Pre and postoperative rehabilitation of adult athletic player with ACL reconstruction.

Abstract

Objective :The purpose of this study was to determine the effects ofpreoperative and postoperative rehabilitation on kneeproprioception, muscle strength, stability and functional levelin athlete with anterior cruciate ligament reconstruction(ACL-R).Study Design : Case report.Level of Evidence : Level 5.Methods : a 6 weeks preoperative RICE, four set exercise,cryo and electrotherapy was applied to a 23 years oldprofessional level football player with right ACL tear wasgoing into ACLR. Followed by 24 weeks of postoperativefunctional strength training, stability, balancing,proprioceptive, manual therapy exercise and gait trainingending by perturbation, jumping, running and hop training.Results : joint effusion was controlled after 6 weekspreoperative rehab with restoration of joint ROM, allowingpatient to get into ACLR surrey. By the end of 24th weekpostoperatively patient regained full muscle power, full jointROM, could realize joint sense, double and single leg stanceon balance board up to 3 min. 80% to 90% of hop testing wasachieved in addition to running continuously 15–20 min.Conclusion : a well-designed pre and postoperative trainingprogram get a young athlete to a successful ACLR surgery,preventing postoperative complications and improvingpostoperative out-comes. Leading patient to get into hissports again.