Acl Reconstruction Treatment near me

we are going to discuss Acl Reconstruction Treatment near me

Introduction 

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.

U.K Nursing Home- Vikaspuri

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

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