ACL reconstruction Physiopedia

Utilization of Modified NFL Combine Testing to Identify Functional Deficits in Athletes Following ACL Reconstruction. J Orthop Sports Phys Ther 2011;41(6):377-387. ↑ Kokmeyer, D., Wahoff M., Myhern M. Suggestions From the Field for Return-to-Sport Rehabilitation Following Anterior Cruciate Ligament Reconstruction: Alpine Skiing. JOSPT, April. Please see Anterior Cruciate Ligament (ACL) Reconstruction. Please see Anterior Cruciate Ligament (ACL) Rehabilitation. Surgical or non-surgical management after an ACL tear is analyzed through systematic reviews and meta-analyses, where the absolute best standard of empirical research of the outcome of interventions is assessed

Considerations Before Setting up a Plan [edit | edit source]. Following the first 6 weeks of acute management after ACL reconstruction, creating a long-term rehabilitation plan can be challenging for physiotherapists.It is important to set specific goals and milestones for your athlete and build time frames accordingly Anterior Cruciate Ligament injury is one of the most common injuries among different sports with more than 200000 injuries in the US, 65% of these go under reconstructive surgery.In football, the range of ACL injuries has been estimated to range from 0.06 to 10 injuries per 1000 game hours. Professional athletes are more prone to ACL injures.Most injuries occur when the opposite team has the. Introduction. The ACL ligament is a key structure in the knee joint. Injury to this ligament results in many complications and alters the stability and function of the knee. Since an ACL tear is a very common presentation in physiotherapy clinics, understanding the basic structure and function of this ligament is of great importance ↑ Werner BC, Yang S, Looney AM, Gwathmey FW Jr. Trends in Pediatric and Adolescent Anterior Cruciate Ligament Injury and Reconstruction. J Pediatr Orthop. 2016;36(5):447-52. ↑ Shaw L, Finch CF. Trends in Pediatric and Adolescent Anterior Cruciate Ligament Injuries in Victoria, Australia 2005-2015. Int J Environ Res Public Health. 2017 Jun 5. If there is a combined reconstruction involving both the PCL and the ACL, then rehabilitation will progress according to the isolated PCL protocol. Operative Day. Cryocuff applied, Passively flex knee gently to 60˚, Knee brace locked at 0˚ extension, Isometric quadriceps activation / SLR, PWB with elbow crutches (6/52 FWB as tolerated

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 Rehabilitation Protocol for ACL Reconstruction This protocol is intended to guide clinicians and patients through the post-operative course of an ACL reconstruction. Specific intervention should be based on the needs of the individual and should consider exam findings and clinical decision making ACL Reconstruction Rehabilitation Protocol One of the most common complications following ACL reconstruction is loss of motion, especially loss of extension. Loss of knee extension has been shown to result in a limp, quadriceps muscle weakness, and anterior knee pain. Studies have demonstrated that th ACL Non-Operative Protocol . Anatomy and Biomechanics The knee is a hinge joint connecting the femur and tibia bones. It is held together by several important ligaments. The most important ligament to the knee's stability is the A nterior Cruciate Ligament (ACL). The ACL attaches from the front part of the tibia to the back part of the femur

Anterior Cruciate Ligament (ACL) Rehabilitation - Physiopedi

ACL = anterior cruciate ligament; PCL = posterior cruciate ligament. Hoshika S, Nimura A, Takahashi N, Sugaya H, Akita K. Valgus stability is enhanced by flexor digitorum superfi Since an ACL tear is a very common presentation in physiotherapy clinics, understanding the basic structure and function of this ligament is of great importance. This course will take you through the basics of anatomy, biomechanics, injury mechanics and ACL reconstruction MOON ACL Rehabilitation Program only include treatment methods that can be employed at all sites without purchasing expensive equipment. Consequently, some treatment methods with supporting evidence (e.g., using a high-intensity electric stimulation training program for strength, aquatic therapy) are not included in the progra 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.Walker, W Leach, F, Gilroy & J. Keenan (2009) Information on ACL Ruptures The knee is the largest joint in the body. It is dependent on Read More »ACL Reconstruction Rehabilitation Programm

