ACL_Delayed前十字韧带Biodex平衡训练.doc

Balance System SD Anterior Cruciate Ligament Reconstruction Delayed Rehabilitation The balance progressions to follow are based on the protocols developed and provided by the Cincinnati Sports Medicine Center. The actual protocols can be viewed at this link: HYPERLINK /csm/ /csm/ All phases are broken down into training and testing possibilities related to these protocols and potential stances utilized.  Phase I (1 to 2 weeks) Activities 1) Weight Shifting Weight shifting side to side and forward to back Frequency: 3x/day, 5 min. Goal: 5 sets of 10 reps Use the % Weight Bearing training screens to perform static medial / lateral weight shifting (1), anterior posterior weight shifting and to re-establish center of balance (2) (1) (2) Use the Postural Stability training screens to re-establish center of balance (1) and place targets to create a desired movement pattern. (1) (2) Use Weight Shift training screens to emphasize lateral shifting over the affected leg to prepare for full weight bearing ambulation. (1) Positions and Conditions Bilateral Standing / Holding On / Static Mode  Phase II (3 to 4 weeks) Activities Weight shifting Base Line Test Weight shifting side to side and forward to back Frequency: 3x/day, 5 min Goal: 5 sets of 10 reps Use the Weight Shifting training screens to influence weight bearing to the affected side (1) anterior / posterior (2) and diagonally to prepare for ambulation (3). (1) (2) (3) Use the Limits of Stability training screen to explore the patients sway envelope. Train their ability to move away from center, hit a target on the fringe of their allowable sway envelope and return to center (1) Use the Postural Stability training screen the facilitate center of gravity training with a single leg stance in static mode (1). (1) Positions and Conditions Use bilateral standing / no holding / static mode for Weight Shifting training Use bilateral staggered stance / holding on / stati