Acl Reconstruction Treatment near me
we are going to discuss Acl Reconstruction Treatment near me
Introduction
Rehabilitation following ACL reconstruction is an essential part of a full recovery. This protocol is intended to provide the user with instruction, direction, rehabilitation,guideline&functional goals.
Rehab protocols are designed for both the pre & post-ACL reconstruction.
There may be slight variation in this protocol if there are limitations imposed from additional associated injuries such as a meniscal tear, articular cartilage trauma, bone bruising, or other ligament injuries.
The rehabilitation protocol span 6 month period & divided into 7 timelines. Each timeline has goal &exercise suggestions for several domains.i.e. Range of motion , flexibility,strength&endurance, proprioception gait& cardiovascular fitness.
All the goals are divided into stages acc to week and patient recovery rate.
The GOALS-
The goal of ACL reconstructions is to improve the patient level of function with the hope of allowing them to return to an active lifestyle with a minimal disability while protecting them from further injury to the knee.
PRE-OPERATIVE PHASE-
GOALS-
- Diminish inflammation, swelling& pain
- Restore normal ROM
- Restore voluntary muscle activation
- Patients’ education to prepare for surgery
EXERCISE:
- Ankle pump
- Passive knee extension to zero
- Passive knee flexion to tolerate
- SLR(flexion+abduction+adduction)
- Quadriceps sitting
- Closed kinetic chain ex-mini squats, lunges, situps
- Cryotherapy, elevation apply to ice 20 min every hour and elevate the leg with the knee in full extension.
POST-OPERATIVE REHAB-
- Immediate postoperative Phase (1-7 days)
- – Goals
- Restore full passive knee extension
- Diminish joint swelling and pain.
- Restore patellar mobility.
- .Gradually improve knee flexion.
- Re-establish quadriceps control
- Restore independent
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Rehabilitation Phase (2-4 weeks)
- – Criteria to progress to phase 2
- Quad control (ability to perform a good quad set and
- straight leg raises
- Full passive knee extension
- Passive ROM 0* -90
- Good patellar mobility
- Minimal joint inflammation
- Independent ambulation
Controlled ambulation Phase (weeks 4-10)
- – Criteria to enter phase 3
- Active ROM 0° to 115.
- Quadriceps strength 60%>contralateral side
- (isometric test at 60° knee flexion)
- Minimal to no joint inflammation
- No joint line or patellofemoral pain Rehabilitation
Advanced Activity Phase (10-16 weeks)
- Criteria to enter Phase4
- Active ROM 0-125
- Quad strength 80% of the contralateral side
- Knee flexor extensor ratio 70%-75%
- No pain or effusion
- Satisfactory clinical exam
- Satisfactory isokinetic test
- (values at 60″/sec, 180/sec
- and 300°/sec)
- Hop Test (80% of contralateral
- leg) (4 tests)
- Subjective knee scoring 80 points. ACL Rehabilitation
Return to activity phase (2)
- Goals
- Gradual return to full unrestricted sports
- Achieve maximal strength and endurance
- Normalize neuromuscular control
- Progress skill training.
Return to the activity phase
- Criteria to enter phase 5
- Full ROM
- Isokinetic test that fulfills criteria
- Quad bill comparison (80% or greater)
- Hams Bill comparison (110% or greater)
- Proprioceptive test (100% of the contralateral leg)
- Hamstring quadriceps ratio (70% or greater)
- Functional test(85%or greater of contralateral side)
- Satisfactory clinical exam
- Subjective knee scoring 90 points or better
Single-limb Balance
- On a soft surface.
Eyes open-closed.
- First on the uninjured and then on the
injured side.
- Arms crossed, contralateral leg flexed.
The subjects were required to stand in the 60s.
- Two repetitions were made.
Mean the number of touchdowns and mean.
- time to the first touchdown was recorded.
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Our centers are given below.
Jyoti Nursing Home-Vikaspuri
Mata Roop Rani Maggo Hospital-Uttam Nagar
Medi Max Health Care Vikas Nagar Delhi
Samar Hospital Dwarka
INDUS VALLEY HOSPITAL- Najafgarh
Amarleela Hospital-Janakpuri
Raman Orthocare,Goyla Dairy,Qutub Vihar, Delhi
Call us on +91-9891878108