Anterior Cruciate Ligament (ACL) Injury - Physiopedi

NEUROMUSCULAR TRAINING TECHNIQUES TO TARGET DEFICITS BEFORE RETURN TO SPORT AFTER ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION GREGORY D. MYER,1,2 MARK V. PATERNO,1-3 KEVIN R. FORD,1,4 AND TIMOTHY E. HEWETT1,5 1Sports Medicine Biodynamics Center and Human Performance Laboratory, Cincinnati Children's Hospital Research Foundation; 2Rocky Mountain University of Health Professions; 3Division of. ACL Hamstring Tendon Autograft Reconstruction Protocol The intent of this protocol is to provide the clinician with a guideline for the post-operative rehabilitation course of a patient that has undergone an ACL hamstring tendon autograft reconstruction. It is no means intended to be a substitute for one's clinical decision makin

ACL Rehabilitation: Rehabilitation Planning - Physiopedi

• ACL reconstruction performed with meniscal repair or transplant: follow the ACL protocol with avoidance of open kinetic hamstring strengthening for 6 weeks. Time frames for use of brace and crutches may be extended by the physician. • Supervised physical therapy takes place for 3-9 months Anterior Cruciate Ligament (ACL) tears are unfortunately a very serious injury we see at the clinic. They that can occur in both contact and non-contact sports, as well as everyday life. The ACL is a small ligament that attaches from the anterior portion of the tibial plateau and attaches to the posterior side of the distal femur ACL RECONSTRUCTION EXERCISES (Exercises to be done 3 times per day) Stage 1 (0-2 weeks): Goals: 1. Control Swelling REST ICE - 15 to 20 minutes, 4 times per day COMPRESSION - Wear tubigrip during the day ELEVATE - rest as frequently as you can with your leg up on a bed/couch 2. Mobility Achieve correct gait, FWB. If pain allows without crutche (a) The ACL reconstruction with a bone-patellar-tendon-bone autograft The middle third of the patellar tendon, complete with its bony attachment at either end, is removed from the ACL-deficient knee. This strip of patellar tendon is then surgically fitted into the appropriate positions on the femur and tibia to mimic a natural ACL Injuries to the anterior cruciate ligament (ACL) are the most common type of ligament injury, affecting 100,000-200,000 people annually. This type of injury commonly afflicts athletes who participate in activities that require pivoting, lateral movement, or contact with other players

4010 West 65th Street Edina, MN 55435 Phone: 952-456-7000 Fax: 952-944-0460 www.tcomn.com - 1 - Anterior Cruciate Ligament (ACL) Reconstruction Protocol **Please see the IMPORTANT NOTE for STRETCHING / KNEE EXTENSION on page 5* The anterior cruciate ligament (ACL) is one of a pair of cruciate ligaments (the other being the posterior cruciate ligament) in the human knee.The two ligaments are also called cruciform ligaments, as they are arranged in a crossed formation. In the quadruped stifle joint (analogous to the knee), based on its anatomical position, it is also referred to as the cranial cruciate ligament Strength and functional performance recovery after anterior cruciate ligament reconstruction in preadolescent athletes Posted on June 28, 2015 June 8, 2015 by William Harrison In the skeletally immature population, the rate of occurrence of anterior cruciate ligament (ACL) injuries and ACL reconstructions seems to be rising The anterior cruciate ligament (ACL) is important for maintaining stability of the knee joint, particularly in activities involving weaving, pivoting or kicking. Injuries to the ACL are relatively common among footballers, skiers and gymnastics. Injuries can range from mild to severe and are scored using a grading system.The most common mechanism of injury is non-contact an example being a cut.

ACL Rehabilitation: Acute Management after - Physiopedi

  1. Anterior Cruciate Ligament (ACL) tears are often the season ending injuries we hear about in sports. In the United States, it is estimated that ACL injuries happen to 1 in every 3000 people and usually occur when the foot is planted firmly and the knee pivots, twists or overextends suddenly.. When the ACL is torn, the mechanics of the knee change and create abnormal pressure on the meniscus.
  2. The option of graft for anterior cruciate ligament (ACL) reconstruction is still the subject of controversy. While many outcome studies comparing bone-patellar tendon-bone and semitendinosus and gracilis tendon grafts have been performed, most have not included tests of functional outcomes that challenge the graft. The authors' intention in this study was to compare the functional.
  3. It also takes into consideration the associated psychological factors and factors that predict outcomes after ACL-reconstruction. Aims By exploring ACL re-injury risk factors and prevention strategies, the four stages of training before returning to sport and the essential criteria of return to sport, this course aims to develop knowledge for.
  4. Learn from Luke O'brien how to plan acute management after ACL reconstruction. Powered by Physiopedia. Start course. Presented by: Luke O'Brien. Luke O'Brien is a Physical Therapist specialising in the knee. 1.2 hours. Duration-Participants-Reviews-Stars. Summarising the latest research & evidence
  5. Anterior cruciate ligament (ACL) surgery is the reconstruction or repair of the ACL ligament that may be required if the ACL has been injured or torn probably due to a sports injury, trauma or fall. If the ACL has been torn, one of the main problems experienced is weakness and instability of the knee and is known as an unstable knee

