Physio Edge podcast with David Pope9 Des 2014

032. How to rehabilitate ACL injuries with Enda King

ACL injuries can be career ending, or they can be an opportunity to sort out movement efficiency, motor control and and technical skills, coming back from the rehabilitation process with more power, speed and efficiency than they had before they injured their ACL.

In this podcast, Enda King from the Sports Surgery Clinic in Dublin currently completing his PhD in 3D biomechanical analysis after ACL reconstruction, with the aim to assist in RTP decision making and identifying fully rehabilitated athletes, and David Pope discuss ACL injuries, and the most important factors in pre-operative management and post-operative exercise programming to get your patients back to sport with improved sporting performance.

Going deep on the details involved in ACL Rehabilitation, including:

01:20 Enda King and SSC, and working with ACL athletes PhD in 3D biomechanical analysis after ACL reconstruction, aim to assist in RTP decision making and what a fully rehabilitated athlete looks like
What does a fully rehabilitated athlete look like?
Incorporating performance goals into the rehab process
Can athletes achieve better performance post ACL rehab than they were pre-injury
Types of ACL grafts
Preoperative ACL Physiotherapy, helping your patient to prepare for the surgery
Preoperative education
Restoring knee extension, balancing pain and improved range of movement, empowering your patient
Guidelines for pain, swelling when restoring range of movement
Restoring quadriceps activation, normalising gait patterns
Clinical Edge
Clinical Edge's free webinar program
Preoperative length of time
Post-op - initial management
To use or not use co-contraction exercises of quads and hamstrings
Should you use squatting style exercises Week 1 post op
Activating quadriceps - internal quadriceps cues or external exercise focus
How much pain should a patient experience during or after an exercise
Week 2 post-op
When can heavy gym training commence
Changing movement patterns throughout the kinetic chain
Advice for patients in the early stages of rehab
Frequency of exercise
Week 2 onwards - exercises incorporating balance and proprioception
Open vs closed chain exercises
Advice for patients in weeks 2–6
Nutrition and dietary advice for patients
Gym based rehabilitation
Choosing and modifying exercises for middle stages of the rehabilitation process
Various types of squatting movement, and progressing the types of squats
Goblet squats
Retraining ideal squat patterns
Progressing squats, deadlifts and lunges
Front squats
Front squats and trap bar deadlifts vs back squats during rehabilitation
When can an athlete start cycling
Disadvantages of using cycling as the main part of a rehabilitation program
Hamstring rehabilitation after semitendinosis/gracilis graft
Strength and power development
Strength testing - mid thigh pull, leg press
Should we use open chain strength tests
When to perform strength tests
Strength vs power and rate of force development
Running - incorporating into the program. When can your patient start running?
Preparation for running
Running drills
Ideal movement patterns in running
Enda King and SSC, and working with ACL athletes

