• 10.26603/ijspt20200478
  • International Journal of Sports Physical Therapy
  • Volume 15
  • May 2020
  • pp 478-485

FRAMEWORK FOR OPTIMIZING ACL REHABILITATION UTILIZING A GLOBAL SYSTEMS APPROACH

Review Of Framework For Improving Knee Rehabilitation

Details


Summary:
A framework for improving knee rehabilitation and reducing ACL injury incidence and reinjury rates post anterior cruciate ligament reconstruction has been described. The framework encourages a global approach, whereby ‘proximal’ is not confined to the hip; but rather incorporates proprioceptive challenges and perturbations involving the trunk. The proposed approach to rehabilitation and prevention programs may have the potential to address continued high rates of ACL although future studies will be needed to assess this approach to injury prevention.

The Framework of Interest:
I was using the described framework for ACL rehabilitation research. Thus, the use of the trunk as a lever for resistance, the incorporation of a right phase to replicate ground reaction forces were focused on in this method.

Practical Observations:

-    The exercises are well-reproducible, although, effectiveness of using the trunk as a lever for resistance varied based on abdominal strength.
-    According to protocol displayed photos, patients are required to hold the resistance band for trunk resistance, which created unnatural kinematics.

Recommendations:
- A signifcant amount of patients produced unnatural biomechanics while holding band for trunk training. The resistance band can be tied around patient’s trunk to replicate more natural mechanics.



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