Download or read book Neuromuscular and Psychological Influences on Range of Motion Recovery in Anterior Cruciate Ligament Reconstruction Rehabilitation Patients written by Kathryn Hemsley and published by . This book was released on 2007 with total page 338 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Sports Injuries written by Mahmut Nedim Doral and published by Springer Nature. This book was released on 2015-06-29 with total page 3295 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sports Injuries: Prevention, Diagnosis, Treatment and Rehabilitation covers the whole field of sports injuries and is an up-to-date guide for the diagnosis and treatment of the full range of sports injuries. The work pays detailed attention to biomechanics and injury prevention, examines the emerging treatment role of current strategies and evaluates sports injuries of each part of musculoskeletal system. In addition, pediatric sports injuries, extreme sports injuries, the role of physiotherapy, and future developments are extensively discussed. All those who are involved in the care of patients with sports injuries will find this textbook to be an invaluable, comprehensive, and up-to-date reference.

Download or read book Exploring the Brain After ACL Reconstruction written by Ryan Zarzycki and published by . This book was released on 2018 with total page 110 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rupture of the anterior cruciate ligament (ACL) is a devastating injury affecting approximately 250,000 individuals each year in the United States. Upwards of 130,000 anterior cruciate ligament reconstructions (ACLR) are performed each year. While ACLR restores mechanical stability of the knee, many patients continue to experience functional performance deficits, reduced capacity for physical activity and participation, and second injury. Current rehabilitation strategies may not be sufficiently addressing neurophysiologic alterations and psychological factors related to injury. An improved understanding of these factors may result in more effective post-operative rehabilitation protocols, fewer second injuries and safer return to sports. ☐ The overall goals of this work were: 1) to compare corticospinal, intracortical, and spinal-reflexive excitability in athletes after ACLR and controls, and explore the relationship of these neurophysiologic measures to quadriceps strength, 2) to explore the relationship between psychological readiness to return to sport and gait biomechanics, and 3) to determine if a secondary ACL injury prevention program affects psychological readiness to return to sport and if an improvement in psychological readiness is associated with better outcomes. ☐ This work includes data from two distinct studies. For goal #1, athletes after ACLR underwent neurophysiologic testing via transcranial magnetic stimulation and peripheral electrical stimulation when they achieved 3 important rehabilitation milestones: 1) 2 weeks after surgery, 2) achievement of a “quiet knee” defined as full range of motion and minimal effusion, 3) return to sport (RTS) activities time point defined as achievement of a quadriceps index ≥ 80% and at least 12 weeks post-ACLR. For goals #2 and #3, athletes after ACLR were enrolled after completing impairment resolution defined as: full range of motion, minimal effusion, adequate quadriceps strength and greater than 12 weeks from surgery. Following enrollment, all athletes completed a secondary ACL injury prevention program. Psychological readiness to return to sport and self-reported functional measures were evaluated at enrollment, after the prevention program, and at 1 year after ACLR. ☐ Athletes after ACLR demonstrated alterations in corticospinal, and intracortical excitability early after surgery compared to controls, and these neurophysiologic measures were associated with isometric quadriceps strength during the course of rehabilitation. Changes in these measures did not occur throughout rehabilitation indicating that current rehabilitation may not be addressing cortical alterations associated with chronic quadriceps dysfunction. ☐ For goals #2 and #3 we found that there is a relationship between knee kinematic and kinetic symmetry and psychological readiness to return to sport, prior to return to sport after ACLR. Athletes who scored lower on a psychological readiness to return to sport measure displayed greater asymmetries during gait. Additionally, athletes who demonstrated an improvement in psychological readiness to return to sport had better self-reported function following a secondary injury prevention program and at one year after ACLR. ☐ In conclusion, neurophysiologic pathways from the motor cortex to the quadriceps muscle and psychological factors are related to common impairments and outcomes after ACLR. While research is emerging in these two areas, more research is needed to address the less than optimal outcomes currently related to recovery after ACLR. Addressing cortical excitability and psychological readiness to return to sport during rehabilitation have the potential to improve outcomes after ACLR.

