ACL Knee Injury & Reconstruction Rehabilitation
Stage 1
| Common Signs & Symptoms | |||||
| Pain | Swelling | Stiffness | Weakness | Instability | Locking |
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IntroductionStage 1: Pre-operative stageStage 2: Week one following surgeryStage 3: Concentrated rehab (weeks 1 - 12)Stage 4: Late rehab (weeks 13 - 20) Stage 5: Functional rehab (week 20+)
Although it is called the pre-operative stage, this stage is undertaken whether the patient is going to have surgery or undergo a 'conservative' physiotherapy programme. It involves the patient having their injury evaluated and explained by a doctor and chartered physiotherapist. The patient should have an opportunity to discuss all the available options and the most appropriate course of action decided, depending upon the patient's activity level and age.
The degree of functional instability, and the level of sporting or occupational activity, largely influence the decision as to whether surgery is appropriate. In the long term, an unstable knee joint may lead to Osteoarthritis of the Knee.
The aims of physiotherapy during this stage are to:
- Restore a normal gait pattern.
This is achieved through progressing from non-weight bearing on crutches to what is called heel to toe walking. - Reduce knee joint swelling.
Principally through applying a cold compress to the knee joint. - Regain full range of extension.
Through the patient lying on their front with their knee hanging over the edge of the bed. - Improve range of flexion.
Mainly through what are called heel sliding exercises, where the patient uses a friction free surface to slide their heel towards their bottom.
Once the swelling around the knee has resolved then the surgery can take place, if it is appropriate.
Recommended Products for ACL Knee Injury & Reconstruction
ACL Knee Braces & Supports
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Ice Packs & Compression
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Mueller Reusable Cold/Hot Therapy Wrap (Large)
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ACL Rehabilitation Kit
AquaJogger 100 Floatation Belt
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PhysioRoom.com Swiss Ball (55cm)
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Sirex Monica Mat
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