Recent advances in the rehabilitation of isolated and combined anterior cruciate ligament injuries

Wilk, Kevin E.; Reinold, Michael M.; Hooks, Todd

doi:10.1016/s0030-5898(02)00064-0

Cited by 121 publications

(115 citation statements)

References 105 publications

Supporting

Mentioning

112

Contrasting

Unclassified

Order By: Relevance

“…The rehabilitation process for PCL injuries is assessed as a complementary but essential point within functional recovery of the knee (1) . Rehabilitation protocols prioritize protection of the reconstructed ligament, so as to avoid excessive stress on the graft during the rehabilitation until the graft has become integrated (2) .…”

Section: Discussionmentioning

confidence: 99%

Protocolo de reabilitação para as reconstruções isoladas do ligamento cruzado posterior

Cury¹,

Kiyomoto²,

Rosal³

et al. 2012

Rev. bras. ortop.

View full text Add to dashboard Cite

To create a rehabilitation protocol following reconstruction of the posterior cruciate ligament (PCL), through a literature review. The literature review was conducted in the Medline and Embase databases, to search for data on biomechanical concepts and analyses relating to the posterior cruciate ligament of the knee. The search strategy was set up using the following rules: problem or injury in association with anatomical location terms; or surgical intervention procedure in association with rehabilitation terms. We began the process in this manner and subsequently introduced restrictions on certain terms to improve the search specificity. To design the protocol, a table was created for better data assessment, basedRev Bras Ortop. 2012;47(4):421-7 on the time that elapsed between surgery and the start of physiotherapy. A rehabilitation protocol was created to improve weight-bearing control in the initial weeks after surgery, with the aid of a knee brace. Our aim was to achieve gains in total range of motion of the knee, which should be attained by the third month, thereby avoiding contractures resulting from the tissue healing process. Strengthening exercises and sensory-motor training were guided accordingly, thus avoiding overload on the graft and respecting the healing phases. The protocol proposed through this review was based on the current evidence relating to this subject.

show abstract

Section: Discussionmentioning

confidence: 99%

Protocolo de reabilitação para as reconstruções isoladas do ligamento cruzado posterior

Cury¹,

Kiyomoto²,

Rosal³

et al. 2012

Rev. bras. ortop.

View full text Add to dashboard Cite

show abstract

“…It must clearly be remembered that this is the same time frame that athletes will start to expose their knee to forces and motions that may load the reconstructed graft to near it limits [89,96]. This phase is usually a little more vague in regards to appropriate exercise progressions with less detail in regard to clinical guidelines as to when it is safe to introduce more highrisk or high-load activities [11,97]. Presently there is little agreement as to when it is safe to return to sports participation [98][99][100].…”

Section: Phase Iv: Postoperative 3 Months-6 Monthsmentioning

confidence: 99%

“…This manuscript will be tailored for an isolated ACL reconstruction in a younger active patient. A slower progression may be needed for an older more normal patient [11]. Additional pathology such as concomitant ligament repair, meniscus, or articular cartilage injury will need to be taken into account and will more than likely create a delay in progression.…”

Section: Introductionmentioning

confidence: 99%

“…Education about postsurgical exercises, reasons for limited motion and crutch use and cryotherapy all will help stimulate early functional recover of knee function and help the patient create a realistic image about the rehabilitation process in general [11,19,20]. Immediately following surgery the initial focus of post-surgical rehabilitation is to minimize pain and swelling and to return knee extension symmetrical to the uninvolved side.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Recent advances following anterior cruciate ligament reconstruction: rehabilitation perspectives

Manske

Prohaska

Lucas

2012

Curr Rev Musculoskelet Med

View full text Add to dashboard Cite

Injuries to the anterior cruciate ligament are common. Surgical reconstruction is more prevalent than ever. This review article discusses treatment of the patient following surgical reconstruction of the anterior cruciate ligament. Various phases of rehabilitation are discussed with emphasis on early return of passive motion, early weight bearing, bracing, kinetic chain exercises, neuromuscular electrical stimulation and accelerated rehabilitation. Although evidence exists for the treatment of the surgically reconstructed cruciate ligament, more is needed to better define specific timeframes for advancement. Evidence exists that many of these young individuals are not fully returning to unlimited high level activities. This review article presents some of the latest evidence regarding anterior cruciate ligament rehabilitation in an attempt to help the busy clinician understand and relate basic and clinical research to rehabilitation of a patient following reconstruction.

show abstract

“…2 Posterior cruciate ligament injury is regarded as one of functional disability, not functional instability as seen with ACL disruption. 3 Depending on the mechanism of injury, PCL tears can occur in isolation or in combination with other knee ligament structures, particularly the posterior lateral corner (PLC).…”

Section: Introductionmentioning

confidence: 99%

Multimodal and interdisciplinary management of an isolated partial tear of the posterior cruciate ligament: a case report

Fernandez¹,

Pugh

2012

Journal of Chiropractic Medicine

View full text Add to dashboard Cite

Objective: The purpose of this case report is to describe the evaluation and conservative management of an isolated posterior cruciate ligament (PCL) tear. Clinical Features: A 32-year-old man with a traumatic right knee injury after tripping was initially diagnosed with medial patellar retinaculum tear at a multidisciplinary clinic. The patient received physiotherapy but reinjured the knee after returning to the sports field 3 weeks later. Subsequent clinical testing and magnetic resonance imaging confirmed a grade II isolated PCL tear. Intervention and Outcome: Following the PCL tear diagnosis, a multimodal treatment approach over the course of 8 weeks consisting of chiropractic lumbopelvic manipulation, physiotherapy, and an exercise program emphasizing eccentric muscle action was implemented. Lunges, 1-leg squats, and trunk stabilization exercises were extensively used. Three months postinjury, the patient successfully returned to sports activity with no further complications. Conclusion: The patient in this case report demonstrated successful return to preinjury functional status. This case highlights a multidisciplinary approach through the utilization of chiropractic, physiotherapy, and exercise therapies.

show abstract

Recent advances in the rehabilitation of isolated and combined anterior cruciate ligament injuries

Cited by 121 publications

References 105 publications

Protocolo de reabilitação para as reconstruções isoladas do ligamento cruzado posterior

Protocolo de reabilitação para as reconstruções isoladas do ligamento cruzado posterior

Recent advances following anterior cruciate ligament reconstruction: rehabilitation perspectives

Multimodal and interdisciplinary management of an isolated partial tear of the posterior cruciate ligament: a case report

Contact Info

Product

Resources

About