The effects of "decelerated" rehabilitation following anterior cruciate ligament reconstruction on a hyperelastic female adolescent: a case study.
Journal - The Journal of orthopaedic and sports physical therapy (UNITED STATES )
Current concepts in postoperative anterior cruciate ligament (ACL) reconstruction management include participation in an "accelerated" rehabilitation program. There are no published reports examining the effects of accelerated or conservative rehabilitation on subjects with generalized ligamentous hyperelasticity. The purpose of this case study was to examine the effects of a conservative or "decelerated" rehabilitation program on the functional outcome of a hyperelastic female adolescent athlete following ACL reconstruction. The subject was a 15-year-old female basketball player who sustained a unilateral ACL tear and underwent subsequent ACL reconstruction using a patellar tendon autograft. The subject immediately began participation in a "decelerated" rehabilitation program in which the intensity and rate of progression was decelerated, emphasizing a prolonged period of maximum graft protection. Progress was objectively quantified with a battery of diagnosis-specific tests at scheduled intervals. Results at 52 weeks postoperative revealed normal range of motion, proprioception, balance, knee stability, quadriceps strength, hamstring strength, and subjective assessment values, and only a 4.0% deficit in functional scores. Our results suggest a "decelerated" rehabilitation program may be appropriate for the population with generalized ligamentous hyperelasticity by yielding excellent functional results without compromising the integrity of the graft and, ultimately, knee stability.
|ISSN : ||0190-6011|
|Mesh Heading : ||Adolescent Anterior Cruciate Ligament Arthroscopy Elasticity Exercise Therapy Female Femoral Fractures Humans Joint Instability Knee Injuries Menisci, Tibial Patellar Ligament Range of Motion, Articular Transplantation, Homologous injuries physiopathology methods complications physiopathology etiology physiopathology rehabilitation complications physiopathology injuries surgery|
|Mesh Heading Relevant : ||surgery methods rehabilitation rehabilitation|