6 - ACL ASSESSMENT

Question 1

Why ACL rupture rehab / prevention important?

Answer 1

• 35% of athletes do not return to preinjury sport level
• Up to 24% of athletes have second ACL injury within first 5y after ACLR
• Re-injury equally affects reconstructed ligament or contralateral ACL
• Clearly, no optimal rehabilitation protocol and/or optimal return to play process

Question 2

ACL reconstruction necessary ?

Answer 2

= > Participants with evidence of ACL healing reported better sport/recreational function & kneerelated QoL 2y after injury, compared with non-healed, delayed ACLR & early ACLR groups
- Loss of stability => increased movement => more risk of arthritis
- Decision of doing reconstruction or not, based on age (young), high sport demands (sport
with pivot) & symptoms (lack of stability)

Question 3

Typical concomitant procedures

Answer 3

Table

Question 4

ACL rehab guidelines:
- preoperative
- early post op
- Mid stage post op
- late stage post op
- return to sports

Answer 4

Table

Question 5

Soreness rules for progression at mid stage:
- criterion & action

Answer 5

Table

Question 6

Different guidelines for ACLR rehab

Answer 6

SORT
ASPETAR

Images