Download or read book A Longitudinal Examination of Emotional Response Cognitive Coping and Physical Recovery Among Athletes Undergoing Anterior Cruciate Ligament Reconstructive Surgery written by Michael Alfred Morrey and published by . This book was released on 1997 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Return to Sport after ACL Reconstruction and Other Knee Operations written by Frank R. Noyes and published by Springer Nature. This book was released on 2019-11-05 with total page 709 pages. Available in PDF, EPUB and Kindle. Book excerpt: The wealth of information provided in this unique text will enable orthopedic surgeons, medical practitioners, physical therapists, and trainers to ensure that athletes who suffer anterior cruciate ligament (ACL) injuries, or who require major knee operations for other reasons, have the best possible chance of safely resuming sporting activity at their desired level without subsequent problems. Divided into seven thematic sections, the coverage is wide-ranging and encompasses common barriers to return to sport, return to sport decision-based models, and the complete spectrum of optimal treatment for ACL injuries, including preoperative and postoperative rehabilitation. Advanced training concepts are explained in detail, with description of sports-specific programs for soccer, basketball, and tennis. Readers will find detailed guidance on objective testing for muscle strength, neuromuscular function, neurocognitive function, and cardiovascular fitness, as well as validated assessments to identify and manage psychological issues. In addition, return to sport considerations after meniscus surgery, patellofemoral realignment, articular cartilage procedures, and knee arthroplasty are discussed. Generously illustrated and heavily referenced, Return to Sport after ACL Reconstruction and Other Knee Operations is a comprehensive resource for all medical professionals and support staff working with athletes and active patients looking to get back in the game with confidence.

Download or read book Pathological Conditions New Insights for the Healthcare Professional 2011 Edition written by and published by ScholarlyEditions. This book was released on 2012-01-09 with total page 91 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pathological Conditions: New Insights for the Healthcare Professional: 2011 Edition is a ScholarlyBrief™ that delivers timely, authoritative, comprehensive, and specialized information about Pathological Conditions in a concise format. The editors have built Pathological Conditions: New Insights for the Healthcare Professional: 2011 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Pathological Conditions in this eBook to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Pathological Conditions: New Insights for the Healthcare Professional: 2011 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/.

Download or read book Identifying Neural Activity Associated with Kinesiophobia After Anterior Cruciate Ligament Reconstruction written by HoWon Kim and published by . This book was released on 2020 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Anterior cruciate ligament injury (ACL) is one of the most common knee injuries in physically active populations. ACL injuries are typically treated by surgical reconstruction and post-surgical rehabilitation in the United States. However, even after completing rehabilitation and being cleared by physicians, there is a high percentage of re-injury risk in ACL injury patients. The high re-injury rate could be explained by neuromuscular deficits: which are one of the key factors which contribute to re-injury. In addition to the neuromuscular deficits, movement pattern and physical activity levels could be affected by psychological status after ACL reconstruction (ACLR). Kinesiophobia, fear of movement, is one of the psychological factors we can measure after ACLR. Elevated levels of kinesiophobia is reported in 61% of ACLR patients within 1-2 months after surgery. Also, kinesiophobia correlates with post-surgical activity level and return to play status. However, there is limited knowledge of association between kinesiophobia and knee motor control neural activity after ACLR. Purpose: The purpose of the current study was to determine the correlation between the Tampa Scale for kinesiophobia (TSK) and brain activation during hip-knee joint movement in ACLR patients. Method: Cross-sectional study, ten participants were included in current study (4 males and 6 females, 20.3±2.00 years, 1.72±0.11 m, 68.72 ±14.79 kg, 29.1±25.7 months from injury). All participants completed the TSK prior to the functional neuroimaging season. Functional magnetic resonance imaging (fMRI) technique was used to measure brain activation during hip-knee joint extension-flexion movements in a supine position. The task consisted of a total of four cycles for 30 seconds of activation and 30 seconds of rest. Result: Mean TSK score was 31.3±3.65 (range: 26-37). Higher TSK scores were positively correlated with three clusters. Cluster 1 included the left thalamus (z=5.41, p

