WHAT IS THE ACL?
The knee is essentially a hinged joint that is held together by four ligaments. They include the medial collateral (MCL), lateral collateral (LCL), anterior cruciate (ACL) and posterior cruciate (PCL) ligaments. The ACL runs diagonally in the middle of the knee, preventing the lower leg from sliding out in front of the thigh, as well as providing rotational control to the knee. More information about how ACL tears can be found in our injury center
How long does it take to recover after ACL Surgery?
Though everyone is different we’ve compiled a standard rehabilitation program so you know what to expect in your recovery.
Goals: Decrease Pain & Effusion
- Restore normal Range of motion (ROM), especially extension
- Improve strength and neuromuscular control,
combat quadriceps shutdown
- Support patient education
Post-operative (Day 1-7)
Goals: Full Passive Knee Extension
- Decrease pain and effusion
- Increase knee flexion and restore patellar mechanics
- Progressive gait
- Improve muscle function including quadriceps control
Post-operative (2-4 weeks)
Goals: Keep Full Extension
- Increase flexion
- Abolish swelling
- Establish good patellar mobility
- Maintain single limb stance with slight knee flexion 15+ secs
Post-operative (4-10 weeks)
Goals: Push for Full ROM
- Increase quadriceps strength to 4 to -4/5 (60-65% of contralateral side)
- Increase proprioception and neuromuscular control
- Increase endurance
- Increase confidence
Post-operative (10-16 weeks)
Goals: Work to Normalize Strength and Increase Power Along with Endurance, Increase Neuromuscular Control, Progress Functional Training
- Initiate a running program
- Continue strengthening
- Continue neuromuscular training
- Progress all exercises
Post-operative (16-22 weeks)
Goals: Full Active Range of Motion (AROM), Passive Range of Motion (PROM), Functional Test of 90% SL Hop and SL Cross-Over Hop, Proprioceptive Test 100%, Functional Strength Test of 85% Quads and 100% Hamstrings
- Continue with strengthening exercise, proprioceptive training/neuromuscular drills, plyometrics, and sport-specific training.
- Functional strengthening program consists of a series of CKC exercises, strengthening is performed in 3 planes of motion at all joints, functional profiles are developed for all patients based on their findings during the evaluation process.
If you have experienced an ACL tear and are looking for post-operative care, you can easily find a physical therapy clinic near you by clicking the button below. By scheduling a visit before surgery you can meet your therapists and they can give advice on how to help you recover from ACL surgery as smoothly as possible.
Athletic trainers hold at least a four year degree from a BOC (Board of Certification) accredited institution. They are licensed, certified health professionals working with athletes on and off the field. Generally they are the first responders when injuries occur during sporting events.
Athletic trainers work closely with coaches and parents and will refer athletes to other health care professionals such as physicians, physical therapists and surgeons when needed.
Athletic trainers hours are determined by sports schedules. Typically they are available after school and stay until sporting events have concluded.
IN THE TRAINING ROOM ATHLETIC TRAINERS
- Prepare athletes for competition by taking preventative measures such as equipment fitting, taping and bracing
- Assess athletes with acute and chronic injuries to determine their participation status
- Perform sport-specific rehabilitation on injured athletes
- Provide opportunities for strengthening and conditioning
- Work with sports staff on proper warm up, game day preparation and on/off season conditioning
- Educate athletes, coaches and parents on sports medicine strategies, nutrition and sports psychology
DURING THE GAME ATHLETIC TRAINERS
- Support athletes during sporting events
- Manage any type of musculoskeletal issues including:
- Shoulder, hip, knee, elbow, hand and ankle injuries
- Facial injuries
- Neck and back injuries, spinal cord injuries and traumatic brain injuries like concussions
- Triage and wound care
- Heat-related illnesses
- Fractures and dislocations
- Catastrophic injuries
This information was written by the Center for Physical Rehabilitation, an outpatient physical therapy group with five locations in Western Michigan. The Center specializes in all inclusive physical therapy services, such as: Sports Medicine, Orthopedic Post-Surgical and McKenzie Therapy. Our state-of-the-art facilities are conveniently located around Grand Rapids with extended hours. Independent and locally owned since 1994, we have the freedom to work with the most qualified healthcare professionals. For more information click here.
