|
|
Interesting script post ACL
|
Logged in as: Guest
|
|
Users viewing this topic:
none
|
|
Login  | |
|
Interesting script post ACL - October 16, 2007 2:53:40 PM
|
|
|
Kaden
Posts: 329
Joined: June 17, 2007
Status: offline
|
I got a post op ACL today one week out and the MD script stated quad isometrics were encouraged but no quad sets yet.
Talked to my fellow clinician who has seen patients from him and what he wants is no quad setting in full extension for graft stress reasons.
Has anyone else seen this kind of restriction - seems very very cautious.
|
|
|
|
|
RE: Interesting script post ACL - October 17, 2007 2:56:11 PM
|
|
|
jlharris
Posts: 476
Joined: April 12, 2006
From: Nebraska
Status: offline
|
Seems funny. Especially how most surgeons (at least around here) emphasize early full knee extension to inhibit scar tissue build up in the notch-plasty which could compromise the ACL later on.
_____________________________
Jason L. Harris, PT, DPT
My PT Blog
|
|
|
|
|
RE: Interesting script post ACL - October 17, 2007 4:09:58 PM
|
|
|
buckeye
Posts: 170
Joined: May 24, 2007
Status: offline
|
Agree it is not a common caution on ACL reconstruction script. Talk to the surgeon. (Perhaps he used central third patellar tendon graft and is cautious with quads for this reason.) I am not sure how end range quad sets will strain the graft excessively - this was the school of thought many years ago when ACLs were put in cast for weeks and early therapy was simultaneous quad/ham sets - surgeons were worried the quadriceps set would pull the tibia into anterior translation and stress the graft.
You can still work extension and hyperextension with heel prop and prone hang. Get the range early - you have a relatively short window for this. Although strength and muscle performance are important, the window of opportunity is much greater.
|
|
|
|
|
RE: Interesting script post ACL - October 18, 2007 4:53:37 PM
|
|
|
cclem2000
Posts: 21
Joined: August 7, 2006
Status: offline
|
Agree with above. Dont know that I have seen any research or strain curves that show stress on the graft with quad sets. May need to talk to the surgeon to get his thoughts
|
|
|
|
|
RE: Interesting script post ACL - October 22, 2007 9:27:30 AM
|
|
|
jma
Posts: 2405
Joined: August 24, 2000
From: NY
Status: offline
|
Have you talked to the surgeon/MD about this already? If so, what was his rationale for the exercises he prescribed?
|
|
|
|
|
RE: Interesting script post ACL - October 22, 2007 4:19:00 PM
|
|
|
treybien
Posts: 85
Joined: August 5, 2002
From: Milwaukee, WI
Status: offline
|
What type of procedure was used for the reconstruction??
|
|
|
|
|
RE: Interesting script post ACL - October 22, 2007 8:40:03 PM
|
|
|
Kaden
Posts: 329
Joined: June 17, 2007
Status: offline
|
In reply to the above two questions. Rationale for exercises prescribed was quad sets in full extension cause too much stress to the graft.
The graft was an anterior tib. allograft.
I went ahead with some quad sets but in the smallest amount of flexion to say I was not in full extension and he did great with these.
|
|
|
|
|
RE: Interesting script post ACL - October 25, 2007 10:59:57 AM
|
|
|
treybien
Posts: 85
Joined: August 5, 2002
From: Milwaukee, WI
Status: offline
|
I talked to a friend of mine who works with a surgeon who does A tib grafts and he cannot see the problem with quad sets here. His main point was taking great care with CKC progression vs. early quad sets.
|
|
|
|
 New Messages |
 No New Messages |
 Hot Topic w/ New Messages |
 Hot Topic w/o New Messages |
 Locked w/ New Messages |
 Locked w/o New Messages |
|
 Post New Thread
Reply to Message
Post New Poll
Submit Vote
Delete My Own Post
Delete My Own Thread
Rate Posts |
|
0.094
|
Printable Version
