Proprioceptive Rehabilitation

Thus obtaining on proposed rehabilitation program in accordance with the scientific foundations in order to achieve the desired benefit which represents in enhancing the functional efficiency of athletes after ACL surgery for return to their preinjury state and participate in their sports activities.

Each year, approximately a quarter of a million physically active young people experience an anterior cruciate ligament (ACL) injury, and seventy percent of these ACL injuries will be sustained while engaging in non-contact activities such as sudden deceleration while landing (Begalle et al., 2012). This type of injury is grossly detrimental not only on the occasion in which it occurs but also for the subsequent years to come. The majority of individuals who injure their ACL also go on to either, re-injure that same ACL, or injure the opposite knee. Furthermore, our bodies are put in tremendously vulnerable planes of motion during sporting events, especially during activities such as, basketball, football, or soccer. In this day

Exercises such as jogging and biking can be performed in order to maintain fitness and improve cardio. Once the ankle has healed, the athlete can return to cutting and twisting sports, in order to maintain their skills. Athletes should consult coaches or team physio’s before returning to play, to determine whether the injury is still present or not. If the injury has healed, the athlete should be pain free, able to fulfill their full range of motion, and the ankle should have returned to its previous strength. Skills tests, such as dribbling, as well as quick movements on the ankle can also determine the readiness of the athlete to return to play.

When you are dealing with a sports related injury you can use various ways for treatment. You can partake in taking anti-inflammatory drugs, immobilize the area of injury, surgery, rehabilitation, rest, or other therapy exercises. Immobilization is the most common treatment for sport related injuries. It keeps the injured area from moving and prevents more damage from occurring in the area. Casts, splints, slings, and leg braces are also used to immobilize the injured area. Doing rehabilitation also helps improve the injured area as well, it is the key part of treatment. By moving the injured area, it helps it to heal.

The ankle joint is the most commonly injured part of the body for individuals who participate in competitive activities, accounting for approximately 30% of all sports related injuries (Boyas, Hajj, & Bilodeau, 2013; Hootman, Dick, & Agel, 2007; Waterman, Owens, Davey, Zacchilli, & Belmont, 2010). It was estimated that in the United States alone, there are around 25,000 ankle sprains suffered each day(Olmsted, Vela, Denegar, & Hertel, 2004). A systematic review has analyzed articles published between 1977 and 2005 in 70 sports, and demonstrated that the ankle was the

Sporting injuries can be a very stressful, emotional and sensitive time for that of an athlete. Whether the athlete be recreational or elite, the prevalence of injury can be a traumatic, nerve-wracking experience. For competitive athletes in particular, there can be heightened levels of despair, frustration, fury and confusion with add-on effects such as loss-of confidence and fear of returning to the game (Evans et al 2006). According to Marjorie (1997) the occurrence of an injury not only temporarily incapacitates but places an athlete in a world with no guarantees or predictable outcomes. Injury rehabilitation is an essential element which allows injured athletes to return to previous fitness and begin to again play

Anterior cruciate ligament injuries (ACL) can be detrimental for individuals who want to excel in their sport. The debilitating injury leads to a period of regression in performance essentially deconditioning the athlete, which can be a huge drawback for individuals of different levels of competition. The knee is one of the most commonly injured joints of the human body and carries an increased risk of injury with sports participation. Recent research states approximately 40% of all ligamentous knee injuries are ACL related and 70% of all ACL injuries occur during sports (Lam et al., 2009). Sporting activities involving jumping, cutting and decelerating are ranked the highest provokers of ACL injury (Renstrom et al., 2008). ACL injuries have produced a mass of research surrounding the mechanisms and biomechanics leading to the injury and the rehabilitation outcomes to effectively bring back the original state of an individuals impaired limb. The majority of literature in the present has undertaken an overview of rehabilitation and the effects it may or may not have on individuals at a neuromuscular and proprioceptive level. These interventions may require further research and revision on the programs delivered itself to foresee what may be optimal due to the majority of research indicating the various effects an ACL injury has at a neurophysiological and mechanical level. The programs are of upmost importance as the redevelopment of robust sufficient muscle mass after a

