Medicine and Health Sciences Commons^™

Outpatient Physical Therapy Management Of A Young Male Following Anterior Cruciate Ligament Reconstruction, Leslie Harris

Physical Therapy Scholarly Projects

Background and Purpose. This paper describes the physical therapy management of a 17 -year-old male high school student, from two weeks postoperative to week 10 outpatient, after left anterior cruciate ligament (ACL) reconstruction. An intra-articular patella bone-tendon-bone graft as well as a medial meniscus repair and notchplasty were completed using video arthroscopy. The patient presented with decreased range of motion and strength in the left knee and slightly decreased strength in the left hip.

Purpose, The purpose of this article is to describe the interventions used for this patient, the results from these interventions and to discuss current ACL treatment …

Rehabilitation Of A 49 Year-Old Male Who Underwent A Right Knee Anterior Cruciate Ligament Reconstruction With Moderate To Severe Degenerative Joint Disease Of The Left Knee, Roy W. Osborn

Physical Therapy Scholarly Projects

Background/purpose: Anterior cruciate ligament (ACL) rupture is reported to be one of the most common and most serious injuries among physically active individuals, There are a multitude of articles addressing rehabilitation following ACL reconstruction, but there is no clear "best method' identified in the evidence, Subjects with a combination of ACL rupture and degenerative joint disease are less frequent in occurrence, and also lack evidence to identify the most appropriate rehabilitation method.

Description: This case study provides the details of the first 8 weeks of rehabilitation for a 49 year old male subject who underwent anterior cruciate ligament reconstruction of …

Hamstring Tendons As Autograft Replacements In Acl Reconstructions: A Review Of The Literature, Jason Anderson

Physical Therapy Scholarly Projects

Hamstring tendons have gained a great deal of acceptance in anterior cruciate ligament (ACL) reconstruction procedures in the 1990's, but some misconceptions concerning the ability of hamstring grafts to successfully replace ruptured ACLs still exist. More surgeons are using hamstring tendons to reconstruct ACL-deficient knees because their harvest does not disrupt the extensor mechanism of the knee. Enthusiasts of the hamstring graft believe that it promotes quicker return of quadriceps strength and knee range of motion without a prevalence of postoperative pateIIofemoral symptoms.

The purpose of this review is to dispute the concerns that exist concerning the initial tensile strength, …

An Electromyographic Study Of Backward Walking In Normals And In Subjects Following Anterior Cruciate Ligament Repair, Matthew Johnson

Physical Therapy Scholarly Projects

Physical therapy strives to incorporate innovative and efficient protocols for rehabilitation of anterior cruciate ligament (ACL) surgeries. Research supports the benefits of closed kinetic chain exercises (distal segment of extremity is fixed) over the traditional open kinetic chain exercises (distal segment not fixed). It is theorized that backward walking on inclined surfaces will recruit the knee musculature to a greater extent than forward walking, but there is little research to support this theory. The purpose of this study was to utilize electromyography during treadmill walking to analyze the muscle activity in the lower extremity of individuals were normal and who …

An Electromyographic Study Of Forward And Backward Walking In Normals And In Subjects Following Anterior Cruciate Ligament Repair, Christopher C. Kraemer

Physical Therapy Scholarly Projects

Physical therapy strives to incorporate innovative and efficient protocols for rehabilitation of anterior cruciate ligament (ACL) surgeries. Research supports the benefits of closed kinetic chain exercises (distal segment of extremity is fixed) over the traditional open kinetic chain exercises (distal segment not fixed). It is theorized that backward walking on inclined surfaces will recruit the knee musculature to a greater extent than forward walking, but there is little research to support this theory. The purpose of this study was to utilize electromyography during treadmill walking to analyze the muscle activity in the lower extremity of individuals were normal and who …

Physical Therapy Outcomes In Patients With Anterior Cruciate Ligament Reconstruction, Tammy Reis

Physical Therapy Scholarly Projects

This study was conducted to assist St. Alexius Medical Center's Institute of Sports Medicine in the analysis of physical therapy outcomes for patients who underwent anterior cruciate ligament reconstruction. A retrospective review of data gathered by the physical therapists at this facility was performed and statistically analyzed to ascertain the clinical and functional effectiveness of treatment. This outcomes analysis will assist in illumination of practice patterns and provide a measure of clinical effectiveness for The St. Alexius Institute of Sports Medicine. The results of this study will be useful as an internal measure as well as an informative tool for …

Tensile Properties Of The Autogenous Quadruple-Stranded Semitendinosus-Gracilis Graft Used For Reconstruction Of The Anterior Cruciate Ligament, James E. Swanton

Physical Therapy Scholarly Projects

The purpose of this study was to further enhance the knowledge of autogenous tissues around the knee which are used for reconstruction of the anterior cruciate ligament (ACL). Ten fresh-frozen cadaveric knee specimens were used to conduct this experiment. The semitendinosus and gracilis tendons, as well as the bone-patellar tendon-bone complex, were excised and prepared for testing. The semitendinosus and gracilis tendons were doubled and fashioned into a quadruple-stranded graft. The tissue units were then individually fixated in a tensile testing apparatus and tested to failure. Descriptive statistics were used to analyze and compare our data with similar studies to …

Subjective Functional Knee Outcomes Following Anterior Cruciate Ligament Reconstructive Surgery, Malissa K. Hauser

Physical Therapy Scholarly Projects

It is established in the literature that primary repair of the anterior cruciate ligament (ACL) deficient knee is achieved through means of reconstructive surgery. However, with continuing advances in both the surgical technique performed and, consequently, the rehabilitation program implemented following reconstruction, the need for ongoing research becomes essential in evaluating the long-term effectiveness of such changes. Currently, the longterm follow-up studies available on ACL reconstructive surgery report information through means of clinical evaluation and objective testing measures with little or no emphasis on the value of the patient's subjective responses. The purpose of this study is to determine the …

Rehabilitation Following Anterior Cruciate Ligament Reconstruction: A Comparison Of Traditional And Accelerated Approaches, Michael S. Wanbaugh

Physical Therapy Scholarly Projects

Rehabilitation following Anterior Cruciate Ligament (ACL) reconstruction has become an area of controversy in recent years. Most clinicians have used the traditional rehabilitation protocols which correlate mobility, weightbearing, and strength training with the bio-mechanical and surgical constraints of graft fixation and healing. However, a trend towards the use of accelerated protocols is more evident today. The accelerated approach stresses activity and weightbearing in the early periods of the rehabilitation process following the reconstructive surgery. The proponents of the accelerated protocol believe that earlier activity will enhance the healing of the graft without causing an increase in knee instability.

The purpose …