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ACL rehabilitation

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https://www.readbyqxmd.com/read/29767271/graft-failure-is-more-frequent-after-hamstring-than-patellar-tendon-autograft
#1
E Laboute, E James-Belin, P L Puig, P Trouve, E Verhaeghe
PURPOSE: The risk of graft failure after anterior cruciate ligament (ACL) reconstructions with hamstring or patellar tendon was evaluated in a French population of athletes. METHODS: Athletes who had undergone ACL autograft reconstruction and who received rehabilitation care at the European Center for Sports Rehabilitation (CERS; Capbreton, France) were screened for this prospective cohort study. Eligibility criteria included a simple hamstring autograft or patellar tendon autograft surgical technique...
May 16, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29737496/the-timing-of-rehabilitation-commencement-after-reconstruction-of-the-anterior-cruciate-ligament
#2
Marek Łyp, Iwona Stanisławska, Bożena Witek, Małgorzata Majerowska, Małgorzata Czarny-Działak, Ewa Włostowska
One of the most common injuries of the knee joint is a rupture of the anterior cruciate ligament (ACL). Most authors believe that early rehabilitation of patients after ACL reconstruction promotes better treatment outcomes. Less is known about the influence of the time that passes from injury to surgical reconstruction. Therefore, the goal of this study was to assess the dependence of treatment outcomes of ACL on injury-to-reconstruction and reconstruction-to-rehabilitation time lags. The study included 30 patients of the mean age 34 ± 7 years with trauma-related rupture of ACL and its surgical reconstruction...
May 9, 2018: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/29724252/synthetic-versus-autologous-reconstruction-syn-var-of-the-medial-patellofemoral-ligament-a-study-protocol-for-a-randomised-controlled-trial
#3
Adam Tucker, Sam McMahon, Bronwyn McArdle, Bridgeen Rutherford, Danny Acton
BACKGROUND: Recurrent patellar instability incidence is 5.8/100,000 population, and recurrent dislocations are reported in the range of 15-80%. Recurrent instability is multifactorial and can be associated with disorder of limb alignment, osseous development, congruity of the patella in the trochlea and soft tissue static and dynamic constraints. The multifactorial aetiology makes management challenging, and a lack studies in a heterogeneous population with robust clinical outcomes compounds this further...
May 3, 2018: Trials
https://www.readbyqxmd.com/read/29722768/acl-allograft-advantages-and-when-to-use
#4
Matthew J Brown, Thomas Carter
It is commonly recommended to reconstruct a torn anterior cruciate ligament in active patients; however, there is no consensus concerning the tissue source to use for the reconstruction. Bone-patellar tendon-bone and hamstring (semitendinosis +/- gracilis) autografts are most commonly used, with allografts being another option. Each tissue has its pros and cons, with allografts often cited as having higher failure rates. However, review of the literature comparing autografts and allografts have showed similar outcomes in age-matched adult populations...
June 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/29709723/the-effect-of-functional-bracing-on-the-arthrokinematics-of-anterior-cruciate-ligament-injured-knees-during-lunge-exercise
#5
Maryam Jalali, Farzam Farahmand, Fateme Esfandiarpour, Seyed Ali Golestanha, Mohammad Akbar, Amirhosein Eskandari, Seyed Ebrahim Mousavi
BACKGROUND: Functional knee braces are extensively used for partially and completely torn anterior cruciate ligament (ACL) patients and those who have undergone ACL graft reconstruction, in order to support the healing ACL, improve the joint's functional stability, and restore the normal joint kinematics. RESEARCH QUESTION: Does wearing braces alter the arthrokinematics of the ACL deficient knees during lung exercise? METHODS: For ten male unilateral ACL deficient subjects, 3D knee models were reconstructed from CT images, acquired in rest position...
