FRAMEWORK FOR OPTIMIZING ACL REHABILITATION UTILIZING A GLOBAL SYSTEMS APPROACH

Steven Dischiavi, Alexis A. Wright, C M Bleakley

Research output: Contribution to journalArticle

Abstract

Knee injuries such as ACL tears commonly occur and there is a high re-injury rate after primary ACL reconstruc-
tion with figures estimated at 25%-33%. Clinicians often use hip strengthening as a key component of knee reha-
bilitation. Evidence suggests that adopting a “regional” or “proximal” approach to rehabilitation can increase hip

strength, but motor control often remains unchanged, particularly during more complex tasks such as running
and jumping. It has been previously suggested that the current approach to “regional/proximal” rehabilitation is
too basic and is constrained by a reductionist philosophy. This clinical commentary provides the clinician a
framework for optimizing knee rehabilitation, underpinned by a more global approach. Although this approach
remains hip-focused, it can be easily adapted to modify exercise complexity and key loading variables (speed,
direction, flight), which will help the clinician to better replicate the sport specific demands on the knee.
Original languageEnglish
Pages (from-to)1-11
Number of pages11
JournalInternational Journal of Sports Physical Therapy
Volume15
Issue number3
Publication statusPublished - 13 Jun 2020

Keywords

  • ACL
  • dynamic knee valgus
  • hip exercise
  • movement system
  • proximal rehabilitation

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  • Cite this

    Dischiavi, S., Wright, A. A., & Bleakley, C. M. (2020). FRAMEWORK FOR OPTIMIZING ACL REHABILITATION UTILIZING A GLOBAL SYSTEMS APPROACH. International Journal of Sports Physical Therapy, 15(3), 1-11.