MANAGEMENT OF ACL INJURIES COURSE
Div | Lengde: 7:02:20

MANAGEMENT OF ACL INJURIES COURSE

Master the art of ACL Rehabilitation with this 8-hour course, developed by two knee experts: Lee Herrington and Sebastiano Nutarelli. They are specialized physical therapists and clinical researchers. The concept underpinning the structure of this course aims to be solidly based on the best available evidence (published and not published yet) and the clinical expertise accumulated by the instructors, constantly updated to provide clinicians with a comprehensive theoretical and heavily practical learning pathway around the rehabilitation following ACL injuries.

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COURSE DESCRIPTION

The participants will be driven in practice through a journey from the moment of the injury to discharge/return to sport (RTS) after the ACL injury of the knee that a wide range of individuals, from regular people to weekend warriors, from semi-pro to professional/elite athletes, can incur into.

The course covers the management of ACL tears, either non-surgical or following the ACL recostruction (ACL-R), differentiating by grafts in the second case, including the associated lesions (MCL, LCL, meniscus, cartilage, postero-lateral corner injuries, etc.) and related functional deficits (rotatory instability, giving way, etc.).

The attendees will be guided through what should ideally happen from the first moments following an ACL injury, the evaluation with the relative priorities, the formulation of a proper diagnosis, the determination of a reliable prognosis, and the planning of the most appropriate intervention based on the best available evidence, the clinicians' shared expertise, and the preferences and expectations of the injured athlete/patient. 

The course will cover the entire rehabilitation process with theoretical and practical focus on the elements that the physical therapists should put emphasis on depending on the type of ACL injury with different associated injuries, on how and when the fundamental physical qualities along the rehabilitation process have to be ‘chased’ with the appropriated progressions in order to achieve a complete recovery.

Overcoming muscle inhibition, regaining range of motion, managing effusion, normalizing walking gait, improving movement skills, applying/monitoring/managing load, regaining the different qualities of strength, returning to running and then to restricted training practice, taking into consideration of the psychological aspects that might limit recovery, gradually exposing patients to their preferred physical activities/sports-specific gestures, progressively testing, etc. - depending on the ACL injury with/without further associated lesions the time scale will be different but all patients/injured athletes will need to be exposed to the rehabilitation of all these qualities and abilities at some point to achieve a successful outcome. This is the main focus of this course.

The everyday clinical reasoning put into practice in ACL rehabilitation including testing patients/injured athletes along their rehabilitative journey, learning how to rate their current status to be actually able to decide whether they can safely proceed to the next phase (Return To Run, Return To Train on the field/court, RTS) or need to further improve under certain parameters before getting exposed to excessive re-injury risks, nonetheless the scientific reason underpinning this approach phase by phase.

Eventually, the course will analyze RTS decision-making with dedicated parameters and criteria.
The participants will be provided notions of biomechanics, introduced to different rehabilitative approaches/techniques and science-based concepts that will drive them through the process following the ACL injury of the knee.


LEARNING OBJECTIVES


• Develop a healthy and productive surgeon-physical therapist professional relationship for the eventual patients’ benefit and the personal/professional growth
• Understand, critically appraise, and put into context the scientific literature on ACL injuries of the knee
• Realize that all knee patients/injured athletes will need to be exposed to rehabilitation of the same physical & psychological qualities at some point and get in control of when the time comes to target the different abilities depending on their specific injury and their postinjury evolution
• Get to know the ACL rehabilitation pillars in details, when and how to target each of them, to master the rehabilitation process from the moment of the injury to RTS

• Learn how to effectively implement a high-quality rehabilitation program following either ACL isolated injuries (approached with an ACL-R or non-surgically) or ACL-R with associated lesions
• Enhance the clinician's skills of connecting the pieces of the puzzle merging biomechanics, kinesiology, exercise physiology, and sports-specific concepts to orthopedic decision-making following knee injuries, rehabilitation, and discharge/RTS
• Upskill the clinicians' testing abilities to progress through the ACL rehabilitation phases until RTS


 

For Belgian Physiotherapists: 
Geaccrediteerde punten:
16

Om in aanmerking te komen voor de 16 punten, dient u alle quizzen succesvol volbracht te hebben en op te sturen naar: [email protected] met uw achternaam en RIZIV-nummer. Dit sturen wij door naar PE-Online.

