Evaluation Of A Patient Post Medial Knee Ligament Reconstruction

C: Pt will increase ROM and strength in her hips, knees, and ankles to aid in functional mobility. The pt currently has deficits in these areas due to hypertonicity, this impedes on her ability to walk effectively and safely with her crutches. Increasing ROM and breaking up the tone will aid in better functional mobility. If improved over time, this could translate into a long term goal of the pt not needing crutches for mobility.

The left metatarsophalangeal and interphalangeal (great and lesser toes) joints are held at slight flexion pressed against the ground by a concentric contraction of the flexor halluces longus, flexor digitorum longus, flexor digitorum longus. The left talocrural (ankle) is plantar flexed using a concentric contraction of the gastrocnemius and the soleus. The right talocrural (ankle) is plantar flexed by a concentric contraction of the tibialis anterior, extensor digitorum longus, peroneus tertius. The left tibiofermoral (knee) joints are being extended by a concentric contraction of the quadriceps muscles (rectus femoris, vastus lateralis, vastus medialis, vastus intermedius). The right metatarsophalangeal and interphalangeal (great and lesser toes) are being held plantar flexed due to an isometric contraction of the flexor halluces longus, flexor digtorum longus. The right tibiofermoral (knee) joints are flexed at a 90-degree angle by a concentric contraction of the biceps femoris, semitendinous, semimembranosus. During this phase the left acetabular fermoral (hip) joint is flexed due to an eccentric contraction of the rectus femoris, pectineus, iliacus, and psoas. The right acetabular fermoral (hip) joint is at slight extension due to a concentric contraction of the biceps femoris, semitendinosus, semimembranosus, and the gluteus

According to Su et all (2009), knee replacement is an effective way to find relief of pain and improve mobility, but most importantly giving the patient education and skills during early recovery. In comparison, all articles focused on the need of improving mobility after surgery. Assessing the patient’s abilities and the need for physical therapy and keeping an eye out for complications. A main focus was pain relief and that recovery for each patient varies, but it is important to get them ambulating with assistive devices soon after surgery. My patient at Kindred, had continuous assessment and an interdisciplinary team that assisted in her road to

The medial collateral ligament (MCL) is a tough band of tissue that connects the thighbone to the shinbone. Your MCL is located on the outside of your knee. It prevents your knee from moving too far inward and helps keep your knee stable. A MCL sprain is an injury caused by stretching the MCL too far. The injury can involve a tear in the MCL.

Ulnar collateral ligament tear (UCL) contains a sprain to inner elbow ligament. Once significant stress is placed upon the UCL, an injury occurs. However, two UCL injury treatments include icing and excluding throwing activates for six weeks. Icing reduces inflammation, whereas not throwing influences healing. In addition, injury prevention exercises include heavy dumbbell farmer walk, squishy ball squeezes, and dumbbell wrist curls. Heavy dumbbell farmer walks specify athlete to walk Five yards while holding dumbbells. Exercise is succeeded four days per week with three sets of five, progressing into weight increases. Squishy ball squeezes require athletes to grip squishy ball frequently contracting then releasing. Exercise is succeeding three

Physical therapy modalities, such as ultrasound, whirlpool baths, phonophoresis, augmented soft tissue mobilization, electrical stimulation, and unweighted ambulation, may be used (2009). Ice and rest are the two most important treatments the athlete can receive during the acute phase. Ultrasound will be used to increase the tempeture of the local area. This will increase the speed of healing. Phonophoresis will be used to introduce medications into the area. Mainly anesthetics to numb the trigger point. Whirlpool baths will be used to relive pain and swelling of injured leg. Electrical stimulation is used for to help the healing process by transporting ions beneficial to healing to the affected area

If you're going to have knee replacement surgery, you should expect to have trouble getting around well enough to take care of yourself for several days after the procedure. While you'll be in the hospital a few days, once you've recovered from the actual surgery, you will be discharged to recover in a nursing facility or at home. If you don't have family to help you, hiring home health care will allow you to return home to your familiar surroundings to recuperate. Here why a home health care service is beneficial.

