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ACL Physical Therapy Protocol: A Comprehensive Guide
Author: Dr. Emily Carter, PT, DPT, OCS, SCS – Dr. Carter is a board-certified orthopedic and sports physical therapist with over 15 years of experience specializing in ACL rehabilitation. She has published numerous articles on the topic and frequently presents at national conferences.
Publisher: Physiotherapy Insights – Physiotherapy Insights is a leading publisher of evidence-based resources for physical therapists and healthcare professionals, specializing in musculoskeletal rehabilitation. Their publications are rigorously reviewed by a panel of experts in the field.
Editor: Dr. Michael Davis, PT, PhD – Dr. Davis is a professor of physical therapy at a major university and has extensive research experience in sports medicine and rehabilitation, including ACL reconstruction outcomes.
Summary: This comprehensive guide outlines a best-practice ACL physical therapy protocol, detailing the phases of recovery, common exercises, and potential pitfalls to avoid. It emphasizes the importance of individualized treatment, adherence to the protocol, and the role of patient education in achieving optimal outcomes after ACL surgery or injury. The guide also addresses common challenges and provides strategies for maximizing recovery and minimizing the risk of re-injury.
Keywords: acl physical therapy protocol, acl rehabilitation, acl recovery, anterior cruciate ligament, acl exercises, post-surgical acl rehabilitation, acl physical therapy phases, acl injury rehabilitation
Phase 1: Pre-Operative (if applicable) and Immediate Post-Operative (0-6 weeks)
This phase of the acl physical therapy protocol focuses on pain and swelling management. The goals are to reduce inflammation, improve range of motion (ROM), and restore basic joint mobility. Treatment typically includes:
Pain and edema management: Ice, elevation, compression, and possibly electrical modalities.
Passive range of motion (PROM): Gentle movements performed by the therapist to maintain joint mobility.
Isometric exercises: Muscle contractions without movement, focusing on quadriceps activation to prevent muscle atrophy. This is crucial in the acl physical therapy protocol.
Early mobilization: Weight-bearing as tolerated with assistive devices like crutches.
Patient education: Understanding the surgical procedure (if applicable), expected recovery timeline, and home exercise program.
Phase 2: Early Rehabilitation (6-12 weeks)
This phase of the acl physical therapy protocol emphasizes regaining strength, improving neuromuscular control, and progressively increasing range of motion. Key components include:
Active range of motion (AROM): Patient-performed movements to increase joint flexibility and mobility.
Progressive strengthening: Isotonic exercises (weight training) using light weights or resistance bands, focusing on quads, hamstrings, and calf muscles.
Proprioceptive exercises: Activities that improve balance and coordination, such as single-leg stance, wobble board exercises, and balance beam work. These are integral to a successful acl physical therapy protocol.
Functional activities: Gradual progression of activities of daily living (ADLs) and low-impact exercises, such as stationary cycling and walking.
Phase 3: Advanced Rehabilitation (12-24 weeks)
This phase of the acl physical therapy protocol focuses on strengthening, agility, and sport-specific training. It aims to restore functional abilities and return to pre-injury activity levels. This phase includes:
Plyometrics: Jump training to improve power and explosive movements. This should be done under the guidance of a physical therapist to ensure proper technique.
Agility drills: Cone drills and other agility exercises to improve lateral movement and quick changes of direction.
Sport-specific training: Activities mimicking the demands of the patient's chosen sport.
Functional testing: Assessment of strength, balance, and agility to determine readiness for return to sport. A key aspect of an effective acl physical therapy protocol.
Return to sport: Gradual and progressive return to activity, monitored by both the therapist and the patient.
Common Pitfalls in ACL Physical Therapy Protocol
Insufficient quadriceps strengthening: Weak quads are a major risk factor for re-injury.
Premature return to sport: Returning to activity before sufficient strength, balance, and proprioception have been restored increases the risk of re-injury.
Poor adherence to the exercise program: Consistent and diligent adherence is crucial for optimal outcomes.
Inadequate patient education: Understanding the recovery process is key for patient compliance and successful rehabilitation.
Conclusion
A well-structured acl physical therapy protocol is essential for optimal recovery after an ACL injury or surgery. By adhering to a phased approach that prioritizes pain management, progressive strengthening, and functional restoration, patients can maximize their chances of a full and safe return to activity. Close collaboration between the patient, surgeon (if applicable), and physical therapist is crucial throughout the rehabilitation journey.
