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anterior cruciate ligament rehabilitation

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https://www.readbyqxmd.com/read/29304102/activation-of-biceps-femoris-long-head-reduces-tibiofemoral-anterior-shear-force-and-tibial-internal-rotation-torque-in-healthy-subjects
#1
Nur Liyana Azmi, Ziyun Ding, Rui Xu, Anthony M J Bull
The anterior cruciate ligament (ACL) provides resistance to tibial internal rotation torque and anterior shear at the knee. ACL deficiency results in knee instability. Optimisation of muscle contraction through functional electrical stimulation (FES) offers the prospect of mitigating the destabilising effects of ACL deficiency. The hypothesis of this study is that activation of the biceps femoris long head (BFLH) reduces the tibial internal rotation torque and the anterior shear force at the knee. Gait data of twelve healthy subjects were measured with and without the application of FES and taken as inputs to a computational musculoskeletal model...
2018: PloS One
https://www.readbyqxmd.com/read/29298079/effect-of-dynamic-changes-in-anterior-cruciate-ligament-in-situ-graft-force-on-the-biological-healing-response-of-the-graft-tunnel-interface
#2
Richard Ma, Michael Schär, Tina Chen, Marco Sisto, Joseph Nguyen, Clifford Voigt, Xiang-Hua Deng, Scott A Rodeo
BACKGROUND: Anterior cruciate ligament (ACL) grafts that are placed for reconstruction are subject to complex forces. Current "anatomic" ACL reconstruction techniques may result in greater in situ graft forces. The biological effect of changing magnitudes of ACL graft force on graft-tunnel osseointegration is not well understood. PURPOSE: The research objective is to determine how mechanical force on the ACL graft during knee motion affects tendon healing in the tunnel...
January 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29290539/is-acl-reconstruction-a-prerequisite-for-the-patients-having-recreational-sporting-activities
#3
Emrah Kovalak, Tolga Atay, Cem Çetin, I Meltem Atay, Mustafa Onur Serbest
OBJECTIVE: Whether surgical or conservative treatment is more effective in allowing patients to return to physical activity after anterior cruciate ligament (ACL) injury is controversial. We sought to compare mid-term outcome measures between isolated ACL tear patients who underwent reconstruction followed by closed kinetic chain exercises and those who underwent neuromuscular training only. METHODS: We retrospectively evaluated patients with ACL tears who underwent post-surgery CKC strength training after ACL reconstruction (Group A), and patients who only underwent neuromuscular training (Group B) with a minimum follow-up time of 5 years...
December 28, 2017: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29287523/knee-isokinetic-performance-following-anterior-cruciate-ligament-reconstruction-patellar-tendon-versus-hamstrings-graft
#4
Felipe Machado, Pedro Debieux, Camila Cohen Kaleka, Diego Astur, Maria Stella Peccin, Moisés Cohen
OBJECTIVE: To compare knee isokinetic performance six months after reconstruction of the anterior cruciate ligament using grafts from either the patellar tendon or the hamstrings among patients who underwent the same rehabilitation protocol. METHODS: Thirty-four patients were evaluated (17 with grafts from the patellar tendon and 17 with grafts from the hamstrings). Operated and non-operated knees were compared with regards to the variables of peak torque, work and the hamstring/quadriceps relationship at velocities of 60º/s and 180º/s and power of 180º/s after six months of surgery...
December 19, 2017: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/29287067/how-to-determine-leg-dominance-the-agreement-between-self-reported-and-observed-performance-in-healthy-adults
#5
Nicky van Melick, Bart M Meddeler, Thomas J Hoogeboom, Maria W G Nijhuis-van der Sanden, Robert E H van Cingel
CONTEXT: Since decades leg dominance is suggested to be important in rehabilitation and return to play in athletes with anterior cruciate ligament injuries. However, an ideal method to determine leg dominance in relation to task performance is still lacking. OBJECTIVE: To test the agreement between self-reported and observed leg dominance in bilateral mobilizing and unilateral stabilizing tasks, and to assess whether the dominant leg switches between bilateral mobilizing tasks and unilateral stabilizing tasks...