April 22, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29706723/electromyographic-activity-of-selected-trunk-core-and-thigh-muscles-in-commonly-used-exercises-for-acl-rehabilitation
#6
Omid A Khaiyat, Jessica Norris
[Purpose] Most of rehabilitation programmes for Anterior Cruciate Ligament (ACL) injury focus on quadriceps-hamstrings activation imbalances and less is known about kinetically linked muscles. This study investigated electromyographic activity of selected trunk, core, and thigh muscles during common rehabilitation exercises for ACL injury. [Subjects and Methods] Twelve active female volunteers participated in this cross-sectional laboratory study. Surface EMG was used to compare activation of eight trunk, hip/core, and lower limb muscles: Erector Spinae (ES), Rectus Abdominis (RA), Gluteus Maximus (GM), Vastus Lateralis (VL), Rectus Femoris (RF), Vastus Medialis (VM), Biceps Femoris (BF), and Semitendinosus (ST) during Forward Lunge, Double Leg Raise, Glute Bridge, Sit-Up, and Squat...
April 2018: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29682311/acl-reconstruction-with-hamstring-tendon-autograft-and-accelerated-brace-free-rehabilitation-a-systematic-review-of-clinical-outcomes
#7
Rob P A Janssen, Nicky van Melick, Jan B A van Mourik, Max Reijman, Lodewijk W van Rhijn
Objective: To investigate the clinical outcomes after hamstring tendon autograft ACL reconstruction (ACLR) with accelerated, brace-free rehabilitation. Design: Systematic review according to Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Data sources: Embase, MEDLINE Ovid, Web of Science, Cochrane CENTRAL and Google scholar from 1 January 1974 to 31 January 2017. Eligibility criteria for selecting studies: Study designs reporting outcomes in adults after arthroscopic, primary ACLR with hamstring autograft and accelerated, brace-free rehabilitation...
2018: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/29678170/self-reported-functional-recovery-after-reconstruction-versus-repair-in-acute-anterior-cruciate-ligament-rupture-rotor-a-randomized-controlled-clinical-trial
#8
Barbara C Boer, Roy A G Hoogeslag, Reinoud W Brouwer, Anna Demmer, Rianne M H A Huis In 't Veld
BACKGROUND: Anterior cruciate ligament (ACL) reconstruction is today's surgical gold standard for ACL rupture. Although it provides satisfactory results, not all patients return to their previous activity level and moreover, early posttraumatic osteoarthritis is not prevented. As such, a renewed interest has emerged in ACL suture repair combined with dynamic augmentation. Compared to ACL reconstruction, the hypothesized advantages of ACL suture repair are earlier return to sports, reduction of early posttraumatic osteoarthritis and preservation of the patient's native ACL tissue and proprioceptive envelope of the knee...
April 20, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29675503/factors-affecting-subjective-and-objective-outcomes-and-return-to-play-in-anterior-cruciate-ligament-reconstruction-a-retrospective-cohort-study
#9
Federica Rosso, Davide E Bonasia, Umberto Cottino, Simone Cambursano, Federico Dettoni, Roberto Rossi
Purpose  To analyze the prognostic factors influencing subjective and objective outcomes and return to play (RTP) after anterior cruciate ligament reconstruction (ACL-R). Methods  Primary ACL-Rs using a transtibial technique performed between 2008 and 2012 were included. Data regarding patients, surgery, sports, and rehabilitation, including an on-field rehabilitation (OFR) and duration of the rehabilitation program, were collected. The International Knee Documentation Committee (IKDC) subjective and objective evaluation forms, and the Knee Injury and Osteoarthritis Outcome Score and Lysholm questionnaires were used for the assessment of subjective and objective outcomes...
March 2018: Joints
https://www.readbyqxmd.com/read/29671697/a-biomechanical-comparison-of-dominant-and-non-dominant-limbs-during-a-side-step-cutting-task
#10
Christine D Pollard, Marc F Norcross, Sam T Johnson, Amanda E Stone, Eunwook Chang, Mark A Hoffman
Numerous studies have investigated anterior cruciate ligament (ACL) injury risk by examining gender differences in knee and hip biomechanics during a side-step cutting manoeuvre since it is known that ACL injury often occurs during such a task. Recent investigations have also examined lower extremity (LE) biomechanics during side-step cutting in individuals following ACL reconstruction (ACLR). Common research practice is to compare knee and hip biomechanics of the dominant limb between groups but this can add considerable complexity for clinicians and researchers...