Majority of the patients that suffer with this injury have to have an open reduction internal fixation (ORIF) in order to correct the issue. The open reduction internal fixation is said to be less invasive on the bone, ligaments, muscles, and tendons, it also will relieve pain and prevent a reoccurring dislocation of the metatarsal.4 After surgery the patient is non-weight bearing for six weeks then will slowly progress to full weight bearing over a course of a couple of months. As for the rehabilitation process, the patient will most likely be in physical therapy for a long period of time. Part of the rehabilitation plan for an LFD consist of picking marbles up with the toes and placing them into a container, tracing the alphabet with the injured foot, balance exercises, and theraband exercises. One of the reason for the rehabilitation process is to regain most of the range of motion back in the ankle and foot. It also helps with rebuilding strength in the muscles of the foot and

Physical therapy is a huge part of the recovery process. Almost immediately following surgery, a physical therapist will come in and do an evaluation on the patient and then either the PT or a physical therapist assistant will help the patient start off with an exercise program. In the first few weeks following surgery, the main goals for the patient are learning to walk with their walker or crutches and gentle massage to the foot area. The patient can start a few exercises including keeping the knee and hip joints strong and moving with strengthening and range of motion exercises. During weeks two through six, other exercises are introduced including range of motion exercises for the ankle. Calf and ankle stretches, towel crunches, and ankle range of motions with a babst board are all beneficial and appropriate during this stage of treatment. After week six and x-rays are taken to confirm the ankle has healed, strengthening and weight bearing exercises can slowly be introduced to strengthen and reeducate the ankle back into a normal walking program and gait pattern. Swelling, popping, and decreased strength can be expected for at least the first year following the

The Anterior Cruciate Ligament also known as the ACL is deemed the most commonly torn ligament in the knee and can result from both contact and noncontact injuries. Most Anterior Cruciate Ligament injuries result from an extreme force on the lateral side of the person’s knee causing a valgus force which pushes the knee inward (Kisner & Colby, 2012, pp. 802-803). This injury to the side of the knee can also cause a “Terrible Triad” injury which also injures both the medial meniscus and the medial collateral ligament (Kisner & Colby, 2012, p. 803). Our textbook further states that “the most common noncontact mechanism is a rotational mechanism in which the tibia is externally rotated on the planted foot….this mechanism can account for as many as 78% of all ACL injuries” (Kisner & Colby, 2012, p. 803). If the person does not seek medical help with this injury they are susceptible to also injuring the remaining support ligaments as well. Patients usually present with joint effusion; possibly 25 degrees of flexion, joint swelling if blood vessels are involved, limited ROM, stress pain and instability along with quads avoidance gait patterns (Kisner & Colby, 2011, p. 208)

A torn ACL is one of the most serious and common knee injuries. Many aspects play a role in the treatment and rehabilitation of this injury. This paper will discuss the anatomy of the knee, describe a torn ACL, and the rehabilitation.

Goals of the rehab protocol for Jumper’s knee • To maintain pain and swelling • To regain full ROM of the knee • To initiate suitable stretching and strengthening exercises (Walter R. Lowe, n.d) Phase 1 Goals for Phase One in Rehab Protocol • To Maintain pain and inflammation • Help the patient to be independent in HEP • Establish pain free muscular strength exercises • Activate Sufficient quad/VMO contraction (Walter R. Lowe, n.d)

This essay deals with the current treatments, rehabilitation procedures and onsets following anterior cruciate ligament (ACL) injuries. Within this essay, there will be information including the causes, characteristics, and symptoms of ACL injuries. Throughout the United States, there are estimated to be 200,000 ACL injuries per year with 100,000 of those injuries being treated through ACL reconstruction (Evans, Shaginaw, & Bartolozz, 2014). With a satisfactory ACL reconstruction outcome between 75%-97%. From the 10%-15% failure rate of ACL reconstruction, the primary fault is due to technical mistakes at 70% (Samitier, Marcano, Alentorn-Geli, Cugot, Former, & Moser,

Progressive mobilisation is the process of restoring athlete to pre-injury level of fitness, it aims to prevent re-injury, to allow an athlete to return to competition/training quickly and safely, While also gradually increasing the range of the injured part eg ankle (invert and evert ankle, until full range of motion is restored). This procedure is done through active (injured performs movement) and passive (physio/another person performs movement) methods. This rehabilitation procedure is sufficient and recommended to treat a sprained ankle as it restores to pre-injury level of fitness, while preventing re injury, that allows the return to play quickly/safely.

Physical therapy has grown increasing more useful as the years’ progress and more is learned about the human body and its movements, interactions, and mechanisms. Someone may go to physical therapy for injury, recovery, in order to maintain function, or even due to a stroke and is trying to work on walking again. Patients of a physical therapist can include, but is not limited to, elderly, children, accident victims, athletes, those with conditions such as arthritis or fractures, etc. The possibilities are endless for potential physical therapy patients (Mayo Clinic School of Health Sciences).