2017: PloS One
https://www.readbyqxmd.com/read/29239869/challenges-in-the-management-of-anterior-cruciate-ligament-ruptures-in-skeletally-immature-patients
#6
Christopher J DeFrancesco, Eileen P Storey, Kevin G Shea, Mininder S Kocher, Theodore J Ganley
Although initially considered rare, anterior cruciate ligament (ACL) ruptures in pediatric patients recently have increased substantially as a result of greater awareness of the injury and increased participation in youth sports. Although pediatric patients with an ACL injury and a clinically stable joint may handle the injury well and return to sports activity without requiring surgical reconstruction, young, active patients with an ACL rupture and an unstable joint may be good candidates for ACL reconstruction to prevent ongoing instability and additional joint damage...
December 8, 2017: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/29209517/clinical-course-and-recommendations-for-patients-after-anterior-cruciate-ligament-injury-and-subsequent-reconstruction-a-narrative-review
#7
Alli Gokeler, Bart Dingenen, Caroline Mouton, Romain Seil
Almost all athletes who have suffered an anterior cruciate ligament (ACL) injury expect a full return to sports at the same pre-injury level after ACL reconstruction (ACLR). Detailed patient information on the reasonable outcomes of the surgery may be essential to improve patient satisfaction.Pre-operative rehabilitation before ACLR should be considered as an addition to the standard of care to maximise functional outcomes after ACLR.We propose an optimised criterion-based rehabilitation programme within a biopsychosocial framework...
October 2017: EFORT open reviews
https://www.readbyqxmd.com/read/29205225/using-the-discrete-wavelet-transform-in-assessing-the-effectiveness-of-rehabilitation-in-patients-after-acl-reconstruction
#8
Adam Czaplicki, Wiesława Kuniszyk-Jóźkowiak, Janusz Jaszczuk, Marta Jarocka, Jacek Walawski
PURPOSE: The purpose of the current study was to assess the effectiveness of rehabilitation in patients after anterior cruciate ligament reconstruction (ACLR) using a wavelet analysis of the torque-time curve patterns of the extensors of the affected knee. The analysis aimed at the quantitative evaluation of irregularities in these torque-time patterns. METHODS: The study involved a group of 22 men who had had ACL reconstruction. The torque-time characteristics were recorded 3, 6 and 12 months after the surgery by an isokinetic dynamometer...
2017: Acta of Bioengineering and Biomechanics
https://www.readbyqxmd.com/read/29164130/comparison-of-an-innovative-rehabilitation-combining-reduced-conventional-rehabilitation-with-balneotherapy-and-a-conventional-rehabilitation-after-anterior-cruciate-ligament-reconstruction-in-athletes
#9
Laetitia Peultier-Celli, Didier Mainard, Frank Wein, Nicolas Paris, Patrick Boisseau, Alexandre Ferry, René Gueguen, Isabelle Chary-Valckenaere, Jean Paysant, Philippe Perrin
Background: Instability of the knee, related to anterior cruciate ligament injury, is treated by surgical reconstruction. During recovery, a loss of proprioceptive input can have a significant impact. Few studies have evaluated the benefits of rehabilitation of the knee in aquatic environment on functional outcomes. Objective: This study aimed to compare an innovative rehabilitation protocol combining reduced conventional rehabilitation with aquatic rehabilitation, with a conventional rehabilitation, according to the National French Health Authority, in terms of kinetics, development of proprioceptive skills, and functional improvement of the knee...
2017: Frontiers in Surgery
https://www.readbyqxmd.com/read/29162071/acceptability-of-a-digital-health-intervention-alongside-physiotherapy-to-support-patients-following-anterior-cruciate-ligament-reconstruction
#10
Emma Dunphy, Fiona L Hamilton, Irena Spasić, Kate Button
BACKGROUND: Physiotherapy rehabilitation following surgical reconstruction to the Anterior Cruciate Ligament (ACL) can take up to 12 months to complete. Given the lengthy rehabilitation process, a blended intervention can be used to compliment face-to-face physiotherapy with a digital exercise intervention. In this study, we used TRAK, a web-based tool that has been developed to support knee rehabilitation, which provides individually tailored exercise programs with videos, instructions and progress logs for each exercise, relevant health information and a contact option that allows a patient to email a physiotherapist for additional support...
