Late (3rd)(6 months)
Surgery is performed. The damaged ligament is removed and holes are drilled in the bone to accept the new graft. The graft replaces the old damaged ligament which would be taken from the hamstring tendon or the patella tendon. An advantage of this is that the damaged ACL is repaired. Disadvantages of this the hamstring would become shorter and the place the graft is taken from you will have to get rehab. The graft is to take place of a new tendon and is passed through the holes in the bone. The new tendon is fixed into the bone with devices to hold it in place while the ligament heals to the bone.
After operation
- Day only procedure or overnight stay
- Put all weight on leg
- Ice on knee for 20 minutes at a time
- Physio begin few days after or can be arranged at the first post op visit
- Physio will teach you to use crutches and give you exercises to do at home
Pre Discharge
0-2 weeks
Exercises at home gently increase the movement of the knee, controls inflammation and the pain. Also, achieve thigh muscle control. Keep brace on when walking
2-6 weeks
Physio will work on stopping the muscles from atrophy, preserve and improve range of motion and improving muscle control. You can do bicycle exercises now. Also, will work on bending the knee.
6 – 12 weeks
Give exercises which improve muscle strength, stability and endurance. Work on balance
12 – 24 weeks
Progressing to functional activities. Expect to be running around at about the 15th to 18th week. Doing agility and cutting movements after 24 weeks
Principles of rehabilitation
- Maintaining general fitness
- Monitoring health
- Doing safe and effective exercises
- Fitness tests to monitor progress and give confidence
- Giving functional and anatomical recovery
- Set short and long time goals
Responsibilities of personnel involved in the rehabilitation process
- Injured performer
- Set goals and control progress
- Manage fitness maintenance
- Communicate to all involved in the recovery process
- Do exercise as needed
- Physiotherapist/sports therapist
- Agree on goals
- Manage exercise programme
- Make sure progress is safe
- Communicate with all parties involved
- Records of progress
- Manage fitness tests
- Coach/fitness instructor/trainer
- Agree on goals
- Look after player when they return to training
- Make sure fitness programme helps recovery
- Communicate with all involved
- Assist with fitness testing
- Surgeon/doctor
- Medical requirements
- After care of operation
- Team mates/friends/family
- Take injured player places needed
- Give emotional support
- Give financial assistance
- Help maintain fitness
Introduction
In this report it describes the rehabilitation process for a sporting injury. My assignment is going to focus on the Anterior Cruciate Ligament injury known as the ACL injury. This injury is likely to occur with no contact. For example studs getting stuck in the ground with the player wanting to move.
Summary/conclusion
In conclusion to this assignment i discovered that depending on your state of health and willingness to do exercises providing by your depends on how quickly you get back to playing. Although this does not apply to everyone but gives the player a better chance to get back to playing sooner.
Contents Page
P1- Introduction
P2- Stages of Rehabilitation
P3- Stages of Rehabilitation continued
P4- Principles of rehabilitation, Responsibilities of personnel involved in the rehabilitation process
P5- Responsibilities of personnel involved in the rehabilitation process
P6- Summary/ Conclusion