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. About the Anterior Cruciate Ligament (ACL) There are four main ligaments that stabilize the knee. The ACL is located in the center of the. KEYWORDS Anterior cruciate ligament, physical qualities A pproximately 200,000 anterior cruciate ligament (ACL) injuries occur each year in the United States and approximately 65% of these injuries are treated with ACL reconstruction (ACLR) surgery.1 With specific regard to the ACLR athletes, the postoperative rehabilitation that follow

Acl Location / Anterior Cruciate Ligament Acl Physiopedia

ACL Rehabilitation - Introduction - Physioplu

Paediatric ACL Injuries - Physiopedi

The cyclops lesion, also known as localized anterior arthrofibrosis, is a painful anterior knee mass that arises as a complication of anterior cruciate ligament (ACL) reconstruction, although has rarely been reported in patients with ACL injuries that have not been reconstructed. On this page: Article: Epidemiology. Clinical presentation The ACL can be injured or torn in a number of different ways. The most common mechanism is that of a sudden pivoting or cutting maneuver during sporting activity, which is commonly seen in football, basketball and soccer. The ligament can also tear due to work injuries or automobile accidents. At the time of the injury, a pop or snap.

Video: PCL Reconstruction - Physiopedi

(SBQ16SM.19) A 22-year-old soccer player sustained an acute ACL rupture 4 years ago. He underwent an autograft hamstring reconstruction at that time. He presents today with a complaint of a persistent sensation of instability despite having a neutral radiographic mechanical alignment and appropriately placed tibial and femoral tunnels from his previous ACL reconstuction on repeat imaging Return to sport following anterior cruciate ligament reconstruction surgery: a systematic review and meta-analysis of the state of play Clare L Ardern, Kate E Webster, Nicholas F Taylor, Julian A Feller Br J Sports Med 2011;45:596-606 Published Online First: 11 March 2011 www.UOANJ.com • Reviewed 48 studies • 5,770 participant The anterior cruciate ligament (ACL) is probably the most commonly injured ligament of the knee. In most cases, the ligament is injured by people participating in athletic activity. As sports have become an increasingly important part of day-to-day life over the past few decades, the number of ACL injuries has steadily increased

Continuous passive motion (CPM) is a therapy in which a machine is used to move a joint without the patient having to exert any effort. A motorized device gently bends the joint back and forth to a set number of degrees, and the amount of movement and speed can be adjusted by the physical therapist. CPM machines are most commonly used on knee. Functional anatomy of the anterior cruciate ligament and a rationale for reconstruction. Effects of joint load on the stiffness and laxity of ligament-deficient knees. An in vitro study of the anterior cruciate and medial collateral ligaments. Follow up of the acute nonoperated isolated anterior cruciate ligament tear

Anterior knee pain (AKP) is an uncommon and difficult complication following anterior cruciate ligament (ACL) reconstruction. This disabling pain is persistent with conventional rehabilitation protocols. This work aimed to validate a new rehabilitation protocol that may improve the patients, making it possible for them to return to daily activities including sports. Forty-three patients. Following ACL injury, a screening examination can be used to classify patients as potential copers or noncopers based on dynamic knee stability. Quadriceps strength, single-leg hop performance, and self-reported knee function are worse in noncopers. High kinesiophobia levels after ACL reconstruction are associated with poorer self-reported knee function and lower return-to-sport rates. The outcome at 15 years of endoscopic anterior cruciate ligament reconstruction using hamstring tendon autograft for 'isolated' anterior cruciate ligament rupture. J Bone Joint Surg Br. 2012 ;94(5): 630 - 637 Background: The incidence of contralateral anterior cruciate ligament (ACL) injury after ACL reconstruction (ACLR) is high. Often, return-to-sport (RTS) tests of strength and functional hopping rely on limb symmetry indices (LSIs) to identify deficits, although the utility of these measures in athletes with bilateral ACL injuries is unknown Enroll in our online course: http://bit.ly/PTMSK DOWNLOAD OUR APP: iPhone/iPad: https://goo.gl/eUuF7w Android: https://goo.gl/3NKzJX GET OUR ASSESSMENT B..