November 21, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29158959/the-relationship-between-pre-operative-and-twelve-week-post-operative-y-balance-and-quadriceps-strength-in-athletes-with-an-anterior-cruciate-ligament-tear
#11
Cassidy Hallagin, J Craig Garrison, Kalyssa Creed, James M Bothwell, Shiho Goto, Joseph Hannon
Background: Pre-operative quadriceps strength may have a positive influence on post-operative function and outcomes at time of return to sport. Little consideration has been given to quadriceps strength during the early post-operative timeframes. Twelve-week post-operative anterior cruciate ligament reconstruction (ACL-R) is considered a critical time point for progression in the rehabilitation process. There is currently limited research looking at the relationship between clinical measurements pre-operatively and at 12-weeks following ACL-R...
November 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/29154692/landing-kinematics-and-kinetics-at-the-knee-during-different-landing-tasks
#12
Nicholas R Heebner, Deirdre M Rafferty, Meleesa F Wohleber, Andrew J Simonson, Mita Lovalekar, Andrew Reinert, Timothy C Sell
CONTEXT:   Several tasks have been used to examine landing biomechanics for evaluation and rehabilitation, especially as related to anterior cruciate ligament injuries. However, comparing results among studies in which different tasks were used can be difficult, and it is unclear which task may be most appropriate. OBJECTIVE:   To compare lower extremity biomechanics across 5 commonly used landing tasks. DESIGN:   Descriptive laboratory study...
November 20, 2017: Journal of Athletic Training
https://www.readbyqxmd.com/read/29140169/relationship-between-physical-therapy-characteristics-surgical-procedure-and-clinical-outcomes-in-patients-after-acl-reconstruction
#13
Ian J Dempsey, Grant E Norte, Matthew Hall, John Goetschius, Lindsay V Slater, Jourdan M Cancienne, Brian C Werner, David R Diduch, Joseph M Hart
CONTEXT: Post-operative rehabilitation is critical to optimize outcomes after anterior cruciate ligament reconstruction (ACLR). However, the relationship between physical therapy (PT) and clinical outcomes is unclear. OBJECTIVE: To describe PT characteristics following ACLR, and assess the relationships between PT characteristics, surgical procedure, and clinical outcomes. DESIGN: Cross-sectional. SETTING: Laboratory...
November 15, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29117738/adding-high-frequency-transcutaneous-electrical-nerve-stimulation-to-the-first-phase-of-post-anterior-cruciate-ligament-reconstruction-rehabilitation-does-not-improve-pain-and-function-in-young-male-athletes-more-than-exercise-alone-a-randomized-single-blind
#14
Bijan Forogh, Hossein Aslanpour, Ehsan Fallah, Arash Babaei-Ghazani, Safoora Ebadi
PURPOSE: Knee ligamentous trauma and the following pain is one of the most prevalent athletic injuries. Transcutaneous electrical nerve stimulation is one of the conservative approaches in controlling pain which is low cost, noninvasive, and safe with low complications. Our purpose was to study whether transcutaneous electrical nerve stimulation (TENS) could help athletes perform better during the first phase of rehabilitation (0-4 weeks) after anterior cruciate ligament (ACL) reconstruction surgery and until the follow-up...
November 9, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29109642/comparison-of-intra-articular-analgesics-in-arthroscopic-anterior-cruciate-ligament-reconstruction-surgeries-a-randomized-controlled-trial
#15
Vijayalakshmi Sivapurapu, Shishir Suranigi Murugharaj, Sai Saran Panathula Venkata
Background and Aims: Arthroscopic anterior cruciate ligament reconstruction (ACLR) is one of the most common knee surgeries done worldwide today. It involves immense pain at sites of graft harvest, tibial, and femoral tunnels, thereby delaying recovery and increased patient morbidity, and delayed rehabilitation. Various drugs and combination of drugs administered intra-articularly have been studied for analgesic efficacy. Our study gives an insight if there is any added advantage of additives morphine or clonidine to bupivacaine when compared to administering bupivacaine alone...