April 19, 2018: Sports Biomechanics
https://www.readbyqxmd.com/read/29667429/quadriceps-function-knee-pain-and-self-reported-outcomes-in-patients-with-anterior-cruciate-ligament-reconstruction
#11
Adam S Lepley, Brian Pietrosimone, Marc L Cormier
CONTEXT:   Interactions among muscle strength, pain, and self-reported outcomes in patients with anterior cruciate ligament reconstruction (ACLR) are not well understood. Clarifying these interactions is of clinical importance because improving physical and psychological function is thought to optimize outcomes after ACLR. OBJECTIVE:   To examine the relationships among neuromuscular quadriceps function, pain, self-reported knee function, readiness to return to activity, and emotional response to injury both before and after ACLR...
April 2018: Journal of Athletic Training
https://www.readbyqxmd.com/read/29663013/bone-to-bone-integrations-were-complete-within-5-months-after-anatomical-rectangular-tunnel-anterior-cruciate-ligament-reconstruction-using-a-bone-patellar-tendon-bone-graft
#12
Hironari Masuda, Shuji Taketomi, Hiroshi Inui, Naoya Shimazaki, Nobuhiro Nishihara, Seikai Toyooka, Hirotaka Kawano, Takumi Nakagawa
PURPOSE: Anterior cruciate ligament (ACL) reconstruction using a bone-patellar tendon-bone (BTB) graft is known to provide secure fixation due to the direct bone-to-bone integration of the bone plug and bone tunnel. It is important to know the time required for bone integration when designing the postoperative rehabilitation protocol or deciding when the patient can return to competition-level activity, especially if the patient is an athlete. However, because reports are scarce, the period necessary for bone-to-bone integration after ACL reconstruction using a BTB graft remains unclear...
April 16, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29659299/low-1-year-return-to-sport-rate-after-anterior-cruciate-ligament-reconstruction-regardless-of-patient-and-surgical-factors-a-prospective-cohort-study-of-272-patients
#13
Eric Hamrin Senorski, Eleonor Svantesson, Susanne Beischer, Christoffer Thomeé, Roland Thomeé, Jón Karlsson, Kristian Samuelsson
BACKGROUND: There is insufficient knowledge about the way that concomitant injuries affect the short-term likelihood of a return to a knee-strenuous sport after anterior cruciate ligament (ACL) reconstruction. Hypotheses/Purpose: The purpose was to study whether patient characteristics, concomitant injuries, and graft choice at primary ACL reconstruction can predict return to sport (RTS) 1 year after surgery. The hypotheses were that younger age at the time of ACL reconstruction would positively affect RTS, while the presence of concomitant injuries would negatively affect RTS 1 year after surgery...
April 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29628810/rehabilitation-of-tibial-plateau-fracture-following-anterior-cruciate-ligament-reconstruction-a-case-report
#14
Ali Rabatsky, John D Lockenour
Objective: The purpose of this case report was to describe the management of a tibial plateau fracture in a patient who had undergone anterior cruciate ligament (ACL) reconstruction 3.5 years earlier. Clinical Features: A 36-year-old man presented with pain and edema following a fall from a height of approximately 2 m while skateboarding. The patient reported having undergone arthroscopic ACL reconstruction with allograft and bioabsorbable screws 3.5 years earlier...
March 2018: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/29584538/reducing-fear-of-reinjury-and-pain-perception-among-athletes-with-first-time-anterior-cruciate-ligament-reconstructions-by-implementing-imagery-training
#15
Rosa M Rodriguez, Ashley Marroquin, Nicole Cosby
Injuries are an inevitable part of competitive sports as well a recreational activities. Research shows that one of the most common musculoskeletal complaints that accounts for approximately 48 out of 1,000 patients are knee related injuries.1 As noted, approximately nine percent of these knee complaints are related to anterior cruciate ligament (ACL) injuries.2 ,3 The ACL is commonly injured in contact sports via a non-contact action such as planting, cutting, landing on a hyperextended knee, or pivoting and sudden deceleration...