acl sprain physiopedia - forensys

An anterior cruciate ligament (ACL) tear is an injury of the knee joint, and it usually happens while playing sports. It causes leg pain and instability of the knee. ACL tears are often seen in high-profile athletes such as football player Tom Brady, golfer Tiger Woods, and soccer player Frankie Hejduk The Royal Dutch Society for Physical Therapy (KNGF) instructed a multidisciplinary group of Dutch anterior cruciate ligament (ACL) experts to develop an evidence statement for rehabilitation after ACL reconstruction. A multidisciplinary working group and steering group systematically reviewed the literature and wrote the guideline. MEDLINE and the Cochrane Library were searched for meta.

New ACL Rehabilitation Programme on Physioplus

The anterior cruciate ligament (ACL) is an important stabilizing ligament of the knee that is frequently injured by athletes and trauma victims. There are between 100,000 and 200,000 ACL ruptures per year in the United States alone [ 1-3 ] Abstract: Despite technical advancements in anterior cruciate ligament (ACL) surgery, the high re-rupture and contralateral ACL injury rates following ACL reconstruction remain a clinically and economically relevant problem. ACL re-ruptures are multi-factorial, however premature return to sport and functional deficits are important causes for graft failure and contralateral ACL injuries Consensus criteria for defining 'successful outcome' after ACL injury and reconstruction Posted on September 17, 2013 September 14, 2013 by William Harrison There is no ideal standard for identifying successful outcomes 1 and 2 years after operative and non-operative management of anterior cruciate ligament (ACL) injury Anterior cruciate ligament (ACL) injuries are most often a result of low-velocity, noncontact, deceleration injuries and contact injuries with a rotational component. Contact sports also may produce injury to the ACL secondary to twisting, valgus stress, or hyperextension, all directly related to contact or collision

ACL Reconstruction Rehabilitation Programme - Frank Gilroy

The anterior cruciate ligament (ACL) is one of a pair of cruciate ligaments (the other being the posterior cruciate ligament) in the human knee.The 2 ligaments are also called cruciform ligaments, as they are arranged in a crossed formation. In the quadruped stifle joint (analogous to the knee), based on its anatomical position, it is also referred to as the cranial cruciate ligament ACL Reconstruction Rehab Protocol General Guidelines • Brace will remain locked until patient demonstrates good quadriceps control (two to four weeks) with weight bearing activities. Then unlocked for additional two to four weeks. • Time frames for brace or crutches may be extended by Dr. Thieken or physical therapist The anterior cruciate ligament, or acl, sits just in. Posterior cruciate ligament tears and remedy verywell. The posterior cruciate ligament, or pcl, is certainly one of four ligaments crucial to the stability of the knee joint. The anterior cruciate ligament, or acl, sits simply in. Posterior cruciate ligament injury physiopedia The ACL (Anterior Cruciate Ligament) is the stretchy tissue that holds the knee joint together and links the thigh and lower leg. Injuries to the ACL can result from a traumatic hit or collision with another player, but more often from the intesnse cutting movements and fancy footwork on the field. There's been a lot in the press about the. The anterior cruciate ligament (ACL) is located within the knee joint and connects the shin (tibia) to the thigh bone (femur) (images 1-2). The ACL consists of three separate bundles (anteromedial-medial, anteromedial-lateral and posterolateral) that have an abundant blood and nerve supply

Anterior cruciate ligament (ACL) reconstruction: mechanism, diagnosis and treatment. Introduction . One of the most common and serious knee injuries, affecting one in 3,500 people is a tear or rupture of the ACL. Mechanism of injury. Most are sports-related involving a twisting injury ACL Tear. An ACL (Anterior Cruciate Ligament) tear most often occurs during sporting activities when an athlete suddenly pivots, causing excessive rotational forces on the ligament.. Individuals who experience ACL tears describe a feeling of the joint giving out or buckling. You'll commonly hear a pop. Signs You May Have Sustained an ACL Tear