Download or read book Current Concepts in ACL Reconstruction written by Freddie H. Fu and published by SLACK Incorporated. This book was released on 2008 with total page 468 pages. Available in PDF, EPUB and Kindle. Book excerpt: From evaluation to outcome, Current Concepts in ACL Reconstruction will help you keep pace with the latest techniques for the treatment of anterior cruciate ligament injuries. This text provides the most complete and up-to-date information for the surgical reconstruction of a torn ACL including details about the newer double-bundle procedure. Both American and international perspectives on the treatment of ACL injuries are included to provide the most comprehensive review on the market today. Inside this richly illustrated text, Drs. Freddie H. Fu and Steven B. Cohen along with contributions from the world's most experienced knee surgeons review the basic science, kinematic, imaging, and injury patterns surrounding the ACL. Surgical concepts, various techniques for reconstruction, and diverse opinions on approaching the ACL are also included. Current Concepts in ACL Reconstruction explains the anatomical basis in order to provide the most current surgical principles to ensure the patient receives the best surgical outcomes. To reflect recent advancements in ACL treatment, the emerging double-bundle technique is comprehensively covered. The differences between the single- and double-bundle techniques are discussed with perspectives from leading international experts in double-bundle reconstruction. An accompanying video CD-ROM demonstrates the various procedures mentioned throughout the text. In addition, several of the world's most experienced surgeons provide their perspective from what they have learned by performing ACL surgery for over 25 years, along with their insight into the future treatment of ACL injuries. What you will want to learn more about: - Differences between single- and double-bundle reconstruction techniques - Outcomes of single- and double-bundle reconstruction - Pediatric ACL reconstruction - Gender differences in ACL injury - Radiographic imaging - Computer navigation assistance for ACL reconstruction - Injury patterns of the ACL - Graft choices in ACL surgery - Revision ACL surgery - Postoperative rehabilitation after ACL reconstruction - Outcome measures to assess success after surgery Current Concepts in ACL Reconstruction answers the need for a comprehensive information source on the treatment of ACL injuries. Orthopedic residents and surgeons will be prepared with this thorough review of ACL reconstruction by their side.

Download or read book The Anterior Cruciate Ligament Injured Athlete written by Eric Ernest LaMott and published by . This book was released on 1994 with total page 378 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Dissertation Abstracts International written by and published by . This book was released on 2008 with total page 994 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Athletes Perceptions of Rehabilitation and the Use of Biofeedback to Enhance Psychological Recovery Following Anterior Cruciate Ligament Reconstruction written by Susan Jane Schwenz and published by . This book was released on 2001 with total page 512 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Multiple Ligament Injured Knee written by Gregory C. Fanelli and published by Springer Science & Business Media. This book was released on 2012-08-16 with total page 469 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Multiple Ligament Injured Knee: A Practical Guide to Management includes the most developed knowledge needed to successfully diagnose and treat knee ligament injuries. This thorough work presents anterior and posterior cruciate and collateral ligament anatomy and biomechanics along with non-invasive methods for diagnosing the extent of injury, such as radiographic and arthroscopic evaluation. Various injuries are discussed in addition to useful treatment techniques, including arthroscopic reconstruction, posterolateral and posteromedial corner injury and treatment, assessment and treatment of vascular injuries, assessment and treatment of nerve injuries, rehabilitation, and post-operative results. Each of these clearly written chapters is accompanied by a wealth of line drawings and photographs that demonstrate both the surgical and non-surgical approaches to examination and treatment.

