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# ACL Exercises After Surgery: A Comprehensive Guide to Recovery
Author: Dr. Emily Carter, PT, DPT, OCS – Dr. Carter is a board-certified orthopedic physical therapist with over 15 years of experience specializing in rehabilitation following anterior cruciate ligament (ACL) reconstruction surgery. She has published numerous peer-reviewed articles on the topic of ACL rehabilitation and is a frequent speaker at national physical therapy conferences.
Publisher: The American Physical Therapy Association (APTA) – The APTA is a leading professional organization for physical therapists in the United States, known for its commitment to evidence-based practice and high-quality patient care. Their publications are rigorously reviewed by experts in the field.
Editor: Dr. Michael Johnson, MD – Dr. Johnson is an orthopedic surgeon with extensive experience performing ACL reconstruction surgeries. His expertise ensures the surgical aspects of the rehabilitation process are accurately and comprehensively presented.
Keywords: acl exercises after surgery, acl rehabilitation, acl recovery, post-surgery exercises, acl physical therapy, knee rehabilitation, acl recovery program, acl surgery exercises, strengthening exercises after acl surgery, range of motion exercises after acl surgery
Understanding the Importance of Post-Surgical ACL Exercises
Anterior cruciate ligament (ACL) reconstruction surgery is a significant procedure aimed at restoring stability to the knee joint. However, surgery alone is not sufficient for a full recovery. A structured and progressive program of acl exercises after surgery is crucial for regaining strength, stability, range of motion, and ultimately, returning to pre-injury activity levels. The timing and intensity of these exercises are critical; improper progression can lead to re-injury or complications. This comprehensive guide outlines the phases of acl exercises after surgery supported by current research findings.
Phase 1: Immediate Post-Operative Phase (Weeks 1-4)
Immediately following surgery, the primary focus is on pain management, reducing swelling, and regaining basic range of motion. This phase often involves:
Range of Motion Exercises: Gentle passive range of motion exercises, performed by a therapist, are crucial to prevent stiffness. These might include assisted flexion and extension of the knee. Active range of motion, where the patient moves their leg, is gradually introduced as tolerated. (Ref: Journal of Orthopaedic & Sports Physical Therapy, 2018; study demonstrating the importance of early range of motion in preventing stiffness).
Pain Management: Ice application, elevation of the leg, and medication prescribed by the surgeon help control post-operative pain and swelling.
Isometric Exercises: These exercises involve muscle contraction without movement, helping maintain muscle strength while minimizing stress on the healing graft. Examples include quadriceps sets and hamstring sets. (Ref: American Journal of Sports Medicine, 2020; research showing the efficacy of early isometric exercises in maintaining muscle strength).
Weight Bearing: The surgeon will provide guidance on weight-bearing status, which typically progresses from non-weight-bearing to partial weight-bearing with crutches, and eventually to full weight-bearing as tolerated.
Phase 2: Early Rehabilitation (Weeks 4-8)
This phase focuses on improving range of motion, strengthening muscles around the knee, and improving proprioception (awareness of joint position). ACL exercises after surgery in this phase become more demanding:
Strengthening Exercises: Isotonic exercises (exercises involving movement) are introduced, focusing on quadriceps, hamstrings, and calf muscles. Examples include leg presses, hamstring curls, and straight leg raises. Resistance may be added using resistance bands or light weights. (Ref: Clinical Journal of Sport Medicine, 2021; a meta-analysis supporting the benefits of progressive resistance training in ACL rehabilitation).
Proprioceptive Exercises: Exercises focusing on balance and coordination are vital. These may include single-leg stance exercises, wobble board exercises, and balance beam activities. (Ref: Journal of Athletic Training, 2019; a study highlighting the role of proprioceptive training in reducing the risk of re-injury).
Flexibility Exercises: Stretching exercises are continued to maintain and improve knee flexion and extension.
Phase 3: Advanced Rehabilitation (Weeks 8-12 and beyond)
This phase intensifies the strengthening and proprioception work, gradually progressing towards functional activities and return to sport. ACL exercises after surgery now mirror pre-injury activities:
Plyometrics: These explosive exercises improve power and agility, preparing the knee for the demands of sports activities. Examples include box jumps and jump squats, progressing gradually in height and intensity. (Ref: Knee Surgery, Sports Traumatology, Arthroscopy, 2017; research showing the effectiveness of plyometrics in improving jump performance after ACLR).
Sport-Specific Training: Once sufficient strength and stability are achieved, sport-specific activities are gradually incorporated, progressing from simple drills to complex game-like situations.
Functional Activities: Activities that mimic everyday movements, such as walking, running, and climbing stairs, are integrated to ensure a smooth transition back to normal life.
Return to Sport
The return to sports participation after ACL reconstruction is a gradual process. It depends on several factors including the individual's progress, compliance with the rehabilitation program, and the demands of the sport. A thorough assessment by the surgeon and physical therapist is crucial before allowing a return to high-impact activities. Premature return can significantly increase the risk of re-injury. (Ref: Numerous studies in various sports medicine journals emphasize the importance of a graduated return to sport protocol)
Conclusion
Successful recovery following ACL reconstruction surgery relies heavily on adherence to a well-structured rehabilitation program, encompassing a carefully planned progression of acl exercises after surgery. Early intervention, patient compliance, and ongoing monitoring by healthcare professionals are all critical factors contributing to a positive outcome and minimizing the risk of long-term complications. The phases outlined in this report, supported by current research, provide a general framework. Individualized programs should always be developed in consultation with a qualified physical therapist and surgeon.
FAQs
1. How long does ACL recovery take? Recovery time varies, but typically ranges from 6 to 12 months or longer, depending on the individual, the surgery type, and the rehabilitation program.
2. What are the signs of ACL re-injury? Pain, swelling, instability, popping sounds, or a feeling of “giving way” in the knee.
3. Can I skip physical therapy after ACL surgery? No, physical therapy is essential for optimal recovery and minimizing the risk of re-injury.
4. When can I start running after ACL surgery? Running is typically introduced gradually in the later stages of rehabilitation, usually after several months.
5. What are the common complications of ACL surgery? Infection, stiffness, persistent pain, and graft failure are potential complications.
6. Is it possible to return to my previous activity level after ACL surgery? With proper rehabilitation, most individuals can return to their previous activity level, although it might take time and effort.
