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Physiotherapy

Managing ACL Tears  with Chiropractic 

Health Wise chiropractic sports chiropractor

What you need to know

Massage Therapy

FAQ about ACL 

Things to know about the ACL and How Chiropractic Can help 

01

How do we assess the quality of the ACL 

It is common to test : 

Bilateral Squat 

Right leg 

Left leg squat 

Right leg lunge 

Left leg lunge 

Right unilateral jump 

Left unilateral jump 

Five hops right leg 

Five hops left leg 

03

ACL treatment with surgery or Chiropractor ?

Athletes competing in high-level athletics or pivoting sports, such as soccer, football, and basketball, have historically been considered poor candidates for non-operative management

Rehabilitation with optional delayed ACL reconstruction can produce similar outcomes as early surgical reconstruction

02

What are the symptoms of ACL 

It is usually from a 

traumatic pivoting mechanism, typically without direct contact to the knee, a ‘popping’ or ‘snapping’ sensation, effusion within 2 h of injury and knee instability

Most cases of ACL tear are associated with a meniscus injury, cartilage defect, and collateral ligament tear

04

What is the ACL for ?

The ACL is involved in connecting the femur to the tibia, and plays a prime role in the kinematics and stability of the knee

Anatomically, the ACL consists of two bundles which are named according to their tibial attachment. The antero-medial (AM) bundle, taut in flexion, is primarily responsible for restraining anterior tibial translation (anterior drawer test). The postero-lateral (PL) bundle on the other-hand, is taut in extension and is primarily responsible for rotational stability (pivot shift test)

Physical Therapy Session

Phases of Rehabilitation 

How Chiropractic helps your ACL 

01

1st stage 

Rehabilitation focuses on restoring muscle performance, cardiovascular endurance, agility and coordination, and sports-specific skills .

Acutely, cryotherapy and compression are used to reduce effusion, and quadriceps strengthening is initiated with limited motion between 30 and 100° of flexion

02

Neuromuscular Training 

neuromuscular training focuses on increasing range of motion, strength, and dynamic weight-bearing while resolving effusion

03

Final Stage 

final phase of rehabilitation is return-to-sports readiness, which re-integrates functional, sports-specific exercises to improve cardiovascular conditioning and performance until symmetry on functional testing at least 90% compared to the contralateral limb is achieved

04

What are god indicators for early return to play 

Patients after surgery with better jump-landing patterns, hop performance and greater hamstring strength have a greater likelihood for return to play

Child Physiotherapy

What is an ACL 

How does an ACL Tear 

How does an ACL Tear

COST OF ACL One ACL injury currently costs $38,000, which includes long-term costs; thus, the economic burden to society is substantial Risk factors for second ACL injury are : First acl injury at a young age Return to cutting and pivoting sports Early return to sport after primary ACLR Impaired postural control Reduced hip and knee control during landing analysis

How common are ACL problems  

How common is ACL problems ACL tears are 2 to 8 times more common in female athletes than in their male counterparts, why? Female athletes tend to have an increased quadriceps angle, dynamic knee valgus, quadriceps dominance, and hamstring weakness when compared with men Injuries of the anterior cruciate ligament (ACL) have been estimated in the general population to be 68.6 per 100,000 person-years large burden in both professional and amateur athletes, accounting for approximately 20% to 50% of all knee injuries

Knees
Physical Therapy Session
Physical Therapy Session

What are the symptoms of an ACL injury 

ACL tears - how and when Most of the reported ACL injuries in this study were complete tear (80.5%) in the dominant leg (74.6%) while playing soccer (97.2%) on artificial turf (53.3%) due to non-contact mechanism (63.6%). Higher levels of fatigue before ACL injury seem to be more related to a partial tear of the ACL ACL injuries due to jumping, landing, or quick change of direction are considered noncontact injuries, whereas, contact injuries happen due to a direct hit to the knee or due to player-to-player contact A traumatic pivoting mechanism, typically without direct contact to the knee, a ‘popping’ or ‘snapping’ sensation, effusion within 2 h of injury and knee instability Most cases of ACL tear are associated with a meniscus injury, cartilage defect, and collateral ligament tear

Return To Play Advice after ACL injury 

When to return to play 1. Frequency - Steps per day , Sessions per day and days per week 2. How intese the demand of activity is 3. Time- minutes per day able to perform activity 4. How able patient can participate in jogging, weight training and participation. Furthermore, the likelihood of reinjury of the ipsilateral or contralateral ACL is 19.4% if the athlete returns to their sport 9 months postsurgery and 7 times greater for those who return earlier

Physiotherapy

Rehab Advice 

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Exercise One 

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Coming soon rehab

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Exercise One 

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