Be sure to follow the more conservative protocol with regards to range of motion, weight bearing, and rehab. After acl injury, regardless of whether surgery will take place or not, physiotherapy management focuses on regaining range of movement, strength. Rehabilitation of acl injury in the handball player. About the anterior cruciate ligament acl there are four main ligaments that stabilize the knee. The guide to rehabilitation of anterior cruciate ligament. Combined injuries may involve meniscus 60%, articular. If surgery is done too soon after injury, rehabilitation is more difficult. Physical therapy pt and exercises for a meniscus tear rehab. While our attempt is to make each of the steps self.
Specific intervention should be based on the needs of the individual and should consider exam findings and clinical. The initial course of treatment in physical therapy includes rest, antiinflammatory measures and activity modification. Rehabilitation guidelines for acl reconstruction in the. Before proceeding with surgery the acutely injured knee should be in a quiescent state with little or no swelling, have a full range of motion, and the patient should. Handball players with acl injury whether treated surgically or nonsurgically must complete a highquality, supervised, criterionbased rehabilitation programme with high adherence. Time frames for brace or crutches may be extended by dr. A typical mechanism of an acl injury is a noncontact twisting movement, usually due to abrupt deceleration and change of direction sidestepping cutting, pivoting and.
Physiotherapy following acl reconstruction protocol rehabilitation following anterior cruciate ligament reconstruction aclr is an essential part of a full recovery. This protocol is intended to provide the user with instruction, direction, rehabilitative guidelines and functional goals. An acl injury occurs when the ligament is torn or stretched beyond normal range. Pdf treatment of anterior cruciate ligament injuries, part i. Acl also can be torn if the knee is forcefully hyperextended while landing from a jump. This is one of the bands of tissue that holds the bones together within your knee. Rehabilitation protocol for acl reconstruction massachusetts. Acl reconstruction rehabilitation protocol sports medicine north. 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. Physical therapy pt can be useful for a torn meniscus whether or not you have surgery.
Recovery for a nonoperative acl tear is variable and largely dependent on. If acl reconstruction with meniscal repair, then range of motion limited. An acl injury causes pain and a lot of swelling in the knee. In the case of an isolated acl tear with no other ligamentous or cartilage involvement, the associated pain and dysfunction can be successfully treated with physical therapy. Acl reconstruction physiotherapy advice for patients oxford. One of the most common ways people hurt their knees is by injuring their acl anterior cruciate ligament. It contains detailed exercises appropriate for the. Find out when it helps, what to expect, and how long youll need to do it for. An acl injury occurs when the ligament is torn or stretched beyond. Loss of knee extension has been shown to result in a limp, quadriceps muscle weakness, and anterior knee pain. After an acl injury, deficits occur in strength39, proprioception40,56, muscle timing55 and gait patterns. Anterior cruciate ligament acl rehabilitation physiopedia. Nhs trust acl reconstruction physiotherapy advice for patients.
1151 383 313 946 1531 1071 680 1421 165 531 75 1380 1076 1515 954 1061 594 261 1479 295 523 937 452 804 1667 1397 1482 1470 688 1391 1169 1090 1357 889 530 603 1095 440 1202 847 66 388 700 174 331 1360 1087 138 1053