Here are 7 ways a physical therapist can help treat pain and symptoms associated with shin splints:
Pain Reduction: The RICE principle is the first step to recovery (rest, ice, compression, and elevation). Manual therapy and Kinesiotaping may also be used to speed up recovery and reduce swelling.
Gait and Footwear Analysis: An analysis of how a person walks and runs in an important part of treatment. The wrong mechanism of walking can transmit a great deal of force through the shin to the knee and hip. In such situations, physical therapists will correct gait patterns and recommend footwear with shock absorbing capacity.
Muscle Stretches and Strengthening: The tibial and peroneal muscles are attached to the shin and must be stretched adequately before any form of exercise. Physical therapy includes various stretches of the goot that will help stretch and warm up these muscles. Strengthening damaged muscles can also help.
Activity Modification: Physical therapists may suggest alternative activities to minimize stress on the shinbones. These can include swimming and cycling.
Increase Range of Motion (ROM): Exercises for the hip, knee, ankle and foot improve blood circulation, reduce inflammation and relieve pain. A home exercise program may also be implemented.
Arch Support: The absence or collapse of a normal foot arch can lead to shin splints. Physical therapists will recommend appropriate orthotics that can be custom made for the patient and provide the appropriate amount of arch support.
Return to Sport: If you are an athlete, your therapist may tailor exercises that are specific to strengthening the areas needed to perform your sport. Modified use of your muscles may also be discussed and implemented. Return to your sport may be gradual to prevent re-injury.
To learn more about shin splints please visit our PT & Me injury center on this website by clicking here.
Why We ATC?
ATHLETIC TRAINERS are highly qualified, multi-skilled health care professionals who collaborate with physicians to provide preventative services, emergency care, clinical diagnosis, therapeutic intervention, and rehabilitation of injuries and medical conditions. They can work in a variety of settings, including high schools, middle schools, universities, professional sports teams, hospitals, clinics, performing arts, club sports teams, and more. Athletics trainers decrease the liability on coaches, ensure a quicker and safer return to play, and reduce the risk of injuries for athletes of all ages. To learn more about the great things our ATC’s do — search for one of our PT & Me athletic training locations by clicking here!
Game & Practice Coverage:
• Early injury detection and intervention
• Quick referral process to local specialists if required
• Concussion safety injury screenings:
• Evaluation of injury
• Recommendation on immediate care
• Quicker return to play
WHAT IS NATIONAL ATHLETIC TRAINING MONTH?
March is National Athletic Training Month, a time to celebrate the positive impact athletic trainers have on work, life and sport. National Athletic Training Month is sponsored by the National Athletic Trainers’ Association (NATA), the professional members association for certified athletic trainers and others who support the athletic training profession. NATA represents more than 45,000 members worldwide.
ATC SPORTS STATS
All statistics taken from www.atyourownrisk.org
90% of student athletes report some sort of sports-related injury in their athletic careers.
54% of student athletes report they have played while injured.
12% report they have sustained concussions and head injuries from their time on the field.
163,670 middle or high school athletes were reported being seen in the emergency room for a concussion.
300 sports-related deaths of youth anything to prevent injuries.
37% of public high schools employ a full-time athletic trainer.
54% of athletes said they have played while injured.
This Month in PT News. Featuring articles from PTandMe partnering clinics!