7. How can I prevent ACL injuries in the future? Focus on strengthening muscles surrounding the knee, improving proprioception, and using proper techniques during sports activities.
8. What type of exercises should I avoid after ACL surgery? Avoid high-impact exercises and activities that put excessive stress on the knee until it’s fully healed.
9. When should I consult my doctor or physical therapist? Consult them if you experience increased pain, swelling, instability, or if you have concerns about your progress.
Related Articles
1. Early Range of Motion After ACL Reconstruction: This article focuses on the importance and techniques of early range of motion exercises after ACL surgery.
2. Strengthening Exercises for ACL Rehabilitation: This article provides a detailed guide to various strengthening exercises, progressing in difficulty throughout recovery.
3. Proprioceptive Training for ACL Recovery: This article delves into the significance of proprioceptive exercises and provides various examples.
4. Plyometrics After ACL Surgery: A Safe Approach: This article discusses the safe integration of plyometrics into the later stages of rehabilitation.
5. Return to Sport After ACL Reconstruction: A Practical Guide: This article offers a detailed plan for safely returning to sports.
6. Managing Pain and Swelling After ACL Surgery: This article provides comprehensive strategies for managing post-operative pain and swelling.
7. Choosing the Right Physical Therapist for ACL Rehabilitation: This article helps patients choose a qualified and experienced physical therapist.
8. Understanding ACL Graft Failure and Prevention: This article discusses the causes and prevention of ACL graft failure.
9. The Role of Nutrition in ACL Recovery: This article highlights the importance of proper nutrition for optimal healing and recovery.
acl exercises after surgery: Return to Sport after ACL Reconstruction and Other Knee Operations Frank R. Noyes, Sue Barber-Westin, 2019-11-05 The wealth of information provided in this unique text will enable orthopedic surgeons, medical practitioners, physical therapists, and trainers to ensure that athletes who suffer anterior cruciate ligament (ACL) injuries, or who require major knee operations for other reasons, have the best possible chance of safely resuming sporting activity at their desired level without subsequent problems. Divided into seven thematic sections, the coverage is wide-ranging and encompasses common barriers to return to sport, return to sport decision-based models, and the complete spectrum of optimal treatment for ACL injuries, including preoperative and postoperative rehabilitation. Advanced training concepts are explained in detail, with description of sports-specific programs for soccer, basketball, and tennis. Readers will find detailed guidance on objective testing for muscle strength, neuromuscular function, neurocognitive function, and cardiovascular fitness, as well as validated assessments to identify and manage psychological issues. In addition, return to sport considerations after meniscus surgery, patellofemoral realignment, articular cartilage procedures, and knee arthroplasty are discussed. Generously illustrated and heavily referenced, Return to Sport after ACL Reconstruction and Other Knee Operations is a comprehensive resource for all medical professionals and support staff working with athletes and active patients looking to get back in the game with confidence. |
acl exercises after surgery: The ACL Handbook Martha M. Murray, Patrick Vavken, Braden Fleming, 2013-05-14 The new age of biologic treatment of the ACL is coming. In The ACL Handbook: Knee Biology, Mechanics, and Treatment, the authors cover the past and current state of ACL injuries and treatment, and then introduce and explain the key concepts for understanding the new biologic approach to ACL treatment. The use of factors to enhance graft healing are reviewed, as well as an in-depth review of the science of platelet-rich plasma and its cellular components (platelets, white cells, and plasma). Chapters on in vitro models for science as well as the advantages and disadvantages of animal models for ACL research are included, as are chapters on the new technique of bio-enhanced ACL repair. All are discussed in easily readable text aimed at anyone with an interest of what is coming next in ACL surgery. |
acl exercises after surgery: Revision ACL Reconstruction Robert G. Marx, 2013-09-05 Although anterior cruciate ligament (ACL) reconstruction has a high success rate, a substantial number of patients are left with unsatisfactory results. Revision ACL Reconstruction: Indications and Technique provides detailed strategies for planning and executing revision ACL reconstructions. Concise chapters by a leading group of international orthopedic surgeons cover the diagnosis of failed ACL reconstruction, patient evaluation, preoperative planning for revision ACL surgery and complex technical considerations. |
acl exercises after surgery: Sports Injuries Mahmut Nedim Doral, Jon Karlsson, 2015-06-29 Sports Injuries: Prevention, Diagnosis, Treatment and Rehabilitation covers the whole field of sports injuries and is an up-to-date guide for the diagnosis and treatment of the full range of sports injuries. The work pays detailed attention to biomechanics and injury prevention, examines the emerging treatment role of current strategies and evaluates sports injuries of each part of musculoskeletal system. In addition, pediatric sports injuries, extreme sports injuries, the role of physiotherapy, and future developments are extensively discussed. All those who are involved in the care of patients with sports injuries will find this textbook to be an invaluable, comprehensive, and up-to-date reference. |
acl exercises after surgery: The ACL-Deficient Knee Vicente Sanchis-Alfonso, Joan Carles Monllau, 2012-12-18 This book approaches the ACL deficient knee from a different perspective than those of the previous classical ways. The common approach is the analysis of closed compartments; anatomy, biomechanics, physical findings, imaging, surgical treatment and rehabilitation. The approach of this book is completely opposite, focusing on questions, controversies, problem analyses and problem solving, besides analyzing the possibility of prevention. Therefore, in each chapter, the biomechanics, anatomy, and other areas that are relevant to the topic are reviewed. There are chapters where highly specialized surgical techniques are presented (acute ACL repair, double bundle reconstruction, chondral lesions treatment or meniscal transplant). These chapters are written by internationally renowned specialists that are pioneers in the topic analyzed. Another interesting aspect of this book are the step by step surgical techniques videos, that will allow a knee specialist to perform the technique presented by the author. Moreover, the videos will include anatomy and physical therapy techniques. |
acl exercises after surgery: The ACL Solution Robert G. Marx, MD, Grethe Myklebust, Brian W. Boyle, 2012-06-19 For many athletes, tearing the ACL is a devastating knee injury. InThe ACL Solution, Dr. Robert G. Marx, orthopedic surgeon and world leading authority on ACL injury tells you everything you need to know about how to prevent it or recover if you are already injured. Close to 50 ACL-specific exercises are described by Dr. Myklebust, a physical therapist for the Norwegian national women’s handball, soccer and volleyball teams, and a world-renowned expert on the science of ACL injury prevention. You’ll learn how to better balance your body and strengthen the muscles around your knee to provide greater stability and endurance. Whether you're the parent of active children, a promising young athlete, a coach, or a 40-year-old who lives for his or her weekly basketball league, this book is a must read. |