Velg episode

  • Episode 1. Lengde 43:18

    Intro & Pre op

    This chapter covers: The extent of the ACL injury problem, the differences in rates between genders and the factors which impact on injury causation. How to frame ACL rehabilitation as a criteria-based progression with clear pilars to be targeted along the way, facilitating a productive cooperation between the orthopaedic specialist and the physicial therapist. The key considerations for the management of the pre-operative phase

  • Episode 2. Lengde 1:03:50

    Immediate post op (early rehab) phase

    This chapter covers: The management of the acute phase typical elements such as wound care, pain & swelling control, mobility progressions, and the return to the activities of daily living. How to regain range of motion and preserve patellar mobility being aware of the strategies to apply in case things don't evolve as commonly expected. The strategies which can be used to overcome muscle (particularly) quadriceps inhibition. How to incorporate early eccentric loading into the rehabilitation program. The importance of load management in the recovery of the patient and how to monitor for the impact of changing load intensity through the program

  • Episode 3. Lengde 2:12:05

    Pillar 1: Developing force

    This chapter covers: Some common terminology used from now on and the utilization of open Vs close kinetic chain in the exercise prescription during ACL rehabilitation. Approaches which could be used to develop strength (maximal force) in the key muscle groups and how to programme them. The importance of also improving rate of force development and approaches to developing improved rate of force development. Science and prescription principles behind blood flow restriction and isoinertial training in ACL rehabilitation. How to reliably test force with hand-held dynamometers, isokinetic machine, and force plates eventually interpreting the outcomes comparing them with normative values. The key measureable objectives for force based training and the expected minimal standards for optimising outcome.

  • Episode 4. Lengde 1:15:34

    Pillar 2: Developing movement skill

    This chapter covers: How to develop static stability and movement dissociation and their assessment. How to use a variety of scoring systems to assess movement quality. The involvement of the cognitive component in closed Vs open skills, and how perturbating the visual, vestibular, and cognitive domains can provide a more effective rehabilitation. The different approaches of coaching movement skills and conceptual considerations on avoiding Vs gradually exposing ACL patients to movement commonly considered as 'dangerous'. How to progress from static exercises to landing tasks and the criteria which could be used. How to use hop tests and maximise the impact to the data from them for progression decision making.

  • Episode 5. Lengde 12:43

    Pillar 3: Developing metabolic conditioning

    This chapter covers: How to take the fitness status into account along the rehabilitation process with actual intervention principles.

  • Episode 6. Lengde 13:53

    Pillar 4: Developing tissue resiliance

    This chapter covers: The relationship between bony oedema and osteoarthritis, and how they impact on the long term outcome for ACLR patients. Methods which could be used to assess for and manage load exposure.

  • Episode 7. Lengde 07:22

    Return to Run

    This chapter covers: The pre-requisites required to allow for optimal progression into linear running, the role of AlterG and how to progress linear running sessions.

  • Episode 8. Lengde 10:52

    Return to Change of Direction (COD)

    This chapter covers: The pre-requisites required to allow for optimal progression into acceleration and deceleration training and the development of some training parameters. The pre-requisites required to allow for optimal progression into change of direction running, how to assess change of direction and the development of some training parameters.

  • Episode 9. Lengde 51:24

    Return to Sport

    This chapter covers: The return to sport (RTS) continuum embracing pre-requisites, test batteries, the role of testing physical & cognitive qualities in fatigued-conditions, eventually considering a cluster of parameters beyond the current missing consensus on RTS.

  • Episode 10. Lengde 11:19

    Prevention/injury risk reduction

    This chapter covers: Effectiveness, barriers, and new directions of ACL injuries risk reduction programs.

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