Basic principles of aggressive rehabilitation after anterior cruciate ligament reconstruction
Rehabilitation after ACL (anterior cruciate ligament) reconstruction has drastically changed over the last decade, with the adoption of a more aggressive approach, right from the first day after surgery. Progress in the effectiveness of rehabilitation is based on improvements in operative techniques...
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| Format: | Article |
| Language: | English |
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Serbian Medical Society
2005-01-01
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| Series: | Srpski Arhiv za Celokupno Lekarstvo |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0370-8179/2005/0370-81790512528D.pdf |
| _version_ | 1818886756551884800 |
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| author | Dubljanin-Raspopović Emilija Kadija Marko Matanović Dragana |
| author_facet | Dubljanin-Raspopović Emilija Kadija Marko Matanović Dragana |
| author_sort | Dubljanin-Raspopović Emilija |
| collection | DOAJ |
| description | Rehabilitation after ACL (anterior cruciate ligament) reconstruction has drastically changed over the last decade, with the adoption of a more aggressive approach, right from the first day after surgery. Progress in the effectiveness of rehabilitation is based on improvements in operative techniques, as well as on the encouraging results of histological studies regarding graft healing. Despite a huge amount of research papers on this topic, a rehabilitation golden standard still has not been established, due to the complexity of this problem. In this review, we point out the basic principles of rehabilitation after arthroscopically assisted ACL reconstruction based on actual practices, as well as the importance of specific procedures for the prevention of complications during the postoperative period. The importance of range-of-motion exercises, early weight bearing, an appropriate gait scheme, patella mobilisation, pain and oedema control, as well as stretching and balance exercises is explained. The functional advantages of closed kinetic chain exercises, as well as their influence on the graft are also described, in comparison to open kinetic chain exercises. The fundamentals of returning to sports are revealed and the specific aspects of rehabilitation regarding graft choice are pointed out. While waiting for new clinical investigations, which are expected to enable the establishment of a rehabilitation golden standard, the outlined principles should be followed. The complexity of this injury requires treatment in highly specialised institutions. |
| first_indexed | 2024-12-19T16:26:24Z |
| format | Article |
| id | doaj.art-0ca2f16cdd524ddb9498295fe8a70ccd |
| institution | Directory Open Access Journal |
| issn | 0370-8179 |
| language | English |
| last_indexed | 2024-12-19T16:26:24Z |
| publishDate | 2005-01-01 |
| publisher | Serbian Medical Society |
| record_format | Article |
| series | Srpski Arhiv za Celokupno Lekarstvo |
| spelling | doaj.art-0ca2f16cdd524ddb9498295fe8a70ccd2022-12-21T20:14:19ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792005-01-0113311-1252853110.2298/SARH0512528DBasic principles of aggressive rehabilitation after anterior cruciate ligament reconstructionDubljanin-Raspopović EmilijaKadija MarkoMatanović DraganaRehabilitation after ACL (anterior cruciate ligament) reconstruction has drastically changed over the last decade, with the adoption of a more aggressive approach, right from the first day after surgery. Progress in the effectiveness of rehabilitation is based on improvements in operative techniques, as well as on the encouraging results of histological studies regarding graft healing. Despite a huge amount of research papers on this topic, a rehabilitation golden standard still has not been established, due to the complexity of this problem. In this review, we point out the basic principles of rehabilitation after arthroscopically assisted ACL reconstruction based on actual practices, as well as the importance of specific procedures for the prevention of complications during the postoperative period. The importance of range-of-motion exercises, early weight bearing, an appropriate gait scheme, patella mobilisation, pain and oedema control, as well as stretching and balance exercises is explained. The functional advantages of closed kinetic chain exercises, as well as their influence on the graft are also described, in comparison to open kinetic chain exercises. The fundamentals of returning to sports are revealed and the specific aspects of rehabilitation regarding graft choice are pointed out. While waiting for new clinical investigations, which are expected to enable the establishment of a rehabilitation golden standard, the outlined principles should be followed. The complexity of this injury requires treatment in highly specialised institutions.http://www.doiserbia.nb.rs/img/doi/0370-8179/2005/0370-81790512528D.pdfACLrehabilitation |
| spellingShingle | Dubljanin-Raspopović Emilija Kadija Marko Matanović Dragana Basic principles of aggressive rehabilitation after anterior cruciate ligament reconstruction Srpski Arhiv za Celokupno Lekarstvo ACL rehabilitation |
| title | Basic principles of aggressive rehabilitation after anterior cruciate ligament reconstruction |
| title_full | Basic principles of aggressive rehabilitation after anterior cruciate ligament reconstruction |
| title_fullStr | Basic principles of aggressive rehabilitation after anterior cruciate ligament reconstruction |
| title_full_unstemmed | Basic principles of aggressive rehabilitation after anterior cruciate ligament reconstruction |
| title_short | Basic principles of aggressive rehabilitation after anterior cruciate ligament reconstruction |
| title_sort | basic principles of aggressive rehabilitation after anterior cruciate ligament reconstruction |
| topic | ACL rehabilitation |
| url | http://www.doiserbia.nb.rs/img/doi/0370-8179/2005/0370-81790512528D.pdf |
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