acl exercises after surgery: The Anterior Cruciate Ligament: Reconstruction and Basic Science E-Book Chadwick Prodromos, 2017-05-31 The Anterior Cruciate Ligament: Reconstruction and Basic Science, 2nd Edition, by Dr. Chadwick Prodromos, provides the expert guidance you need to effectively select the right procedure and equipment, prevent complications, and improve outcomes for every patient. Written and edited by world leaders in hamstring, allograft, and bone-patellar tendon-bone (BTB) ACL reconstruction, this revised reference is a must-have resource for the full range of anterior cruciate ligament reconstruction techniques, plus fixation devices, rehabilitation, revision ACLR surgery, and much more! - Covers the latest clinical and technical information on pain control, genetics and biologics, the use of ultrasound, and much more. - EBook access features an exhaustive ACL bibliography database more than 5000 available articles. - Features dozens of new chapters that offer up-to-date information on pain control after ACLR, single vs. double bundle repairs, genetics and collagen type, all-inside techniques, biologics, pediatrics, ACL ganglion cysts, prognosis for ACLR success, allografts vs. autografts, and more. - Provides the experience and insight of a dream team of ACL experts, including James Andrews on sports medicine, Frank Noyes on HTO and ACLR, and Andrew Amis on the benefits of the older femoral tunnel placement technique. - Expert ConsultTM eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, Q&As, and references from the book on a variety of devices. |
acl exercises after surgery: Play Forever Kevin R. Stone, 2021-12-14 Why are some octogenarians competitive athletes while others struggle to walk up the stairs? It isn't luck. It's orthopaedic science. If you're tired of doctors telling you that an injury will prevent you from playing the sports you enjoy, you'll love Dr. Kevin R. Stone's Play Forever. All great athletes get injured. Only the best of them use those injuries to come back to their sport better-fitter, faster, and stronger than before. Through Dr. Stone's revolutionary approach to sports medicine, you'll discover how injuries can lead to a lifetime of high-performance fitness and athleticism. Learn how the musculoskeletal system can be repaired through cutting-edge therapies, then honed and strengthened through semiannual fitness tests, preseason education and training programs, and regular in-season tune-ups. Backed by scientific outcome studies on orthopaedic treatments and implants, Play Forever will become your go-to health and fitness source, helping you play the sport you love to age 100 and beyond. |
acl exercises after surgery: Torn Joy Werner, Doug Werner, 2015-08-01 Torn is the story of author Joy Werner's struggle with two anterior cruciate ligament (ACL) injuries over the course of 24 months. ACL tears are serious knee injuries that plague youth sport, particularly young female athletes, and this book describes the long journeys of healing that the injuries demand, including the emotional and mental challenges. The personal perspective is supported by general information about the ACL, ACL injuries, and treatment. Torn is not only a guide but a real-world tale of what a young athlete had to endure and overcome when confronted with ACL injuries. It will be helpful to the thousands of young people and their families who face this trauma each year. |
acl exercises after surgery: ACL Made Simple Don Johnson, 2006-05-17 ACL Made Simple is a book/CD-ROM combination that educates orthopedic residents, athletic trainers, and various medical support staff about the fundamentals of ACL injuries. The content is both thorough and practical. Readers will benefit from comprehensive discussions of diagnosis, partial tears, treatment options, operative techniques, and complications. This definitive guide also outlines a six-month rehabilitation program complete with goals, stages, and exercises. More than 150 photographs and diagrams illuminate key concepts. A CD-ROM keyed to each chapter complements the text and makes it easy for users to locate sections of particular interest. The numerous graphics and narrated video clips are dynamic tools that highlight topics including the mechanism of injury, physical examination, and surgical techniques. |
acl exercises after surgery: Anterior knee pain and patellar instability Vicente Sanchis-Alfonso, 2006-03-14 Clinically oriented and richly illustrated, this book provides complete guidance on the surgical and non-surgical management of the anterior knee pain syndrome and is aimed at orthopedic surgeons, sports medicine practitioners, knee specialists and physical therapists. |
acl exercises after surgery: The Win Within Bert R. Mandelbaum, 2014-09-16 An inspiring guide to playing your personal best in the sport of life As an orthopedic surgeon, a finish-line physician, and a USA team doctor at the World Cup and the Olympics, Dr. Bert Mandelbaum has witnessed the trials and triumphs of elite athletes from a vantage point few of us get. And over his twenty-plus years of experience, he’s identified a common character trait that every elite athlete relies upon for success: it’s what he calls the “victorious spirit.” In The Win Within, Mandelbaum reveals that any of us—no matter our age or physical condition—can capture that same spirit in our own lives. This inner drive to win resides in all of us, he argues, hardwired into our DNA by ancestry dating back millions of years. You’ll learn how to view life the way a top-performing athlete does: relentlessly, tenaciously, positively, and focusing less on the finish line of the marathon and more on the 26.2 miles that precede it. With narrative support ranging from the lessons of our early ancestors to Mandelbaum’s stories of our modern-day gladiators (both household name and lesser known), The Win Within will give you a greater understanding of how and why we’re all hardwired to win—and you’ll come away with no shortage of tactics and motivation to capture your own victorious spirit. |
acl exercises after surgery: Current Concepts in ACL Reconstruction Freddie H. Fu, Steven B. Cohen (M.D.), 2008 From evaluation to outcome, Current Concepts in ACL Reconstruction will help you keep pace with the latest techniques for the treatment of anterior cruciate ligament injuries. This text provides the most complete and up-to-date information for the surgical reconstruction of a torn ACL including details about the newer double-bundle procedure. Both American and international perspectives on the treatment of ACL injuries are included to provide the most comprehensive review on the market today. Inside this richly illustrated text, Drs. Freddie H. Fu and Steven B. Cohen along with contributions from the world's most experienced knee surgeons review the basic science, kinematic, imaging, and injury patterns surrounding the ACL. Surgical concepts, various techniques for reconstruction, and diverse opinions on approaching the ACL are also included. Current Concepts in ACL Reconstruction explains the anatomical basis in order to provide the most current surgical principles to ensure the patient receives the best surgical outcomes. To reflect recent advancements in ACL treatment, the emerging double-bundle technique is comprehensively covered. The differences between the single- and double-bundle techniques are discussed with perspectives from leading international experts in double-bundle reconstruction. An accompanying video CD-ROM demonstrates the various procedures mentioned throughout the text. In addition, several of the world's most experienced surgeons provide their perspective from what they have learned by performing ACL surgery for over 25 years, along with their insight into the future treatment of ACL injuries. What you will want to learn more about: - Differences between single- and double-bundle reconstruction techniques - Outcomes of single- and double-bundle reconstruction - Pediatric ACL reconstruction - Gender differences in ACL injury - Radiographic imaging - Computer navigation assistance for ACL reconstruction - Injury patterns of the ACL - Graft choices in ACL surgery - Revision ACL surgery - Postoperative rehabilitation after ACL reconstruction - Outcome measures to assess success after surgery Current Concepts in ACL Reconstruction answers the need for a comprehensive information source on the treatment of ACL injuries. Orthopedic residents and surgeons will be prepared with this thorough review of ACL reconstruction by their side. |
