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Add on to previous rehab
Increases weight bearing to 100%
Air baps (4 positions) 10x
3 way heel raises and mini squats 10x
Anterior and lateral lunges- 10x
Step ups- 6 inch box10x
Treadmill walking forward and backwards- 3 mins
Lunge box- anterior lunge with the same side rotation
and lateral lunge with same side rotation 10x
Just using cold pack at this phase, unless in pain
Add to previous rehab
Add weight to lunges, mini squats and heal
raises- 5lbs
Step up- 8 inch with 5lbs
Treadmill to 4% incline- 3 mins
Joystick exercise- clockwise/counterclockwise,
foward/back/diagonal (20x)
Fast taps 10x
Heel taps- 10x (6inch step)
Lunge box- add 6lb med ball
Clock reaches 5x
Cone reaches 10x
Presented by: Cara Harm, ATS
Adrian College
Add to previous rehab
No knee flexion past 90 degrees
Stationary bike (rock and roll) – 5 min
Stretch station- hamstring, calf 10-15x each
New step- 5 mins
Counter marching- 1 minute
Hip kicks- 3 ways 10x
Heel raises 10x
TKEs -20x with black theraband
Mini lunges- forward
Mini squats 20x
Athlete did not return to play
No functional tests have been done to this point
Ankle pumps every hour
Quad sets and SLR with no extension lag
(brace on)
Knee extension stretch with towel
Heel slides
Ice or Cyro-cuff
Patellar mobs
Weight shifts- 10x
Long arch quads- 10x
Active ROM- table slides (10x with a 3 second hold)
Prone table knee extension (2 mins)
Seated knee extension stretch (3 mins)
E-stim and Ice- (IFC-20 mins)
Arthroscopy: The Journal Of Arthroscopic & Related Surgery: Official Publication Of The Arthroscopy Association Of North America And The International Arthroscopy Association [Arthroscopy] 2013 Aug; Vol. 29 (8), pp. 1314-21. Date of Electronic Publication: 2013 Jul 04.
British Journal Of Sports Medicine [Br J Sports Med] 2013 Apr; Vol. 47 (6), pp. 367-72. Date of Electronic Publication: 2012 Aug 31.
Physical Therapy In Sport: Official Journal Of The Association Of Chartered Physiotherapists In Sports Medicine [Phys Ther Sport] 2013 Nov; Vol. 14 (4), pp. 188-98. Date of Electronic Publication: 2013 Aug 28
The Journal Of Bone And Joint Surgery. American Volume [J Bone Joint Surg Am] 2012 Oct 3; Vol. 94 (19), pp. 1737-48.
Anterior Drawer- Negative
Posterior Drawer- Negative
McMurray’s- Negative
Valgus stress- Negative
Varus stress- Negative
Patellar Apprehension- Negative
Because of the lateral hamstring pain and the MOI,
thought possible ACL tear
Sent to 3DPT
Gary Gray- Educational Coordinator (Baps board, stretch station)
Rehab functionally in all planes of motion (frontal, saggital, transverse)
At this point she’s finished her 8th week of rehab
3x a week, 60-75 minutes
Day 1: Injured on 9/4/14 at summer basketball practice, RICE, crutches given, referred to physician, spoke to athletes mother
Day 2: Referred to physician on 9/5, he suspected a Meniscal Tear he ordered an MRI, given brace
Day 3: MRI
Day 5: Dx: ACL tear
Day 7: Started PT at 3DPT
Day 11: Went to UofM and saw different physician for a 2nd opinion, said he would do surgery in 1 month.
Day 29: Surgery done on October 2nd
Present: Continues to go to 3DPT
Medial Collateral
Lateral Collateral
Anterior Cruciate
Posterior Cruciate
Most common MOI is cutting or pivoting
80% pivoting
20% contact
Athlete went to take a jump shot, her knee “buckled” or gave out and she fell to the floor
No contact was made
Felt a pop
Knee gave out
Point tender over lateral hamstring
No swelling or ecchymosis initially, but both present the next day
Bones
ROM
MMT
Return to play as quickly as possible
Athlete is involved in other athletics at school
Full ROM
Full strength
Able to cut and pivot
Full stability
100% weight bearing by 4-6 weeks post op
Sprain
Grade 1- Stretch, no laxity
Grade 2- Partial tear with laxity
Grade 3- Complete Tear
Quad set
Straight leg raise
Partial weight bearing
Put into immobilizer – locked into
slight flexion
15 year old female
Varsity basketball athlete
Position: Point
No previous injury or complications
Injury: Right knee
Dx: Anterior Cruciate Ligament (ACL) Tear
All were met before athlete went into surgery
Stability
Her own hamstring was used as a graft