ppt课件-a c l rehab- american academyof orthopaedic surgeons（一个c l康复-美国关于骨科医生）.pptVIP

ACL RECONSTRUCTION T. Andrew Israel, MD Luther Midelfort Orthopaedic Sports Medicine Center INCIDENCE IN FEMALES Debate as to why more ACL injuries in females Number of variables Q-angle, Jump/landing technique, menstrual cycle, notch size, level of experience, and others REHABILITATION GOALS Return athlete back to competition as soon as possible but also as safely as possible Full range of motion Equal strength Pass sport cord test and functional testing that is sport specific PHASE 1(0-2wks) Range of motion emphasized Weight bear as tolerated with post-op brace and crutches Cryotherapy use important Exercises include: heel slides, extension hangs, Quad sets/SLRs, 1/3 knee bends, and toe/heel raises PHASE 1(0-2wks) Sport cord exercises if pt is able to use sport cord o/w use Theraband Exercises include: 1/3 knee bends, carpet drags, and gas pedals Stationary cycling in spinning mode-adjust seat height Upper body/trunk free weights-light PHASE 2(2-6wks) Continue motion exercises use of stationary cycling Sport cord exercises Begin balance exercises-unilateral balance with reaches with uninvolved leg Aquatic Therapy Functional knee brace at 4-6 weeks PHASE 3(6-12wks) Lower body stretching Sport cord exercise-add single leg 1/3 knee bends forward/backward resistive walk to march Jogging at 8 weeks Stairstepper-light resistance Outdoor biking-WITH brace on! Stay on flat ground in the saddle PHASE 3(6-12wks) Walking as much as comfortable 8-10 weeks begin slide board Hip CKC exercises Balance exercises PHASE 4(12-16wks) Sport cord exercises-prepare for sport cord test at 16-20 weeks post op Forward/backward jogging with sport cord Side to Side stepping(lateral agility) Free weights-add lower body exercises - Seated leg press/hip sled, ham curls, calf raises, and Ab/adduction PHASE 5(16-20wks) Sport cord test Rollerblading(flat ground) Intro to