• Knee Injury Rehabilitation Guide

    The current thoughts on ACL rehabilitation are based on the so-called accelerated programme, first used in the early nineties by American surgeon Donald Shelbourne. Shelbourne and his colleagues astutely noticed that those patients who did not adhere to the ‘softly softly’ program used then, actually got better more quickly than those who did and, furthermore, … Read more

    Fatigue In Knee Ligaments

    In 2002, France and Arsenal star Robert Pires damaged the anterior cruciate ligament (ACL) in his right knee. Pires and the French national team coach Roger Lemerre have both blamed fatigue as a contributory factor in the injury. Lemerre has been deprived of the services of one of the world’s top midfield players for the … Read more

    Factors Affecting ACL Injury

    Dr Donald Shelbourne pioneered the contralateral ACL reconstruction for torn anterior cruciate ligaments (using the Patella tendon of the ‘good’ knee as the ACL graft) and developed the accelerated ACL reconstruction rehabilitation protocol. Here he outlines the most recent data regarding ACL injuries to either knee (the ‘good’ and operated knees) after ACL reconstruction and … Read more

    Jumpers Knee Rehabilitation

    An eccentric contraction is defined as a contraction where the muscle is lengthening, as opposed to a concentric contraction where the muscle is shortening, or an isometric contraction where there is no change in the muscle length. There is nothing magical about eccentric muscle strengthening in the role of alleviating tendon problems. The key is … Read more