acl exercises after surgery: Knee Arthroscopy Jin Goo Kim, 2021-05-05 This book provides detailed guidance on knee arthroscopy that reflects the very latest advances in this ever-changing field. Among the techniques covered are reconstruction of the anterior and posterior cruciate ligaments, meniscal repair and transplantation, cartilage repair by means of osteochondral allograft transplantation and autogenous osteochondral transfer, medial patellofemoral ligament reconstruction, and high tibial osteotomy. In each case, clear descriptions of technique are supported by a wealth of high-quality illustrations, with identification of potential pitfalls and how to avoid them. In addition, the latest knowledge is presented on anatomy and biomechanics. The book is written by recognized experts in sports injuries and knee disorders. It will serve as an up-to-date reference for the experienced knee surgeon and an ideal source of information for all who wish to broaden their knowledge of and improve their skills in knee arthroscopy, whether general orthopaedists, orthopaedic trainees, or sports medicine physicians. |
acl exercises after surgery: Ultimate Knee Rehab Guide Dr Luqman Shaikh, 2020-03-23 The Ultimate Knee Rehab Guide is for heath and fitness professionals and individuals who are looking for scientific and evidence based knee rehab exercises and educate in the field of exercise prescription and rehabilitation programming involving pain/ ailments, injuries and surgery for the knee. You will be learning key exercises and progressions, as well as how to design, construct and implement effective knee rehab programs for yourself and your clients. What's included in the book? Rehab Strategies - Prehab 121 7 phases of Rehab protocols for Intermediate to late stage rehabilitation - Role of criteria based progression - Return to Sport/ activity decision making - Rehabilitation of multi-ligament knee injuries Prehab Strategies - Injury Prevention Program - Pre-operative Rehabilitation Phase 100 + exercises with illustration and how to perform Topics Included: Injury Recovery and Readiness for Surgery This phase outlines steps to be taken towards conservative and surgery management with outcome measures and goals. It will cover specific loading progressions and stress free strengthening. Recovery from Surgery This phase outlines guidelines to be taken to manage early rehabilitation of the knee post-surgery. It will cover post-surgery loading the knee with exercises to maintain tone of the muscles and focus motion exercises to limit dysfunction. Early Strengthening This phase covers exercises to increase muscle strength adding body weight and stressing the tissues. Understanding tissue loading with outcome measures will be introduced with volume loading and the acute to chronic workload ratio. Strength and Balance + Proprioception This phase will be gym / clinic based regime with a mixture of resistance, balance, and co – ordination exercises. Different exercises focusing on same muscles to avoid adaptation for clients, and cueing and motor control strategies to optimize technique. Progression to next phase with evidence based outcome measures will be covered in this phase Early Return to Sport - Agility This phase focuses on return to running, agility, jumping and hopping, as well as continuation of gym based strength and neuromuscular program. Cover managing fatigue and recovery with recovery modalities to manage fatigue day to day. Return to sport decision making with evidence based tests will be covered in this phase Prevention of re-injury – Advance Sports and Functional This phase covers balance between adequate strength and preventing injuries in non-injured clients. This includes how training volume and intensity should be incorporated with strategies for various goals, including strength, endurance, power, hypertrophy and movement tolerance. |
acl exercises after surgery: ACL Injuries in Female Athletes Robin West, Brandon Bryant, 2018-12-07 This easy-to-read reference presents a succinct overview of clinically-focused topics covering the prevention, treatment, and rehabilitation of ACL injuries in the female athlete. Written by two professional team physicians, it provides practical, focused information for orthopaedic and sports medicine surgeons and physicians. - Covers ACL injury risk factors and prevention, including biomechanics, biology, and anatomy of the female athlete. - Discusses graft choices, the biology of healing, rehabilitation and return to play, future options for treatment, and more. - Addresses special considerations such as pediatric ACL and revision ACL. - Consolidates today's available information and experience in this timely area into one convenient resource. |
acl exercises after surgery: Handball Sports Medicine Lior Laver, Philippe Landreau, Romain Seil, Nebojsa Popovic, 2018-05-10 This book is designed to help improve the medical care of athletes across the world who play team handball – including not only handball itself but also such sports as beach volleyball and mini-handball. It provides concise practical information on the nature of frequently encountered injuries, the management of these injuries, injury prevention, and rehabilitation following treatment. Individual sections also focus on physiologic, endocrinologic, biomechanical, and nutritional aspects; special considerations in particular groups of players; and psychological issues. The medical needs of a handball team are explained, and guidance offered on preparticipation assessment and screening. All of the authors are leaders in their field. Their excellent teamwork ensures that the book, published in collaboration with ESSKA, will represent a superb, comprehensive educational resource. It will meet the needs of both handball medical caregivers and handball personnel, providing readily accessible answers to a wide range of medical questions and facilitating effective collaboration among the various professionals involved in team handball. |
acl exercises after surgery: That's Gotta Hurt Dr. David Geier, 2017-06-06 In That's Gotta Hurt, the orthopaedist David Geier shows how sports medicine has had a greater impact on the sports we watch and play than any technique or concept in coaching or training. Injuries among professional and college athletes have forced orthopaedic surgeons and other healthcare providers to develop new surgeries, treatments, rehabilitation techniques, and prevention strategies. In response to these injuries, sports themselves have radically changed their rules, mandated new equipment, and adopted new procedures to protect their players. Parents now openly question the safety of these sports for their children and look for ways to prevent the injuries they see among the pros. The influence that sports medicine has had in effecting those changes and improving both the performance and the health of the athletes has been remarkable. Through the stories of a dozen athletes whose injuries and recovery advanced the field (including Joan Benoit, Michael Jordan, Brandi Chastain, and Tommy John), Dr. Geier explains how sports medicine makes sports safer for the pros, amateurs, student-athletes, and weekend warriors alike. That's Gotta Hurt is a fascinating and important book for all athletes, coaches, and sports fans. |