March 27, 2018: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29575090/gait-mechanics-and-tibiofemoral-loading-in-men-of-the-acl-sports-randomized-control-trial
#16
Jacob J Capin, Ashutosh Khandha, Ryan Zarzycki, Amelia J H Arundale, Melissa L Ziegler, Kurt Manal, Thomas S Buchanan, Lynn Snyder-Mackler
The risk for post-traumatic osteoarthritis is elevated after anterior cruciate ligament reconstruction (ACLR), and may be especially high among individuals with aberrant walking mechanics, such as medial tibiofemoral joint underloading 6 months postoperatively. Rehabilitation training programs have been proposed as one strategy to address aberrant gait mechanics. We developed the anterior cruciate ligament specialized post-operative return-to-sports (ACL-SPORTS) randomized control trial to test the effect of 10 post-operative training sessions consisting of strength, agility, plyometric, and secondary prevention exercises (SAPP) or SAPP plus perturbation (SAPP + PERT) training on gait mechanics after ACLR...
March 25, 2018: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/29574548/low-rates-of-patients-meeting-return-to-sport-criteria-9-months-after-anterior-cruciate-ligament-reconstruction-a-prospective-longitudinal-study
#17
Wouter Welling, Anne Benjaminse, Romain Seil, Koen Lemmink, Stefano Zaffagnini, Alli Gokeler
PURPOSE: The purpose of the current prospective study was to assess the changes over time in patients tested at 6 months and 9 months after anterior cruciate ligament reconstruction (ACLR) with a return to sport (RTS) test battery. It was hypothesized that more patients passed RTS criteria at 9 months compared to 6 months. METHODS: Sixty-two ACLR patients performed a test battery at an average of 6.5 ± 0.7 and 9.5 ± 0.9 months after ACLR. All patients underwent a standardized rehabilitation protocol...
March 24, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29566090/aerobic-fitness-in-professional-soccer-players-after-anterior-cruciate-ligament-reconstruction
#18
Adriano Marques de Almeida, Paulo Roberto Santos Silva, André Pedrinelli, Arnaldo J Hernandez
Although anterior cruciate ligament (ACL) reconstruction is considered a successful procedure in restoring knee stability, few studies have addressed the issue of aerobic capacity after ACL surgery. Soccer players need technical, tactical and physical skills to succeed, such as good knee function and aerobic capacity. Our purpose is to evaluate aerobic fitness in ACL injured professional football players and six months after ACL reconstruction compared to a control group. Twenty athletes with ACL injury were evaluated and underwent ACL reconstruction with hamstrings autograft, and were compared to twenty healthy professional soccer players...
2018: PloS One
https://www.readbyqxmd.com/read/29552480/primary-anterior-cruciate-ligament-repair-with-augmentation
#19
Sachin Ramchandra Tapasvi, Anshu Shekhar, Shantanu Sudhakar Patil
Anterior cruciate ligament (ACL) tears are usually managed by reconstruction with autograft or allograft, but primary repair in carefully selected patients is a reasonable option. Proximal avulsions presenting early with excellent tissue quality are amenable to repair and healing. Restoration of native ACL preserves its proprioceptive and kinematic functions. A repair is less invasive and avoids graft-related problems, and faster rehabilitation is possible. Protection for the repair in the early stages will allow better healing...
February 2018: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29550413/sex-differences-in-common-sports-injuries
#20
REVIEW
Cindy Lin, Ellen Casey, Daniel Herman, Nicole Katz, Adam Tenforde
Common sports injuries include bone stress injuries (BSIs), anterior cruciate ligament (ACL) injuries, and concussions. Less commonly recognized are the specific sex differences in epidemiology, risk factors, and outcomes of these conditions by sex. An understanding of these factors can improve their clinical management, from prescribing appropriate prehabilitation to guiding postinjury rehabilitation and return to play. This narrative review summarizes the sex differences in the diagnosis and management of BSIs, ACL injuries, and concussions...
March 14, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
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