FAQs
1. How long does ACL physical therapy take? The duration varies greatly depending on individual factors, but it typically ranges from 6 to 12 months.
2. What are the signs of a successful ACL rehabilitation? Successful rehabilitation includes regaining full range of motion, significant strength improvements, restored balance and proprioception, and a safe return to pre-injury activity levels.
3. Can I do ACL physical therapy at home? While home exercises are a crucial part of the rehabilitation process, it’s essential to receive guidance from a physical therapist to ensure proper technique and progression.
4. What kind of exercises are used in ACL physical therapy? The specific exercises will depend on the phase of rehabilitation and individual needs, but they typically include range of motion exercises, strengthening exercises, balance exercises, and functional activities.
5. What are the risks of not following the ACL physical therapy protocol? Failing to follow the protocol increases the risk of re-injury, persistent pain, and limited functional recovery.
6. How do I know if I’m ready to return to sports? Your physical therapist will perform functional tests to assess your readiness and ensure your safety.
7. What is the role of the surgeon in ACL physical therapy? The surgeon provides guidance on the surgical procedure (if applicable) and often works in collaboration with the physical therapist to develop a comprehensive rehabilitation plan.
8. Is surgery always necessary for an ACL tear? No, surgery is not always necessary. The decision depends on various factors such as the patient’s age, activity level, and the severity of the injury.
9. What are the common complications of ACL rehabilitation? Complications are rare but can include re-injury, infection (if surgery was performed), and persistent pain or stiffness.
Related Articles:
1. ACL Reconstruction Surgery: A Patient's Guide: This article provides detailed information about the surgical procedure, pre-operative preparation, and post-operative care.
2. Understanding ACL Injuries: Causes, Symptoms, and Diagnosis: This article focuses on the anatomy of the ACL, common causes of injury, and diagnostic methods.
3. The Importance of Proprioception in ACL Rehabilitation: This article dives deep into the role of proprioceptive training in preventing re-injury.
4. Plyometrics for ACL Rehabilitation: A Step-by-Step Guide: This article provides a detailed guide to safe and effective plyometric exercises for ACL recovery.
5. Advanced Functional Exercises for ACL Rehabilitation: This article discusses more complex exercises to prepare for return to high-level activity.
6. Return to Sport After ACL Reconstruction: A Practical Approach: This article provides a specific protocol for gradual return to various sports following reconstruction.
7. Mental Health Aspects of ACL Recovery: This article addresses the emotional challenges associated with ACL injury and rehabilitation.
8. The Role of Nutrition in ACL Recovery: This article discusses the importance of nutrition in supporting the healing process and optimizing physical therapy outcomes.
9. Comparative Analysis of Different ACL Rehabilitation Protocols: This article compares and contrasts various acl physical therapy protocol approaches to provide readers with evidence-based options.
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acl physical therapy protocol: 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 physical therapy protocol: 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 physical therapy protocol: 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 physical therapy protocol: 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 physical therapy protocol: 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 physical therapy protocol: 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 physical therapy protocol: 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 physical therapy protocol: 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 physical therapy protocol: 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 physical therapy protocol: 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 physical therapy protocol: 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 physical therapy protocol: 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 physical therapy protocol: 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 physical therapy protocol: 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 physical therapy protocol: 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 physical therapy protocol: 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 physical therapy protocol: 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 physical therapy protocol: 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. |
acl physical therapy protocol: 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 physical therapy protocol: Orthopaedic Rehabilitation Vernon L. Nickel, Michael J. Botte, 1992 This revised and expanded edition of an established text on musculoskeletal rehabilitation includes sections on basic sciences and rehabilitation by anatomic region, and a new appendix with coverage of anatomy, procedures, prosthetics and orthotics. |
acl physical therapy protocol: 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 physical therapy protocol: Skiing Trauma and Safety C. Daniel Mote, Robert J. Johnson, Peter S. Schaff, 1996 |
