ACL Reconstruction (ACLR)

Rehabilitation for Surgical ACL repair

Authors

Affiliations

Nate Yomogida, B.S., SPT

Doctor of Physical Therapy

B.S. in Kinesiology

Chloë Kerstein, B.S., SPT

Doctor of Physical Therapy

B.A. in Neuroscience

To read

• Neurocognitive and Neuromuscular Rehabilitation Techniques after ACL Injury, Part 1: Optimizing Recovery in the Acute Post-Operative Phase- A Clinical Commentary¹

Graft Type

Notes from class

Bone-to-bone patellar ligament graft results in the best function, but its main potential adverse effect is anterior knee pain

Return to sport

See Kyritis 2016 for a battery of tests to determine reinjury risk for RTS for soccer players

Reinjury

• Factors that increased the probability of reinjury
  • Increased knee extension strength symmetry (%) was associated with increased risk of reinjury²
  • Higher values for the KOOS Sport
  • Increased Triple-hop symmetry (%)²
• Factors that Decreased probability of reinjury
  • Increased “Time to return to activity” decreased probability of ACL reinjury²
    • After 8 months, for every 1 mo increase in time to RTA reduced risk of reinjury by 28.4%²

Why does better plyometric symmetry and knee extension strength symmetry place the patient at increased risk of reinjury?

References

1.

Wilk KE, Ivey M, Thomas ZM, Lupowitz L. Neurocognitive and Neuromuscular Rehabilitation Techniques after ACL Injury, Part 1: Optimizing Recovery in the Acute Post-Operative Phase- A Clinical Commentary. International Journal of Sports Physical Therapy. 2024;19(11):1373-1385. doi:10.26603/001c.124945

2.

Bodkin SG, Hertel J, Diduch DR, et al. Predicting Anterior Cruciate Ligament Reinjury From Return-to-Activity Assessments at 6 Months Postsurgery: A Prospective Cohort Study. Journal of Athletic Training. 2022;57(4):325-333. doi:10.4085/1062-6050-0407.20