Early weight bearing and early rehabilitation intervention vary for allograft and hamstring autograft. The influences and mechanisms of the physiology, rupture and reconstruction of the anterior cruciate ligament acl on kinematics and clinical outcomes have been investigated in many biomechanical. Rehabilitation following anterior cruciate ligament reconstruction aclr is an essential part of a full recovery. September 2011 pre operative rehabilitation program for anterior cruciate ligament reconstruction this protocol is designed to assist you with your preparation for surgery and. Rehabilitation protocol for acl reconstruction massachusetts. Recovery after acl reconstruction requires a thorough rehabilitation programme to ensure both optimal function of the knee and prevention of further injury. Acl hamstring tendon autograft reconstruction protocol the intent of this protocol is to provide the clinician with a guideline for the postoperative rehabilitation course of a patient that has undergone an acl hamstring tendon autograft reconstruction.
If you have suffered an acute acl injury and surgery is planned, the time between injury and surgery. Physiotherapy following acl reconstruction protocol rehabilitation following anterior cruciate ligament reconstruction aclr is an essential part of a full recovery. Brace will be worn for 10 weeks to protect graft, 0 to 90 degrees. Specific intervention should be based on the needs of the individual and should consider exam findings and clinical decision making. Acl reconstruction rehabilitation protocol sports medicine north. Acl hamstring tendon autograft reconstruction protocol. This means that the ligament ends cannot simply be sewn back together. This protocol is intended to provide the user with instruction, direction, rehabilitative guidelines and functional goals. Anterior cruciate ligament acl injuries affect men and women. The intent of this protocol is to provide the clinician with a guideline for the post operative rehabilitation course of a patient that has undergone an acl hamstring. It contains detailed exercises appropriate for the different phases of rehabilitation. Pdf update on rehabilitation protocol following acl. Acl reconstruction protocol1 northwestern medical center. Brace will remain locked until patient demonstrates good quadriceps control two to four weeks.
Loss of knee extension has been shown to result in a limp, quadriceps muscle weakness, and anterior knee pain. Rehabilitation guidelines for acl reconstruction in the adult athlete skeletally mature. Rehabilitation protocol for acl reconstruction this protocol is intended to guide clinicians and patients through the postoperative course of an acl reconstruction. Acl reconstruction rehab protocol general guidelines brace will remain locked until patient demonstrates good quadriceps control two to four weeks with weight bearing activities. Moon acl rehabilitation guidelines general information.
It is no means intended to be a substitute for ones clinical decision making. Rehabilitation guidelines for acl reconstruction in the. Rehabilitation guidelines for acl reconstruction in the adult athlete skeletally mature anterior cruciate ligament acl injuries affect men and women across a wide age range and at all levels of athletics. Acl reconstruction protocol south shore orthopedics. Progression should be based on careful monitoring by the physical therapist of the patients functional. The following is a protocol for postoperative patients following acl. Acl reconstruction surgery is not a primary repair procedure. About the anterior cruciate ligament acl there are four main ligaments that stabilize the knee. Locked in full extension for walking and sleeping for first week may allow 90 degrees flexion after first week given. Acl reconstruction physiotherapy advice for patients oxford. The intent of this protocol is to provide the clinician with a guideline for the postoperative rehabilitation course of a patient that has undergone an acl hamstring. The anterior cruciate ligament acl is one of four major. Acl reconstruction rehabilitation protocol one of the most common complications following acl reconstruction is loss of motion, especially loss of extension. Time frames for brace or crutches may be extended by dr.