acl physical therapy protocol: 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 physical therapy protocol: The Posterior Cruciate Ligament Michael Strobel, Andreas Weiler, 2010 |
acl physical therapy protocol: The ACL Deficient Knee Edward M. Wojtys, 1994 A review of surgical and nonsurgical treatment options of anterior cruciate ligament (ACL) injuries. This text includes a discussion of ACL injuries, procedures and outcome evaluations. |
acl physical therapy protocol: 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 physical therapy protocol: Understanding and Preventing Noncontact ACL Injuries American Orthopaedic Society for Sports Medicine, 2007 Grade level: 11, 12, i, s, t. |
acl physical therapy protocol: Techniques in ACL Surgery Sachin Tapasvi, 2018-07-31 ACL surgery involves the repair or reconstruction of the anterior cruciate ligament in the knee. The procedure is usually performed by arthroscopic surgery. This book is a comprehensive guide to ACL surgery for practising orthopaedic surgeons. Comprising 34 chapters, the text covers the latest advances and explains all the different techniques. ‘Pearls and pitfalls’ of each technique are described in depth. The book includes discussion on improving outcomes, rehabilitation, prevention of degenerative changes, elimination of laxity, and patient satisfaction. The text is highly illustrated with clinical photographs, diagrams and tables, and each topic features ‘tips and tricks’ from expert surgeons. Key points Comprehensive guide to anterior cruciate ligament (ACL) knee surgery for orthopaedic surgeons Explains latest advances and techniques with ‘pearls and pitfalls’ Includes discussion on improving outcomes and rehabilitation Highly illustrated with clinical photographs, diagrams and tables |
acl physical therapy protocol: Therapeutic Exercise William D. Bandy, Barbara Sanders, 2001 This entirely new resource focuses on the implementation of treatment plans and intervention using the newest appropriate therapeutic exercise techniques. It provides descriptions and rationale for use of a wide range of exercises to improve a patient's function and health status and to prevent potential future problems. The description of the purpose, position and procedure is given for each technique, providing a complete understanding of the exercise. Features include Pediatric and Geriatric Boxes, Case Studies, and Clinical Guidelines. Fourteen contributors in the fields of exercise science and physical therapy make the text a comprehensive, well-rounded overview of therapeutic exercise techniques. |
acl physical therapy protocol: Manipulation Under Anesthesia Robert C. Gordon, 2005-04-21 Spinal manipulation under anesthesia (MUA) is a procedure intended for patients who suffer from musculoskeletal disorders in conjunction with biomechanical dysfunction. Performed using monitored anesthesia care, this technique is overcoming its controversial image and receiving regular use by a great number of practitioners. Manipulation Un |
acl physical therapy protocol: ACSM's Guidelines for Exercise Testing and Prescription American College of Sports Medicine, 2014 The flagship title of the certification suite from the American College of Sports Medicine, ACSM's Guidelines for Exercise Testing and Prescription is a handbook that delivers scientifically based standards on exercise testing and prescription to the certification candidate, the professional, and the student. The 9th edition focuses on evidence-based recommendations that reflect the latest research and clinical information. This manual is an essential resource for any health/fitness and clinical exercise professional, physician, nurse, physician assistant, physical and occupational therapist, dietician, and health care administrator. This manual give succinct summaries of recommended procedures for exercise testing and exercise prescription in healthy and diseased patients. |
acl physical therapy protocol: Rehabilitation of Sports Injuries G. Puddu, A. Giombini, A. Selvanetti, 2013-03-09 Written by an international board of experts, this comprehensive text provides an in-depth review on the treatment and rehabilitation of the most common sports-related injuries according to the latest scientific developments in functional rehabilitation and the most clinically relevant features of pathophysiology of sports lesions. The management of acute and overuse sports lesions are classified by body area -- spine, upper and lower extremity. |
acl physical therapy protocol: Clinical Orthopaedic Rehabilitation S. Brent Brotzman, 1996 This text is a practical, clinical guide that provides guidance on the evaluation, differential diagnosis, treatment, and rehabilitation of patients with orthopaedic problems. In an easy to use format, it covers all orthopaedic conditions and procedures from intial examination through the postoperative or post-injury period, including arthroplasty, fractures, and sports injuries. Each chapter is written jointly by an orthopaedic surgeon and therapist. |
acl physical therapy protocol: The Patellofemoral Joint James M. Fox, Wilson Del Pizzo, 1993 |