1. Skiing and Thumb Injury
Written by the Therapy Team at the Jackson Clinics – Northern Virginia
Skiing falls can often cause injury to the inner ligament of your thumb, caused by the force of the pole against this area of the hand during a fall. This area, a band of fibrous tissue connecting the bones at the bottom of the thumb, is known as the ulnar collateral ligament. Read more
2. Amazing People Make A Difference: Megan and Earl’s Story
Written by the Therapy Team, ARC Physical Therapy+ – Topeka, Kansas
Earl Bayless was riding in his work truck on December 21, 2016 when his driver fell asleep, causing a major accident. Their truck flipped several times in the air and skidded a block down the road before coming to a stop and leaving Earl to wonder what just happened. Read more
3. 6 Benefits of Rowing
Written by the Therapy Team at Momentum Physical Therapy – San Antonio, Texas
If you are looking for a low-impact workout that targets multiple areas of the body while getting your heart rate up, rowing might be the right exercise for you! Read more
It’s important to stay hydrated during physical activity. While water is still the best choice for hydration, other acceptable options are available. Do you know what is most effective for your workout?
Sports drinks are ideal for athletes looking to hydrate and replenish after long, intensive exercise (usually greater than 60 minutes). Sports drinks contain a combination of electrolytes, carbs, minerals, and vitamins. This combination of nutrients serve to restore lost fluid and sodium levels. Additionally, the sugary carbs found in sport drinks provide athletes a boost of natural energy to aid in recovery.
Energy drinks are never a good option for athletes. While these beverages do provide an apparent energy boost, the effects are temporary. Energy drinks contain few helpful macronutrients, like carbs, and instead use the stimulant caffeine to create an artificial boost of energy. These high concentrations of caffeine can act as a diuretic thus increasing dehydration risks. Too much caffeine can also cause jitters, dizziness and headaches leading to decreased performance. High doses of caffeine have been linked to cardiac emergencies.
Effectively recover with chocolate milk. Low-fat chocolate milk makes a simple yet effective post-workout snack. Offering just the right mix of carbs and protein, this tasty drink refuels your body and helps muscles through recovery. Drink up!
Out Smart Muscle Cramps:
Painful muscle cramps can quickly sideline an athlete. While the root cause is still being researched, dehydration, muscle imbalances and improper warm-up are likely factors. Follow these basics to help prevent muscle cramps:
- Stay hydrated, make sure your athlete does not start the practice/game dehydrated.
- Pack a refillable water bottle to drink throughout the day.
- Consume a balanced diet with healthy amounts of sodium.
- Bolster weak muscle groups with functional, plyometric and strength training.
- Practice foam rolling and static stretching in tight areas.
- Incorporate a dynamic warmup.
Written by the Therapy Team at the Center for Physical Rehabilitation – Grand Rapids, Michigan.
To learn more about the Center for Physical Rehabilitation click here.
Often, we end up in physical therapy based on the referral of our physician after dealing with and injury for a certain period of time. However, physical therapy can be used for many different ailments and can actually help cut down the time off work, off of sports and promote healing much faster.
Physical therapy can be used for many of your minor and major injuries. Following surgeries or traumas (accidents, dislocations, fractures, sprains) it can cause a considerable reduction in swelling and allow things to heal 75-80% faster than if without therapy. It has been shown that following surgery, the quicker someone goes for therapy, the less likely they are to stiffen up or have complications due to loss of range of motion. It also helps to significantly reduce pain and swelling.
Physical therapy is not only used following surgeries or sports injuries, but can be extremely helpful in preventing symptoms from getting worse and developing into more problems. If you’ve been having pain in your shoulder for 3 months or so, your body now has altered the way it moves your shoulder and in turn, you have developed some compensation patterns which could cause things to develop into other areas, such as your neck from your altered movements. This then, can lead to more significant problems which could have been easily avoided if therapy had been started and symptoms had gotten under control.
Remember, the quicker you get into therapy following an injury or persistent pain, the quicker your response time will be to therapy. If you are having some issues, talk to your physician about starting therapy. You don’t have to wait until it has a complete impact on your life or your recreational activities. Stop pain in your life and feel better by visiting one of our PT & Me physical therapists today.