acl exercises after surgery: Rehabilitation of the Knee Bruce H. Greenfield, 1993 A text devoted to knee rehabilitation with chapters contributed by rehabilitation specialists on the management of specific knee pathologies or injuries. The volume is based on the physical therapy model of treatment: making a physical therapy problem list, determining the characteristics and factors that affect the problems, setting goals of treatment, making a treatment plan for reaching those goals, and reevaluating and modifying the treatment. For both practicing clinicians and physical therapy students. Annotation copyright by Book News, Inc., Portland, OR |
acl exercises after surgery: Return to Play in Football Volker Musahl, Jón Karlsson, Werner Krutsch, Bert R. Mandelbaum, João Espregueira-Mendes, Pieter d'Hooghe, 2018-03-16 In this book, leading experts employ an evidence-based approach to provide clear practical guidance on the important question of when and how to facilitate return to play after some of the most common injuries encountered in football. Detailed attention is paid to biomechanics, the female athlete, risk factors, injury prevention, current strategies and criteria for safe return to play, and future developments. Specific topics discussed in depth include concussion, anterior cruciate ligament and other knee injuries, back pathology, rotator cuff tears, shoulder instability, hip arthroscopy, and foot and ankle injuries. The chapter authors include renowned clinicians and scientists from across the world who work in the field of orthopaedics and sports medicine. Furthermore, experiences from team physicians involved in the Olympics, National Football League (NFL), Union of European Football Associations (UEFA), and Fédération Internationale de Football Association (FIFA) are shared with the reader. All who are involved in the care of injured footballers will find this book, published in cooperation with ESSKA, to be an invaluable, comprehensive, and up-to-date reference that casts light on a range of controversial issues. |
acl exercises after surgery: Ligament Reconstructions L'hocine Yahia, 2021-04-12 The ACL or anterior cruciate ligament is the most important ligament in the knee. When it is completely torn, it can lead to instability or buckling of the knee. There are several options to choose from when selecting a graft for ACL reconstruction such as using autografts including patellar tendon, hamstring tendon, and quadriceps tendon, and allografts (also known as donor tissue or cadaver tissue). Artificial ligaments are also discussed since they are still used in Europe and Asia. This book summarizes the pros and cons of each graft option in detail. |
acl exercises after surgery: The Multiple Ligament Injured Knee Gregory C. Fanelli, 2012-08-16 The Multiple Ligament Injured Knee: A Practical Guide to Management includes the most developed knowledge needed to successfully diagnose and treat knee ligament injuries. This thorough work presents anterior and posterior cruciate and collateral ligament anatomy and biomechanics along with non-invasive methods for diagnosing the extent of injury, such as radiographic and arthroscopic evaluation. Various injuries are discussed in addition to useful treatment techniques, including arthroscopic reconstruction, posterolateral and posteromedial corner injury and treatment, assessment and treatment of vascular injuries, assessment and treatment of nerve injuries, rehabilitation, and post-operative results. Each of these clearly written chapters is accompanied by a wealth of line drawings and photographs that demonstrate both the surgical and non-surgical approaches to examination and treatment. |
acl exercises after surgery: Recent Advances in Arthroscopic Surgery Hiran Amarasekera, 2018-10-10 This book is aimed at providing an overview of arthroscopic joint surgery involving major joints in the body. It discusses all aspects of arthroscopy including complex surgical procedures, feasibility of performing surgery as an OPD procedure, and complications associated with these surgeries. The chapters are organised in regional basis and presented in an easy-to-understand format. This book will benefit all sports medicine physicians, orthopaedic surgeons and trainees, physiotherapists, and all clinicians involved in treating joint diseases. The combination of the authors' shared experiences with facts and presentation of figures and photographs will help the reader in understanding the complex principles involved. This can be used as a text for an individual or a must have reference book for any medical library. |
acl exercises after surgery: Rotatory Knee Instability Volker Musahl, Jón Karlsson, Ryosuke Kuroda, Stefano Zaffagnini, 2016-09-27 This book is designed to equip the reader with the knowledge and tools required for provision of individualized ACL treatment based on the best available evidence. All major aspects of the assessment of rotatory knee instability are addressed in depth. A historical overview of arthrometers, both invasive and non-invasive, is provided, and newly developed devices for the measurement of rotatory knee laxity are considered. Recent advances with respect to the pivot shift test are explained and evidence offered to support a standardized pivot shift test and non-invasive quantification of the pivot shift. Specific surgical techniques for rotatory laxity are described, with presentation of the experience from several world-renowned centers. In addition, functional rehabilitation and “return to play” are discussed. In keeping with the emphasis on an individualized approach, the book highlights individualization of surgical reconstruction techniques in accordance with the specific injury pattern and grade of rotatory knee laxity as well as the use of individualized rehabilitation techniques. Numerous high-quality images illustrate key points and clear take-home messages are provided. |
acl exercises after surgery: Rehab Science: How to Overcome Pain and Heal from Injury Tom Walters, Glen Cordoza, 2023-04-11 Recover from injuries and put a stop to pain with this step-by-step guide In his new book, Rebab Science, renowned orthopedic physical therapist Tom Walters shows you how to take back the power to heal. He explains how to understand and identify pain and injury, how to treat common issues to muscles, tendons, ligaments, and more, and how to end chronic pain for good. Our current healthcare model, with its emphasis on treating symptoms rather than addressing the root cause of those symptoms, can be frustrating, especially for people with ongoing pain. Rehab Science outlines a new way of thinking about pain and injury with a movement-based system that helps you treat pain and heal from injuries on your own terms. Dr. Walters delivers proven protocols that strengthen the body, improve mobility and movement quality, alleviate pain, ensure full recovery, and keep pain and injury from reoccurring in the future. This book highlights common issues like ankle sprains, tennis elbow, and low back pain and provides protocols for rehabilitating each one step by step and week by week. Find out what you can do to accelerate the phases of healing by using targeted movements and pain-relieving rehab exercises. Full-color photo sequences show how to do each exercise correctly. In Rehab Science, you’ll learn: • How to identify and treat common pains and injuries • Which exercises can prevent pain from returning • How long you should be doing rehab exercises • Major signs and symptoms that may require medical attention • How a diagnosis can factor into recovery • What common X-ray and MRI findings mean • How to program exercises to rehab specific injuries • When you might need to consider surgery • And much, much more |