To provide measurements for safe reintroductions of the athletes to their respected sports post ACL injury, Standard Functional Tests (SFT) have been developed. (8,9,10) Most of these tests combine complex movements

The purpose of this study was to compare treatment effectiveness between a standard nonoperative ACL rehabilitation program and one that is augmented with perturbation training techniques in returning physically active individuals to high levels of activity. It was hypothesized that subjects receiving the perturbation training would be more successful in returning to high-level physical activities following rehabilitation than subjects who did not receive this treatment. This study focused on patients that would do well with nonoperative measures for their ACL injury. (Fitzgerald, Axe, & Snyder-mackler, 2000)

There were several different interventions performed aimed at increasing range of motion, balance/proprioception, and to increase strength of the right lower extremity. Following the initial examination and evaluation a brief therapeutic exercise period ensued. The gastrocnemius and soleus were both stretched against a wall each for two sets of 60 seconds to help increase dorsiflexion range of motion (Radford, Burns, Buchbinder, Landford, Cook, 2006). Active range of motion for dorsiflexion, plantarflexion, inversion and eversion was performed on a wobble board while seated for 20 repetitions in each directions to increase range of motion, but more importantly to improve proprioception (Bernier and Perrin, 1998). Plantar flexion strength was addressed by utilizing green thera-tubing around the forefoot with the patient holding the other end of the tube. This was performed for one set of 20 repetitions. Body weight squats using a railing for support were chosen as they are a closed kinetic chain exercise that challenges the gluteus muscle group as well as hamstrings while also causing dorsiflexion of the ankles (Gryzlo SM, Patek RM, Pink M, Perry J, 1994). Closed chain exercises were started initiated at the first visit as they cause an increase in joint compressive forces which can lead to increased stability, increased muscle activation, and decreased joint shearing forces (Harter, 1996). Supine bridges on a 55 cm theraball were performed for 20 repetitions to address the

Salom-Moreno, J., Casado-Ayuso, B., Tamaral-Costa, B., Sanchez-Mila, Z., Fernandez-de-las-Penas, C., & Alburquerque-Sendin, F. (2015, April 9). Trigger Point Dry Needling and Proprioceptive Exercises for the Management of Chronic Ankle Instability: A Randomized Clinical Trial. Research Article,

Furthermore, rehabilitation is one of the most promising therapeutic factors to regain motor neurons function and to restore the movement function. Types of injury are caused by a lower level or a higher level of injury. In case the lower-level is injured, functions of the pelvic organs, legs and trunk are affected. Patients who get the paralysis of the lower limb are called paraplegia patients. Whereas the hands, arms, trunk, pelvic organs, and legs are affected in SCI patients who suffer from higher-level injuries. When all four limbs are paralyzed, we are also known as tetraplegia or quadriplegia case. In both cases, the functions of the lower limb are impaired. Thus, this research is focused on lower-limb rehabilitation. Current technology

The theme of this session is to present clinical reasoning skills utilized in professional and collegiate sports rehabilitation. With the use of precise movement analysis and manual techniques, participants will augment their repertoire of clinical skills/tools in their orthopaedic toolbox. It is a common paradigm in manual therapy that spinal stiffness and hypomobility is linked to pathology. Current best evidence will be presented on the effects of aberrant or excessive motions in the spine and it’s implications for movement analysis and movement coordination retraining. Clinical guideline based concepts related to spinal pain and movement coordination

This paper examines the importance of proprioception exercises in the rehabilitation process of orthopedic injuries and conditions. Proprioception is the ability to coordinate movements and understand how much strength is needed to move a body part or object. There are several different ways to test the level of proprioception as well as a number of exercises to improve it. It is debatable whether or not these types of exercises are advantageous to a patient before surgery; however, it has been demonstrated to be greatly beneficial after surgery. Additionally, there is evidence that shows proprioception is greater in the non-dominant limbs of an individual. Nevertheless, visual feedback or hand-eye coordination is better on the dominant side.

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.