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Return to play: After knee injury

Categories
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  • Education
  • Exercise Programs
  • Knee
  • Knee Rehabilitation
  • Rehab Routines
  • Rehabilitation
  • Return to play
Tags
Knee Anatomy & Examination

Knee rehabilitation: Return to sport principles

  1. Consult your professional/s for treatment and rehabilitation as these are academic principle guidelines only and not prescriptive.
  2. ASSIC does not dispense medical and/or exercise advice.
  3. Consult your professional regarding exercise, treatment and rehabilitation exercise regimes and medical advise.
  4. The contents of the following web page are principle guidelines and must be utilized under the supervision of a relevant medical and/or exercise professional.

Knee Injury

Knee injury mechanism:

The knee injury mechanism may vary from a varus/valgus/rotational/axial/translational load and be depending on the predominant stressor at the time of the injury a specific or variation of knee ligamentous instability will be present.

Return to play: After knee injury
Return to play: After knee injury

Rehabilitation principles & Tests

Rehabilitation

Medical clearance by the respective medical professional is critical.

Example:

AAOS guidelines for return to sport after anterior cruciate ligament (ACL) reconstruction:

  • Graft incorporation
  • Functional knee range of motion
  • Stable knee with no pivot shift
  • Stable core, hip, quadriceps and hamstring muscle strength
  • Restored balance
  • Restoration of functional skill & execution thereof
  • Confidence in return to sport
  • Advise to continue ongoing ACL-prevention/movement-retraining program

Range of motion (ROM)

ROM Test

•Knee flexion & extension

•Active ROM= non-injured side or =/> standard sports specific norms

•Measure goniometer knee flexion & extension

•Straight leg hasty test

Knee fkex to extension

Knee ROM

Proprioception

Proprioception Test
Static & dynamic Stalk stand
Return to play: After knee injury

Proprioception on balance mat

Circumference difference

Limb difference Test

•Analyze limb diameter difference

Accept :<5% difference

Measure thigh circumference:
•Under gluteal crease
•Mid thigh
•Suprapatellar
human body

Agility

Agility Test
•Compare to pre-injury levels
•Assess execution of test
•Five dot drill
•T-drill
•Ilionois
Return to play: After knee injury

Muscular strength & endurance

Strength Test
Dynamic muscle strength & endurance field test

Vertical jump

Broad

Return to play: After knee injury

Vertical jump testing

Speed

Test
Speed 40 m sprint
Return to play: After knee injury

Explosive power

Test
Focus on forward linear power watch abnormality especially favouring of non-injured leg •Vertical jump
•Standing broad jump
Return to play: After knee injury

Vertical jump testing

Isokinetic test

Isokinetic Test
Accurate analysis with comparative muscle strength analysis with<= 5 % difference between the 2 sides Isokinetic
Return to play: After knee injury

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