acl exercises after surgery: Noyes' Knee Disorders: Surgery, Rehabilitation, Clinical Outcomes E-Book Frank R. Noyes, 2016-02-02 Frank R. Noyes, MD – internationally-renowned knee surgeon and orthopaedic sports medicine specialist – presents this unparalleled resource on the diagnosis, management, and outcomes analysis for the full range of complex knee disorders. - Relies on Dr. Noyes' meticulous clinical studies and outcomes data from peer-reviewed publications as a scientifically valid foundation for patient care. - Features detailed post-operative rehabilitation programs and protocols so that you can apply proven techniques and ease your patients' progression from one phase to the next. - Presents step-by-step descriptions on soft tissue knee repair and reconstruction for anterior cruciate ligament reconstruction, meniscus repair, soft tissue transplants, osseous malalignments, articular cartilage restoration, posterior cruciate ligament reconstruction, and more to provide you with guidance for the management of any patient. - Contains today's most comprehensive and advanced coverage of ACL,PCL, posterolateral, unicompartmental knee replacement, return to sports after injury, along with 1500 new study references supporting treatment recommendations. - Features all-new content on unicompartmental and patellofemoral knee replacement, updated operative procedures for posterior cruciate ligament and posterolateral ligament deficiency, updated postoperative rehabilitation protocols, and new information on cartilage restoration procedures and meniscus transplantation. - Includes some of the most comprehensive and advanced discussions on arthrofibrosis, complex regional pain syndrome, tibial and femoral osteotomies, and posterolateral reconstructions available in modern published literature. - Covers gender disparities in ligament injuries for more effective analysis and management. - Includes access to 46 outstanding videos encompassing nearly 11 hours of surgery, live patient rounds, and live presentations. - Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, and references from the book on a variety of devices. |
acl exercises after surgery: The Posterior Cruciate Ligament Michael Strobel, Andreas Weiler, 2010 |
acl exercises after surgery: Rehabilitation in Orthopedic Surgery Andreas B. Imhoff, Knut Beitzel, Knut Stamer, Elke Klein, Augustus D Mazzocca, 2016-05-24 Orthopedic rehabilitation –See, Understand, Apply This practical guide tells you everything you need to know about interdisciplinary aftercare and rehabilitation following orthopedic operations in the area of the extremities and the spine: concise information about surgical procedures, medical aftercare guidelines and physiotherapeutic treatment concepts for all stages of rehabilitation, based on the many years of interdisciplinary experience of physiotherapists and specialists in sports orthopedics. |
acl exercises after surgery: Skiing Trauma and Safety C. Daniel Mote, Robert J. Johnson, Peter S. Schaff, 1996 |
acl exercises after surgery: Proprioception in Orthopaedics, Sports Medicine and Rehabilitation Defne Kaya, Baran Yosmaoglu, Mahmut Nedim Doral, 2018-04-03 This book is a comprehensive guide to proprioceptive rehabilitation after orthopaedic and sports surgery. In addition, it equips readers with a thorough understanding of the neurophysiology and assessment of proprioception and clearly explains the relationships between surgical procedures, injuries, and anatomy and proprioception. Proprioception is still an unclear topic for most clinicians and scientists, and this is the first book specifically on proprioception in the context of orthopaedics and sports injuries, surgery, and rehabilitation. After an opening section describing key basic knowledge, individual chapters discuss proprioception after injuries and surgery to different parts of the body and explain the role of proprioceptive training in optimal rehabilitation. Among other topics addressed are proprioception after soft tissue regenerative treatment and the relation between osteoarthritis and proprioception. The book includes numerous descriptions of exercises, photographs, and tables documenting rehabilitation strategies. It will be of value for all students, clinicians, and academicians with an interest in the subject. |
acl exercises after surgery: The ACL Guidebook Shai Simonson, 2019-11-10 Tearing your ACL is a devastating injury requiring surgical replacement and a 1-2 year rehab. Everything you need to know to manage a torn ACL can be found in this book. Written by a patient in consultation with his surgeon, this is the perfect guidebook for someone looking for a patient's perspective. Learn the anatomy of the knee, study surgical options, enjoy celebrity athlete stories, and prepare your rehab. Compare your story to others, and know what to expect in the short and long term. |
acl exercises after surgery: Basketball Sports Medicine and Science Lior Laver, Baris Kocaoglu, Brian Cole, Amelia J. H. Arundale, Jeffrey Bytomski, Annunziato Amendola, 2020-10-05 This book is designed as a comprehensive educational resource not only for basketball medical caregivers and scientists but for all basketball personnel. Written by a multidisciplinary team of leading experts in their fields, it provides information and guidance on injury prevention, injury management, and rehabilitation for physicians, physical therapists, athletic trainers, rehabilitation specialists, conditioning trainers, and coaches. All commonly encountered injuries and a variety of situations and scenarios specific to basketball are covered with the aid of more than 200 color photos and illustrations. Basketball Sports Medicine and Science is published in collaboration with ESSKA and will represent a superb, comprehensive educational resource. It is further hoped that the book will serve as a link between the different disciplines and modalities involved in basketball care, creating a common language and improving communication within the team staff and environment. |
acl exercises after surgery: The Unhappy Total Knee Replacement Michael T. Hirschmann, Roland Becker, 2015-09-15 This book addresses the need for improved diagnostic and treatment guidelines for patients in whom total knee arthroplasty (TKA) has had an unsatisfactory outcome. It opens by discussing the basics of TKA and the various causes of failure and pain. Diagnostic aspects are considered in detail, with attention to advances in clinical investigation, laboratory analysis and in particular, imaging techniques. In addition, helpful state of the art diagnostic algorithms are presented. Specific pathology-related treatment options, including conservative approaches and salvage and revision TKA strategies, are then explained, with identification of pitfalls and key points. A series of illustrative cases cover clinical scenarios frequently encountered in daily clinical practice. The evidence-based, clinically focused guidance provided in this book, written by internationally renowned experts, will assist surgeons in achieving the most effective management of these challenging cases. |
acl exercises after surgery: Total Knee Arthroplasty James Alan Rand, 1993 This comprehensive reference on total knee arthroplasty describes all surgical techniques and prosthetic designs for primary and revision arthroplasty, discusses every aspect of patient selection, preoperative planning, and intraoperative and postoperative care. |
