ACL RE- ABILITATION CURRENT TRENDS & UPDATES 2014
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The document discusses current concepts and applications in knee rehabilitation, particularly for a 22-year-old male football player recovering from an ACL injury. It emphasizes the importance of a functional approach to rehabilitation, focusing on functional movements, motor adaptation, and the balance of strength training with current protocols. The need for personalized strategies and team collaboration is highlighted to enhance recovery outcomes.
ACL RE- ABILITATION CURRENT TRENDS & UPDATES 2014
- 1. Knee Rehab current Concepts & Application DR.KANNABIRAN Senior consultant physiotherapist Professor in physiotherapy
- 2. CRITICAL THINKING 22YEAR OLD MALE COLLEGE FOOTBALL PLAYER RECEIVED A BLOW TO POSTERIOR RIGHT KINEE AS HEWAS TACKLED FROM BEHIND.
- 3. Bad tackle
- 4. On field PAIN WAS EXCRUCIATING LOCALISED TO THE POSTEROLATERAL ASPECT OF KNEE
- 5. UNABLE TO STAND WITHOUT SUPPORT ļ¼ EVALUATED BY THE PHYSICAL THERAPIST ļ¼ ADVISED REST AND NWB WITH CRUTCHES
- 6. ACLR
- 7. WHAT PHYSICAL THERAPY AFTER ACL RECONSTRUCTION ļ¼AGE ļ¼TYPE OF INJURY ļ¼RECONSTRUCTION- GRAFT,SURGEONS PROFILE,TYPE OF FIXATION ļ¼PRE OP STATUS ļ¼SCOPE FOR SUPERVISED PT ļ¼RECENT BIOMECHANICAL UPDATE ļ¼FUNCTIONAL APPROACH
- 8. Existing ā¢ Home Versus Supervised Therapy ā¢ Home Exercise Versus Weight Machines ā¢ Aquatic Therapy ā¢ Open Versus Closed Chain Exercise ā¢ Progression Based on Objective Criteria What's new?
- 9. General impression regarding existing ACLR protocols Based on Muscle Strength Ignored Proximal Muscle control 6 months Too early to return to sports
- 10. Biomechanical update HIP & KNEE STRATEGIES KNEE STRATEGY KNEE EXTENSOR MOVEMENT QUADRICEPS ACTIVATION HIP EXTENSOR MOVEMENT HIP ENERGY ABSORPTION HIP STRATEGY KNEE EXTENSOR MOVEMENT QUADRICEPS ACTIVATION HIP EXTENSOR MOVEMENT HIP ENERGY ABSORPTION
- 11. KNEE STRATEGY
- 12. HIP STARTEGY
- 13. IMPAIRED GLUTEUS MAXIMUS MUSCLE PERFORMANCE Sagittal Plane Frontal/Transverse Plane
- 14. THOUGHT PROCESS ā¢ NEED FOR CHANGE DUE TO INCREASING RESPONSIBILITY
- 15. A functional approach in KNEE Rehabilitation
- 16. Developing a functional program 1. The focus on functional movement 2. The principle of skill/ability level rehabilitation 3. The code for motor adaptation ā¦.that ought to participate in this particular movement & accompany the stabilization of the body.
- 17. MOTOR COMPLEXITY MODEL FOR FUNCTIONAL PROGRAM
- 18. Developing a functional program āSimplified complexityā in tensional fields. Shaded circles represent tension created by muscle groups ADAPTIVE CODE & PHYSICAL STIMULATION FOR PROPRIOCEPTION
- 19. merge adaptive code Rehabilitation Similarity spheres
- 22. Functional approach composite abilities
- 23. Functional Approach Rehabilitation (Reāabilitation)
- 25. Functional approach Advanced composite workouts
- 26. Balance/ postural stability challenge.
- 28. Take Home ā¢ Rehabilitation with current concept ā¢ Enhance hip strategy ā¢ Functional re-abilitation motor complexity ā¢ Differentiate demand & risk in rehab. ā¢ Think movement not muscles ā¢ Team work
- 29. Depends on how we see things
- 30. INVESTIGATE THE BIG TALK !