This Month in PT News. Featuring articles from PTandMe partnering clinics!
2. Don’t Let Your Asthma Freeze You Out of Winter Workouts
Written by the Therapy Team at the Jackson Clinics – Northern Virginia
Avoiding asthma attacks while exercising in winter is best accomplished by preventing cold, dry air from getting into your bronchial airways. One way to do this is to exercise indoors when it is cold. Read more
3. Living Our Mission Statement: Being a Catalyst of Change In 2018
Written by Colleen Norris, Partner/Practice Administrator – Overland Park, KS
I have been in healthcare for almost 40 years and the changes that have occurred over that time have been tremendous. I’ve seen everything from patient care innovations, new payment methodologies, advancing technology, improved workflow processes, and my personal favorite… a focus on outcome data. Read more
While most of us take our knees for granted, injuries can occur quite easily and for a variety of reasons. Only when you suffer a knee injury, do you realize how much we rely on these joints on a day to day basis. Knee injuries cause discomfort and pain, but that’s not all. They can also be extremely debilitating and in serious cases, result in dramatically reduced mobility. So let’s take a look at some of the most common causes of knee injuries, and what to do in case you experience one.
What Are the Most Common Knee Injury Causes?
Well, there are a number of them – some more serious than others. Let’s take a look at some of the most common ones!
- Fractures: Fractures are very common knee injuries and can affect the patella, which is the most commonly fractured bone around the knee. Fractures can also affect the ends of the tibia and femur in the area where they come together to form the knee joint. Incidents such as serious falls and road traffic accidents are common causes of fractures. And sometimes even the best knee brace for running or other sports won’t be able to prevent a fracture.
- Dislocated knee: Knee dislocation is another common knee issue and it occurs when the knee bone is either partially or totally out of place. This could include the patella slipping or the femur and tibia sustaining injury that forces them out of alignment. Various different sports activities as well as falls and other high impact trauma can cause this injury.
- Torn ligament: Tearing of the anterior cruciate ligament is also a common type of knee injury. This is more common among those that take part in athletics and sporting activities. Some of the common causes of this injury include a rapid change in direction when running or incorrectly landing from a jump. In many cases, this sort of injury also comes with additional injuries to the cartilage.
- Torn tendons: This type of injury is more common among older people, particularly those who are active runners or do any sports that require a lot of running. The tendons of the patella can become stretched and then torn during this type of activity. Direct force to the front of the knees, falls, and incorrect landing following a jump are all common causes of a torn tendons.
There are many different causes of knee injuries, but usually they involve some sort of high impact trauma. This is why these types of injuries are often sustained by athletes as well as people who are keen on physical activities. Falls, incorrect landings following a jump, and the twisting of the knee can all cause various different knee injuries.
The knees are among the most easily injured joints in the human body, and also one of the most common reasons for people seeing their doctor. So in the event of a knee injury, no matter what the cause, it is important to seek medical advice because a knee injury can escalate from simple twisting of the knee to a dislocation or worse pretty quickly. Because the treatment for a knee injury varies based on the severity as well as the type and cause of the problem, ranging from medication and physical therapy to even surgery, consulting a medical professional is the first step to treating your knee successfully.
More information about common knee injuries can be found in the PTandMe injury center.
Hockey season is getting ready to start and the sport of hockey can be quite dangerous. It is important for players to know how to prevent and treat injuries that occur during games. Unfortunately, these injuries leave us with some questions with descriptions such as “lower-body” and “upper-body” injuries. These injuries are purposely vague to leave some question as to the exact nature of the injury.
The accompanying infographic gives players an assist by listing off some common “upper body injuries.” It features tips and tricks to remain healthy both on and off the ice. The following should ease the minds of players who want to play the game as safely as they possibly can.
Click arrows in the bottom right corner to expand full screen