acl exercises after surgery: CURRENT Medical Diagnosis and Treatment 2019 Maxine A. Papadakis, Stephen J. McPhee, Michael W. Rabow, 2018-09-10 Know what the experts know and incorporate it into your daily practice with the #1 annual guide to internal medicine INCLUDES 7 ONLINE-ONLY CHAPTERS AT NO ADDITIONAL COST! Visit: www.AccessMedicine.com/CMDT A Doody’s Core Title for 2019! Written by clinicians renowned in their respective fields, CMDT offers the most current insight into epidemiology, symptoms, signs, and treatment for more than 1,000 diseases and disorders. For each topic, you’ll find concise, evidence-based answers to questions about hospital and ambulatory medicine. This streamlined clinical companion is the fastest and easiest way to keep abreast of the latest diagnostic advances, prevention strategies, and cost-effective treatments. Features and content critical to clinical practice: •Strong emphasis on the practical aspects of clinical diagnosis and patient management in all fields of internal medicine •Full review of all internal medicine and primary care topics, including gynecology and obstetrics, dermatology, neurology, ophthalmology, geriatrics, and palliative care •Update of newly emerging infections and their treatments •Specific disease prevention information •Hundreds of medication tables, with indexed trade names and updated prices – plus helpful diagnostic and treatment algorithms •Recent references with PMID numbers •Full-color photographs and illustrations (many new to this edition) HERE ARE SOME OF THE MANY UPDATES AND ADDITIONS: •Revised section on pain management at the end of life •Updated ACC/AHA guidelines for treatment of valvular disease •New ACC/AHA and Hypertension Canada blood pressure guidelines •New FDA approved medications for treatment of breast cancer •New colon cancer screening recommendations from the U.S. Multi-Society Task Force •Acclaimed annual update of HIV/AIDS •New classification of epilepsy •Revised recommendations for treating hepatitis C virus-associated kidney disease •Revised chapter on psychiatric disordersNew FDA approved medication for gastric adenocarcinoma •Updated information about treating spinal muscular atrophy |
acl exercises after surgery: Knee Surgery Daniel Fulham O'Neill, 2008-12-09 In this age of same-day surgery and do-it-yourself health, Knee Surgery presents an easy-to-do, well-illustrated program of movement for knee rehabilitation - with a special focus on the mind/body connection - and describes the physical and mental rehabilitation process in complete detail, providing all the guidance you need to decrease pain and increase fitness after knee surgery. Millions of people have knee surgery each year, and in the years to come millions more will head to the O.R. Chances are, you or someone you know has had or will undergo knee surgery. Busy doctors, therapists, and athletic trainers have limited time to spend on quality physical and mental rehabilitation education, yet this is the key to full recovery. Written by renowned knee surgeon and Sport Psychologist Daniel F. O'Neill, M.D., Ed.D., this comprehensive and accessible guide presents what you'll want and need the most after knee surgery: a scientifically-based recovery program you can understand that will get you back to work and sports as quickly as possible. |
acl exercises after surgery: Knee Ligament Rehabilitation Todd S. Ellenbecker, 2000 This resource presents the scientific basis for the clinical application of nonoperative and postoperative rehabilitation of knee ligament injuries. It presents comprehensive coverage of the anatomy and biomechanics of the human knee and in-depth discussion of clinical evaluation, operative and nonoperative rehabilitation methods, and recommendations for specific treatment strategies. |
acl exercises after surgery: Functional Testing in Human Performance Michael P. Reiman, Robert C. Manske, 2009 Functional Testing in Human Performance offers clinicians the first-ever compilation of information on clinical and data-based functional testing for sport, exercise, and occupational settings. This unique text serves as a primary resource for accurate assessment of individuals' functional abilities in order to develop program prescriptions to enhance their performance. Functional Testing in Human Performance is a comprehensive learning tool for novices and an essential reference for advanced clinicians. The text defines the role of function in physical performance and how it can be appropriately tested. Especially helpful for novices, the text explains testing criteria, testing terms relevant to research, and selecting the most appropriate test and testing sequence. Common testing mistakes are also presented as well as pitfalls to avoid when testing. The text also includes case studies that illustrate a variety of situations--including testing for a client recovering from a lower-extremity injury, discussing preseason testing for a large group of athletes, and presenting the study of a client in an occupational setting. These cases include detailed statistical analysis and normative data, offering clinicians the opportunity to consider the application of functional testing and implementation strategies adaptable to their specific practice setting. After laying a foundation, the text progresses to detailed testing procedures for discrete physical parameters and specific regions of the body. Tests are organized from least to most complex, and each test is presented in a step-by-step manner outlining the purpose of the test, equipment needed, testing procedure and recommendations for performing the test, interpretation of results, and the data to suggest normative values, reliability, and validity for each test. This formatting facilitates quick reference to testing information for on-the-spot use, whether in the clinic, athletic training room, gym, or job site. Throughout the text, the functional tests are accompanied by photos for visual clarity. To enhance understanding, a companion DVD features live-action demonstrations of 40 of the most advanced tests. Icons on those test pages indicate they are modeled on the DVD. In addition, the DVD may be loaded onto a computer to offer convenient print-on-demand access to reproducible forms for recording data from selected tests. Functional Testing in Human Performance offers a unique and comprehensive reference for assessment of physical activities in sport, recreation, work, and daily living. By presenting the theory and detailing the practice, this text assists clinicians in understanding and incorporating functional testing to identify their patients' or clients' limitations and enhance their performance, rehabilitation, and daily functioning. |
acl exercises after surgery: Knee Arthroscopy Brian P. McKeon, James V. Bono, John C. Richmond, 2009-04-11 This book serves as a technique-oriented how-to guide to knee arthroscopy. Renowned authorities present advances in meniscal transplantation, articular cartilage repair, anterior cruciate ligament treatment and other procedures. Chapters are comprehensive, and readers are led step-by-step through techniques. Anatomy, indications, and complications for each approach are highlighted, and clinical pearls are featured throughout. Case studies facilitate the integration of concepts into practice. Orthopedic surgeons, orthopedic residents, and sports medicine physicians will find this thorough text invaluable. |
acl exercises after surgery: The Diagnosis and Management of Soft Tissue Knee Injuries New Zealand Guidelines Group, Accident Compensation Corporation (N.Z.), 2003-01-01 The purpose of the guideline is to provide an evidence-based summary of the diagnostic management and treatment options available for internal derangements of the knee to assist health practitioners and consumers make informed decisions to improve health outcomes. |
如何评价 ACL 2025 / February ARR cycle 结果? - 知乎
如何评价 ACL 2025 / February ARR cycle 结果? 出结果在即,作为ARR有史以来投稿量最多的一次,欢迎大家聊聊自己的看法~ 显示全部 关注者
NLP领域国际顶会(ACL/EMNLP/NAACLl等)的难度如何?