Performing ACL and other knee ligament reconstruction within a few weeks of the injury or before the resolution of swelling, pain, quadriceps muscle atrophy, abnormal gait mechanics, and motion limitations has been noted by many authors to correlate with postoperative knee motion problems. 25, 54, 86, 129, 130, 134, 144, 152 Shelbourne and. Background: Anterior cruciate ligament (ACL) return-to-sport (RTS) test batteries are popular and are employed to test athletes' sport performance and help ensure a safe return to sport. Objective: To perform a systematic review and meta-analysis to determine: (1) the proportion of patients who passed RTS test batteries after ACL reconstruction, (2) whether passing RTS test batteries increased. for isokinetic knee extension and flexion muscle strength tests in 350 elite, female, handball (n = 150) and football (n = 200) players. Isokinetic concentric muscle strength tests at 60°·sec−1 were recorded bilaterally using a dynamometer. Peak torque (in Newton meter [N·m]), body mass normalized peak torque (N·m·kg−1), and hamstring to quadriceps ratio (H:Q ratio) for dominant and. Phase one: The First Six Weeks after Injury. Initially, the knee needs to be protected-use the knee immobilizer and/or crutches and avoid full weight bearing. Apply ice and an elastic wrap to control swelling. Elevate the leg and use elastic stockings if the leg is swollen. As the pain lessens and the swelling decreases, try to gradually regain.

ACL Management - Surgical vs Conservative Pivotal Motio

  1. The anterior cruciate ligament (ACL) is one of the main stabilizing ligaments of the knee, and when it is injured the knee may feel as if it will buckle and give out. Tears or ruptures of the ACL occur frequently in sports: As a result of cutting, pivoting, or single-leg landing. Through a twisting force applied to the knee when the foot is.
  2. ACL Reconstruction with a Bone-Patellar Tendon-Bone (BPTB) Graft. This opens in a new window. The anterior cruciate ligament (ACL) is a ligament that provides stability to the knee joint. It is commonly injured during high-intensity sports. Surgery is often recommended to restore knee strength and function by reconstructing a damaged ACL with a.
  3. Anterior cruciate ligament reconstruction: the short-term recovery using the Knee Injury and Osteoarthritis Outcome Score (KOOS). Knee Surg Sports Traumatol Arthrosc. Find it on PubMed. Kvist, J., Ek, A., et al. (2005). Fear of re-injury: a hindrance for returning to sports after anterior cruciate ligament reconstruction
  4. Gobbi A, , Domzalski M, , Pascual J. and Comparison of anterior cruciate ligament reconstruction in male and female athletes using the patellar tendon and hamstring autografts. Knee Surg Sports Traumatol Arthrosc. 2004 ; 12: 534- 539
  5. The anterior cruciate ligament (ACL) is a key structure in the knee joint, as it resists anterior tibial translation and rotational loads [15, 37, 46]. It is one of the most frequently injured structures during high impact or sporting activities [45]. The ACL does not heal when torn, and surgical reconstruction is the standard treat
  6. kim, ted croy, jay hertel, susan saliba. Outcomes of neuromuscular electrical stimulation after anterior cruciate ligament reconstruction on. Anterior cruciate ligament injury. The anterior cruciate ligament (acl) is an crucial stabilizing ligament of the knee.
  7. The anterior cruciate ligament (ACL) is the most commonly reconstructed ligament of the knee. Most often, the goal of surgical reconstruction is to recreate stability within the knee and prevent.

Physio Research. October 9, 2017 ·. Neuroplasticity Associated With Anterior Cruciate Ligament Reconstruction - March 2017. 'Anterior cruciate ligament (ACL) injury may result in neuroplastic changes due to lost mechanoreceptors of the ACL and compensations in neuromuscular control. Assessing brain function after ACL injury and anterior. The unhappy triad, also known as a blown knee among other names, is an injury to the anterior cruciate ligament, medial collateral ligament, and meniscus.Analysis during the 1990s indicated that this 'classic' O'Donoghue triad is actually an unusual clinical entity among athletes with knee injuries

Anterior cruciate ligament (acl) reconstruction animation. Nov 27, 2007 dr. Bertram zarins at mass general hospital has prepared this animation to explain how he reconstructs a torn acl with a mid3rd patellar tendon graft. Partial Acl Tear Heal On Its Personal. Knee pain and knee substitute, waukesha wi ACL Rehabilitation Protocol The ACL rehabilitation protocol featured in this eBook is a guide for both clinicians and people who have undergone a surgical reconstruction of the Anterior Cruciate Ligament (ACL). You move through the ACL protocol at your own pace, and let the criteria govern how quickly you go, not a pre-determined timeline Description. About half of all injuries to the anterior cruciate ligament occur along with damage to other structures in the knee, such as articular cartilage, meniscus, or other ligaments. Injured ligaments are considered sprains and are graded on a severity scale. Grade 1 Sprains. The ligament is mildly damaged in a Grade 1 Sprain

