclr is an essential part of a full recovery. This protocol must be followed to prevent injury to the acl graft.
About the anterior cruciate ligament acl there are four main ligaments that stabilize the knee. Acl prehab exercises before surgery the rationale for prehab prior to acl reconstruction is simple. Each patient and injury will be different so always take the advice of your medical professional or surgeon. Exercises should focus on lumbopelvic stabilization in all planes of motion and all transfers. Oct 03, 2012 successful anterior cruciate ligament acl reconstruction requires physical rehabilitation to help patients return to an active lifestyle. The guide to rehabilitation of anterior cruciate ligament acl reconstruction introduction anterior cruciate ligament surgery and rehabilitation have undergone dramatic changes over the past decade, due to extensive clinical experience, improved surgical technique and better understanding of rehabilitation. Anterior cruciate ligament acl reconstruction jason s. Anterior cruciate ligament patellar tendon autograft rehabilitation protocol the intent of this protocol is to provide the clinician with a guideline of the postoperative rehabilitation course of a patient that has undergone an anterior cruciate ligament reconstruction with a bonepatellar tendonbone autograft. You should perform your exercises 34 times daily, starting the day after surgery. If you have suffered an acute acl injury and surgery is planned, the time between injury and surgery should be used to regain knee motion, decrease swelling, and maintain muscle tone.
Rehabilitation protocol for acl reconstruction this protocol is intended to guide clinicians and patients through the postoperative course of an acl reconstruction. See acl rehabilitation program for an overview of when each. The goal of these videos is to help maximize your recovery following acl reconstruction surgery. Rehabilitation guidelines for acl reconstruction in the. This evolution has been driven by a variety of level 1. Acl strengthening exercises acl and knee conditioning. Please give a copy of this acl rehabilitation protocol to your therapist. Hamstring acl reconstruction rehabilitation protocol anterior cruciate ligament hamstring rehabilitation protocol based on the fowler kennedy sports medicine clinic acl rehab guidelines preoperative rehabilitation prior rehabilitation is essential for improved outcomes following anterior cruciate ligament acl reconstruction surgery. Acl reconstruction rehabilitation protocol 4 restore normal range of motion you should attempt to achieve full range of motion as quickly as possible. Incidence of second acl injuries 2 years after primary acl reconstruction and return to sport. Rehabilitation guidelines anterior cruciate ligament acl. Facts transformation of the graft into a strong and durable ligament requires four months.
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