July 2017: Journal of Anaesthesiology, Clinical Pharmacology
https://www.readbyqxmd.com/read/29099891/paraskiing-crash-and-knee-dislocation-with-multiligament-reconstruction-and-iliotibial-band-repair
#16
Chase S Dean, Olivia Fernandes, Mark E Cinque, Jorge Chahla, Robert F LaPrade
We describe the diagnosis, treatment, rehabilitation, and complications of a 27-year-old male paraskiier who sustained a closed high-velocity knee dislocation after colliding with a tree at a speed of 45 mph and falling 40 feet to the ground. Extensive surgery to repair and reconstruct the knee included open lateral capsular repair, open anatomical posterolateral corner reconstruction with split Achilles tendon allograft, open iliotibial band reconstruction with Achilles tendon allograft, arthroscopic anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft, and double-bundle posterior cruciate ligament reconstruction with Achilles tendon allograft for the anterolateral bundle and tibialis anterior tendon allograft for the posteromedial bundle...
September 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/29079672/fast-tracked-rehabilitation-and-return-to-sport-of-an-elite-rugby-player-with-a-complicated-posterolateral-corner-injury-and-associated-peroneal-paralysis
#17
L D A Paget, P P F M Kuijer, M Maas, G M M J Kerkhoffs
Acute posterolateral corner injuries of the knee with associated hamstring avulsions and peroneal paralysis are rare in rugby. Regain of motor function following a complete paralysis is documented to be 38%. To our knowledge, only one case describes return to preinjury level of competitive sport taking up to 27 months. A 24-year-old international level rugby player, a medical student, sustained an acute posterolateral knee injury with associated anterior cruciate ligament tear, bicep femoris and semimembranosus avulsions as well as a complete peroneal paralysis...
October 27, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/29077216/no-difference-between-mechanical-perturbation-training-with-compliant-surface-and-manual-perturbation-training-on-knee-functional-performance-after-acl-rupture
#18
Zakariya Nawasreh, David Logerstedt, Mathew Failla, Lynn Snyder-Mackler
Manual perturbation training improves dynamic knee stability and functional performance after anterior cruciate ligament rupture (ACL-rupture). However, it is limited to static standing position and does not allow time-specific perturbations at different phase of functional activities. The purpose of this study was to investigate whether administering mechanical perturbation training including compliant surface provides effects similar to manual perturbation training on knee functional measures after an acute ACL-rupture...
October 27, 2017: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/29064343/the-effect-of-functional-movement-training-after-anterior-cruciate-ligament-reconstruction-a-randomized-controlled-trial
#19
Wei-Cheng Chao, Jui-Chi Shih, Kuan-Chung Chen, Ching-Lin Wu, Nai-Yuan Wu, Chien-Sheng Lo
OBJECTIVES: To evaluate the effect of functional movement screen (FMS) based functional exercise in patients after anterior cruciate ligament reconstruction (ACLR). DESIGN: Randomized controlled single-blind trial. SETTING: Institutional, single center. PATIENTS: A total of 38 patients who underwent ACLR were recruited and randomly assigned to group 1 (n = 19) or group 2 (n = 19). INTERVENTIONS: Both groups received 6-month routine rehabilitation immediately after surgery...
October 24, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29059108/neuromuscular-electrical-stimulation-superimposed-on-movement-early-after-acl-surgery
#20
Luciana Labanca, Jacopo Emanuele Rocchi, Luca Laudani, Rita Guitaldi, Alessandro Virgulti, Pier Paolo Mariani, Andrea Macaluso
PURPOSE: Quadriceps weakness and asymmetrical loading of lower limbs are two major issues following anterior cruciate ligament reconstruction (ACLR). The aim of this study was to evaluate the effectiveness of a 6-week training protocol involving neuromuscular electrical stimulations (NMES) of the quadriceps muscle superimposed on repeated sit-to-stand-to-sit exercises (STSTS), as an additional treatment to standard rehabilitation, from the 15th to the 60th day following ACLR. METHODS: Sixty-three ACLR patients were randomly allocated to one of the three treatment groups: NMES superimposed on STSTS (NMES+STSTS), STSTS only, or no additional treatment (NAT) to standard rehabilitation...
October 20, 2017: Medicine and Science in Sports and Exercise
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