例如acl、emnlp会在各大洲轮流举办,而每当acl在北美举办时,当年naacl就停办一次。 此外,还有EACL(欧洲分会),之前是每三年举办一次,过去存在感不太强,据说从2019年开始将改 …
如何评价 ACL ARR 2024 December 结果? - 知乎
知乎,中文互联网高质量的问答社区和创作者聚集的原创内容平台,于 2011 年 1 月正式上线,以「让人们更好的分享知识、经验和见解,找到自己的解答」为品牌使命。知乎凭借认真、专业 …
自然语言处理顶会 ACL 的short paper的含金量如何?与long paper …
但是在0202年,用上述定义并不成为最本质的区别,因为上述定义出现时论文的页数限制是绝对的,但是近5年来,acl下面的这些会议都允许提交附录,这一制度几乎弥补了长短文在理论上的 …
如何评价ACL 2024审稿意见? - 知乎
其实有点心理不平衡。虽然我知道ACL没要求reviewers必须看appendix,但是能不能在confidence那里写下没看appendix不许打4/5啊。 也不指望能中了。既然如此我想尝试下不同 …
如何评价ACL滚动审稿机制? - 知乎
ACL从2021年起开始使用全新的Rolling Review机制(和Softconf平行使用)。ARR的官网: Rolling review将论文投稿分成了两个阶段: 把论文提交到ARR系统 -- make submission。一个 …
NLP顶会论文怎么检索呢? - 知乎
acl学会在nlp界的地位想必nlper都应该知道。 ACL anthology收录了大量ACL旗下和非旗下的会议论文信息,包括paper PDF、video、slides等,如果是找单篇NLP会议发表的论文来这个网站 …
如何评价ACL 2021的评审结果? - 知乎
Personalized Transformer for Explainable Recommendation. ACL'21. 这篇paper对于我个人而言具有里程碑意义。PhD第四年都快到头了,终于有一篇顶会!我的研究方向是推荐系统,更具体 …
KDD 和其他方向的顶级会议相比(如 …
各花入各眼,之前开acl我还遇到过一个nips icml发到手软的博士生爆吹cvpr才是ai领域唯一真顶会,icml nips iclr acl kdd都是垃圾,不配给cvpr提鞋。 我回去看了一下他pub,好像他就是没发 …
如何看待ACL发布的Rolling Review机制? - 知乎
前几天跟同学聊天,有个感受获得大家共识:在acl截止接收的那次arr之前的几个月arr投稿的审稿意见普遍更加公正,质量更高。 所以建议对自己比较满意的工作,可以尽量避开几大会议截 …
如何评价 ACL 2025 / February ARR cycle 结果? - 知乎
如何评价 ACL 2025 / February ARR cycle 结果? 出结果在即,作为ARR有史以来投稿量最多的一次,欢迎大家聊聊自己的看法~ 显示全部 关注者
NLP领域国际顶会(ACL/EMNLP/NAACLl等)的难度如何?
例如acl、emnlp会在各大洲轮流举办,而每当acl在北美举办时,当年naacl就停办一次。 此外,还有EACL(欧洲分会),之前是每三年举办一次,过去存在感不太强,据说从2019年开始将改 …
如何评价 ACL ARR 2024 December 结果? - 知乎
知乎,中文互联网高质量的问答社区和创作者聚集的原创内容平台,于 2011 年 1 月正式上线,以「让人们更好的分享知识、经验和见解,找到自己的解答」为品牌使命。知乎凭借认真、专业 …
自然语言处理顶会 ACL 的short paper的含金量如何?与long paper …
但是在0202年,用上述定义并不成为最本质的区别,因为上述定义出现时论文的页数限制是绝对的,但是近5年来,acl下面的这些会议都允许提交附录,这一制度几乎弥补了长短文在理论上的 …
如何评价ACL 2024审稿意见? - 知乎
其实有点心理不平衡。虽然我知道ACL没要求reviewers必须看appendix,但是能不能在confidence那里写下没看appendix不许打4/5啊。 也不指望能中了。既然如此我想尝试下不同 …
如何评价ACL滚动审稿机制? - 知乎
ACL从2021年起开始使用全新的Rolling Review机制(和Softconf平行使用)。ARR的官网: Rolling review将论文投稿分成了两个阶段: 把论文提交到ARR系统 -- make submission。一个 …
NLP顶会论文怎么检索呢? - 知乎
acl学会在nlp界的地位想必nlper都应该知道。 ACL anthology收录了大量ACL旗下和非旗下的会议论文信息,包括paper PDF、video、slides等,如果是找单篇NLP会议发表的论文来这个网站 …
如何评价ACL 2021的评审结果? - 知乎
Personalized Transformer for Explainable Recommendation. ACL'21. 这篇paper对于我个人而言具有里程碑意义。PhD第四年都快到头了,终于有一篇顶会!我的研究方向是推荐系统,更具体 …
KDD 和其他方向的顶级会议相比(如 …
各花入各眼,之前开acl我还遇到过一个nips icml发到手软的博士生爆吹cvpr才是ai领域唯一真顶会,icml nips iclr acl kdd都是垃圾,不配给cvpr提鞋。 我回去看了一下他pub,好像他就是没发 …
如何看待ACL发布的Rolling Review机制? - 知乎
前几天跟同学聊天,有个感受获得大家共识:在acl截止接收的那次arr之前的几个月arr投稿的审稿意见普遍更加公正,质量更高。 所以建议对自己比较满意的工作,可以尽量避开几大会议截 …