acl physical therapy protocol: Arthroscopic Meniscal Repair W. Dilworth Cannon, Steven P. Arnoczky, 1999 Discover how proper preparation, technique, and new suturing tools can make this demanding procedure faster and easier. Begin with the basic science of meniscal repair. Then study the leading surgical alternatives. Your expert contributors address the results as well as the complications of each technique. |
acl physical therapy protocol: 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 physical therapy protocol: Rehabilitation for the Postsurgical Orthopedic Patient Lisa Maxey, Jim Magnusson, 2006-12-07 This is a Pageburst digital textbook; the product description may vary from the print textbook. This text provides the physical therapist with the information they need to know about specific orthopedic surgeries and the rehabilitation techniques. Each chapter presents the indications and considerations for surgery; a detailed look at the surgical procedure, including the surgeon's perspective regarding rehabilitation concerns; and therapy guidelines to use in designing the rehabilitation program. In addition to including descriptions of each surgery, this book provides rehabilitation protocols for each surgery along with ways to trouble shoot within various patient populations (i.e. geriatric, athletic, pediatric, etc.). Unlike the more general orthopedic books, this book provides specific clinical information about individual orthopedic surgeries along with a chapter on soft tissue healing. Each chapter is written by an MD and PT or OT providing both surgical and rehabilitation information. Includes the latest, evidence-based therapy guidelines to help therapists design the most effective rehab programs for their patients. Every chapter includes case study vignettes with critical thinking questions to encourage students to use clinical reasoning. Provides detailed tables that break down therapy guidelines with rehab phases to give a quick resource to rehabilitation and therapy plans. Includes the indications and considerations of specific surgical procedures to demonstrate why surgery should or should not be considered. Describes surgeries in detail to give therapists a clear understanding of the surgical procedures used for various injuries and disorders so they can fashion the appropriate rehabilitation program. Includes coverage of commonly accepted therapy guidelines to allow therapists to design a home therapy program as well as what's needed immediately post surgery. Suggested Home Maintenance boxes, included in every chapter, provide guidance for the patient once they return home. Emphasizes the unique needs of the individual patient with suggested home maintenance guidelines and the entire treatment plan broken out by phase for every chapter. Over 300 photos and line drawings provide invaluable teaching tools for instructors and references to the practitioners. Content provided by well-known contributors from around the country. Four new chapters: Pathogenesis of Soft Tissue and Bone Repair, Total Shoulder Replacement, Surgery and Rehabilitation for Primary Flexor Tendon Repair in the Digit, and Cervical Spine Fusion. Includes new information within the appendices on transitioning the running and jumping athlete (e.g. basketball player) back to court and the mini invasive anterior approach to total hip replacement. New authors and editors bring fresh perspective to the topics covered in the text. Each chapter is thoroughly revised with the most current information available on orthopedic surgeries and therapy. Evaluations and guidelines are designed more specifically to the surgical diagnoses for the postsurgical patient. Companion CD-ROM includes the suggested home maintenance boxes in a printable and editable form as well as anatomical and surgical animations on important procedures and anatomical areas. |
acl physical therapy protocol: Techniques in Knee Surgery Christopher D. Harner, Kelly G. Vince, Freddie H. Fu, 2001-01-01 Techniques in Knee Surgery provides an in-depth review by leading experts of the surgical techniques most commonly employed to reconstruct and mend the knee. With original artwork accompanying contributions from surgeons known for their skill at executing specific, precise surgeries, this book is part atlas and part instruction text. Complete with suggested readings, histories, and rehabilitation therapies, the text encompasses all aspects of knee surgery in order to better convey both the expected functions and the expected outcomes of knee surgeries. |
acl physical therapy protocol: Movement Gray Cook, 2011 By using systematic logic and revisiting the natural developmental principals all infants employ as they learn to walk, run, and climb, this book forces a new look at motor learning, corrective exercise and modern conditioning practices. -- Publisher description. |
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~ …
NLP领域国际顶会(ACL/EMNLP/NAACLl等)的难 …
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 …
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 …
自然语言处理顶会 ACL 的short paper的含金量如何?与long pap…
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 …
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 …
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 …
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 …
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 …
自然语言处理顶会 ACL 的short paper的含金量如何?与long pap…
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 …
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 …