Arthroscopic ACL Surgery

3 ACL Rehab Exercises to Avoid - Game Read

Anterior cruciate ligament (acl) rehabilitation physiopedia. References ↑ kyungmin kim, ted croy, jay hertel, susan saliba. Consequences of neuromuscular electric stimulation after anterior cruciate ligament reconstruction on. Amazon® massive choice and exquisite expenses. Browse our choice of over 20 million products and discover new offers. Risks for ACL Reconstruction Failure. The risk of a second ACL injury in a young, active individual is high after a previous ACL reconstruction and return to sport. Paterno and his group reported 23.5% of young, active patients suffered a second ACL injury in the first 12 months after RTS following ACLR ACL injury can affect activities of daily living and participation in sports. ACL rehabilitation can improve patient's symptoms. Our aim was to study the epidemiology of ACL injuries and functional outcomes following rehabilitation. Patients undergoing ACL rehabilitation between 2009 and 2014 were identified from a prospective physiotherapy database. Demographic details, number of. Anterior cruciate ligament (acl) harm physiopedia. Grades of damage. An acl injury is assessed as a grade i, ii, or iii sprain. Grade i sprain the fibres of the ligament are stretched however there may be no tear. Anterior cruciate ligament (acl) damage physiopedia. Grades of harm. An acl injury is assessed as a grade i, ii, or iii sprain

ACL Rehabilitation: Acute Management after Surgery

Anterior cruciate ligament - Wikipedi

A synovectomy is a surgical procedure used to treat synovitis and some other conditions that affect the synovium, a thin membrane that lines the inside of certain joints (called synovial joints), such as your knee, shoulder or elbow. In a synovectomy procedure, much of the synovium is removed. Painful and swollen joints characterize a number. Introduction. Over 200,000 anterior cruciate ligament (ACL) injuries occur in the USA annually [].It is estimated that more than half of these injuries undergo surgical reconstruction [].Following ACL reconstruction (ACLR), under the direction of the orthopedic surgeon, the rehabilitation specialist is charged with the responsibility of returning the patient to their pre-injury level of function Introduction. The anterior cruciate ligament (ACL) is probably the most commonly injured ligament of the knee. In most cases, the ligament is injured by people participating in athletic activity. As sports have become an increasingly important part of day-to-day life over the past few decades, the number of ACL injuries has steadily increased

ACL Reconstruction I Ohio State Sports Medicine

torn ACL. The sources that we use include databases from EBSCO, physiopedia, hindawi and google scholar. ACL injuries are common in soccer players. It is important that the sports medical field has a good understanding on how to preform a rehabilitation protocol for athletes that are recovering from ACL reconstruction. Injuries to the ACL ca Treatment of ACL Injuries. The treatment of ACL tears in the young, athletic, skeletally mature (adult) knee is usually reconstruction. A tendon is usually taken from another part of the body and used to rebuild the torn ligament. Non-operative treatment with braces and exercise usually fails The anterior cruciate ligament (ACL) is one of the most common ligaments to be injured. The ACL is often stretched and/or torn during a sudden twisting motion (when the feet stay planted one way, but the knees turn the other way). Skiing, basketball, and football are sports that have a higher risk of ACL injuries Post op ACL Problem: Quadriceps atrophy Goal: Decrease atrophy, increase strength. Waveform: Symmetric Duty cycle: 25% (4:12) Placements: Rotator cuff repair Problem: Rotator cuff atrophy, poor scapular stability Goal: Decrease/ reverse atrophy, scapular stabilizer re-ed. Waveform: Symmetric/ asymmetri To successfully restore stability and function to the knee, physical therapy is always necessary after ACL reconstruction surgery. It involves a program of physical therapy that progresses through multiple phases and typically lasts about 12 weeks. The phases of the physical therapy work on flexibility, range of motion and strength before. Adams D, Logerstedt D, et al. Current Concepts for Anterior Cruciate Ligament Reconstruction: A Criterion-Based Rehabilitation Progression. JOSPT 2012 42(7): 601-614. DeFroda SF, Bokshan SL, et al. Variability of online available physical therapy protocols from academic orthopedic surgery programs for arthroscopic meniscus repair