Posts tagged ACL

Rehabilitation after ACL reconstruction usually involves 6 months of physical therapy, including strength and balance exercises. Traditional ACL rehab has focused on increasing strength of knee and lower extremity muscles. More recently, “neuromuscular” exercise programs that de-emphasize strength training have been used successfully in Europe.

Physical therapy researchers in Norway compared 2 types of ACL rehabilitation in 74 post operative patients. In the study, published in the American Journal of Sports Medicine, patients were randomly assigned to a traditional exercise program or a neuromuscular exercise program. The neuromuscular program (described in a separate study) included balance exercises on foam pads, wobble boards, and mini-trampolines. Download their rehabilitation protocol here. Plyometric and agility exercises were also included. Each group was tested for their strength, pain, function, and quality of life.

At a 2-year follow-up, the neuromuscular exercise group significantly increased in function and pain compared to the strengthening group, while the strengthening group only improved in hamstring strength. The authors suggested that both balance and strength exercises be included in ACL rehabilitation program. Thera-Band® Stability Trainers and balance boards are ideal for use in a neuromuscular rehabilitation program.

Reference: Risberg MA, Holm I. The long-term effect of 2 postoperative rehabilitation programs after anterior cruciate ligament reconstruction: a randomized controlled clinical trial More >