Podcast timeline

3:35 What does a fully rehabilitated athlete look like?
5:40 Incorporating performance goals into the rehab process
6:50 Can athletes achieve better performance post ACL rehab than they were pre-injury
8:20 Types of ACL grafts
11:10 Preoperative ACL Physiotherapy, helping your patient to prepare for the surgery - an opportunity to prepare your patients knee, ROM, strength and educate them on the rehabilitation process
14:20 Preoperative education
14:40 Restoring knee extension, balancing pain and improved range of movement, empowering your patient with
15:40 Guidelines for pain, swelling when restoring range of movement
16:15 Restoring quadriceps activation, normalising gait patterns
17:10 Clinical Edge
18:45 Clinical Edge's free webinar program
19:30 Preoperative length of time
20:35 Post-op - initial management
23:20 To use or not use co-contraction exercises of quads and hamstrings
24:50 Should you use squatting style exercises Week 1 post op
25:25 Activating quadriceps - internal quadriceps cues or external exercise focus
26:30 How much pain should a patient experience during or after an exercise
27:30 Week 2 post-op
28:30 When can heavy gym training commence
29:30 Changing movement patterns throughout the kinetic chain
31:00 Advice for patients in the early stages of rehab
32:10 Frequency of exercise
32:55 Week 2 onwards - exercises incorporating balance and proprioception
34:10 Open vs closed chain exercises
35:40 Advice for patients in weeks 2–6
37:15 Nutrition and dietary advice for patients
37:45 Gym based rehabilitation
38:50 Choosing and modifying exercises for middle stages of the rehabilitation process
41:00 Various types of squatting movement, and progressing the types of squats
41:45 Goblet squats
42:30 Retraining ideal squat patterns
43:25 Progressing squats, deadlifts and lunges
44:00 Front squats
46:00 Front squats and trap bar deadlifts vs back squats during rehabilitation
47:25 When can an athlete start cycling
48:00 Disadvantages of using cycling as the main part of a rehabilitation program
48:30 Hamstring rehabilitation after semitendinosis/gracilis graft
49:45 Strength and power development
51:00 Strength testing - mid thigh pull, leg press
53:15 Should we use open chain strength tests
54:20 When to perform strength tests
55:00 Strength vs power and rate of force development
55:50 Running - incorporating into the program. When can your patient start running?
57:30 Preparation for running
58:35 Running drills
1:00:30 Ideal movement patterns in running

Links:

Denne episoden er hentet fra en åpen RSS-feed og er ikke publisert av Podme. Den kan derfor inneholde annonser.

Episoder(179)

180. Patellofemoral pain 4 - How to get runners back on track (and trails, hills and anywhere else they run!) with Tom Goom

Patellofemoral pain (PFP) rehabilitation doesn't end when your patient gets stronger. The real challenge is getting them back to running, training and racing without triggering another flare-up. In th...

10 Jul 23min

179. Patellofemoral pain 3 - Effective rehab that won't flare their symptoms with Tom Goom

Strengthening exercises are a key part of successful patellofemoral pain (PFP) rehabilitation. Squats, lunges and single leg squats are often painful early on and can aggravate your patients pain, but...

8 Jul 32min

178. Patellofemoral pain 2 - What to do when runners won't reduce their training with Tom Goom

Many runners patellofemoral pain (PFP) is aggravated by the activity they love. They either stop running to let their pain settle, and then it returns as soon as they start back up again, or keep runn...

3 Jul 33min

177. Patellofemoral pain 1 - Why it has such a high recurrence rate, and what most rehab plans miss with Tom Goom

Patellofemoral pain (PFP) is one of the most common running injuries, and the high recurrence rate can make it a frustrating injury for patients to experience and clinicians to treat. In this episode,...

29 Jun 37min

176. Neck-driven shoulder pain - 5 common misunderstandings. Physio Edge Shoulder Success podcast with Jo Gibson

When is your patient's shoulder pain from their neck? Are you missing a cervical spine component in your shoulder patients? After a day in clinic reviewing patients with years of unresolved shoulder p...

4 Mar 11min

175. Tendinopathy treatment: Your guide to isometrics, isotonics & plyometrics with Dr Ebonie Rio

Should you prescribe isometric or isotonic exercises for your patient's lower limb tendinopathy? When is it safe to add plyometric loading, and how do you progress running or jumping without flaring y...

18 Feb 53min

174. ACJ - The hidden culprit behind stubborn shoulder pain? Physio Edge Shoulder Success podcast with Jo Gibson

Have any of your shoulder patients improved and then plateaued, unable to regain their full range of movement, or get rid of their painful arc? Sometimes it's not the cuff, capsule, nerves or neck—it'...

4 Sep 202517min

173. Hip flexor pain in runners: Diagnosis, myths, and rehab. Physio Edge Track record: Running repairs podcast with Tom Goom

Anterior hip pain is often blamed on the hip flexors, but in runners, that's rarely the diagnosis. So how can you identify the real cause and guide patients to a safe, effective recovery? In this epis...

6 Aug 202519min