Download or read book Effects of Reconstruction Surgery and Individualised Rehabilitation on Neuromuscular Sensorimotor and Musculoskeletal Performance in Patients with Anterior Cruciate Ligament Deficiency written by Christopher Yates and published by . This book was released on 2016 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Neuroplastic and Neuromuscular Effects of Knee Anterior Cruciate Ligament Injury written by Dustin R. Grooms and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: Anterior cruciate ligament (ACL) ruptures are common activity-related knee injuries usually requiring surgical reconstruction and extensive rehabilitative therapy to restore knee stability and function. Despite surgical reconstruction and physical rehabilitation, injury of the ACL dramatically increases the risk for a second injury (re-tear or contralateral leg), costly and long-term disabling osteoarthritis as well as decreased lifelong physical activity. The mechanism of this injury is typically non-contact, meaning the individual experiences a loss of neuromuscular control during jump landing, running or a change of direction maneuver without contact from another person or any other external force. Current interventions focus on biomechanical adaptations, mitigating their effectiveness to address the full neuromuscular control system. In spite of the plethora of biomechanical and patient data collected over the last three decades, the re-injury rate has remained high, if returning to activity, and patient dysfunction remains prolonged. Previous investigators have observed central nervous system and somatosensory deficits despite ACL reconstruction and rehabilitation, and we suggest that this is likely due to a neuroplastic adaptation not currently understood. This project connects highly dynamic measures of knee neuromuscular function with whole brain activation patterns to generate a brain-behavior model. The integration of neuroimaging and biomechanics in this investigation identifies the central nervous system components of ACL injury not accounted for in current assessment and intervention techniques. Quantification of the underlying neurological changes that may be driving the biomechanical outcomes after ACL injury will allow neural correlates of function to be targeted in rehabilitation.

Download or read book The Posterior Cruciate Ligament written by Michael Strobel and published by . This book was released on 2010 with total page 219 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Disruptions in Physical and Neurocognitive Wellness After Anterior Cruciate Ligament Reconstruction written by Julie Burland and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Traumatic knee injuries, such as anterior cruciate ligament (ACL) sprains detrimentally impact long-term health by initiating a cycle of chronic pain, inactivity, and disability. Neural activity alterations have been suggested as a large contributor to numerous aspects of reduced physical function including but not limited to persistent quadriceps strength deficits, aberrant biomechanical movement patterns and reduced self-reported function after ACL reconstruction (ACLR). Emerging evidence strongly points to the notion that psychological deficits also hinder recovery. Notably, neural impairments observed following ACLR may initiate psychological dysfunction, a process defined as learned helplessness (LH). This project will innovatively investigate the constructs of commonly affected after ACLR, including constructs of quadriceps strength, biomechanics, neural activity and psychological function, specifically focusing on establishing LH in this cohort. The central tenet of this work will establish the framework that after ACL injury and ACLR, patients experience alterations in afferent neural drive due to loss of mechanoreception, pain, and swelling, leading to subsequent alterations in central nervous system neural activity. This change in neural activity can either acutely foster an environment of uncontrollability promoting LH or persist, leading to a cyclical pattern of muscle inhibition and weakness, altered joint biomechanics, depressed self-reported and psychological function that generates the construct of LH in these patients; conversely, the change in neural activity can be restored, placing patients on the path to more positive outcomes. The negative psychological responses that ensue likely can further exacerbate the negative neural responses, creating a cyclical pattern that results in decreased overall quality of life in these patients. A natural extension of our need to comprehensively care for the patient after ACLR is to firstly continue to further understand the relationship between common post-operative outcomes and secondly to more thoroughly consider psychological health during ACL rehabilitation and to recognize LH as a potential barrier to successful recovery. By elucidating these relationships, we can begin to develop future evidence-based interventions capable of promoting both physical and psychological health and improved long-term quality of life.

Download or read book Outpatient Rehabilitation for a Patient Following Anterior Cruciate Ligament Reconstruction Surgery written by Nicole DeSouchet and published by . This book was released on 2018 with total page 58 pages. Available in PDF, EPUB and Kindle. Book excerpt: A patient with a left anterior cruciate ligament (ACL) reconstruction was seen for physical therapy treatment for 9 sessions over 8 weeks at an outpatient physical therapy clinic. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with range of motion measurements, knee circumference measurements, the Lachman test, manual muscle tests, the Timed Up and Go test, the Five Times Sit to Stand test, the Lower Extremity Functional Scale, and the Lysholm score. A plan of care was then established. Main goals for the patient were to improve range of motion, increase strength, decrease knee swelling, increase functional mobility, improve functional transitional movements, and return to participation in hiking for recreation. Main interventions used were manual therapy, therapeutic exercises, neuromuscular electrical stimulation, modalities, patient education and gait training. The patient improved strength, gait mechanics, lower extremity function, mobility, transitional movements, and demonstrated decreased knee swelling. The patient continued to be seen at the outpatient physical therapy clinic for the duration of her care before she was discharged to continue living at home with a home exercise program.