Physioblog Podcast

Season 2. Episode 7. Quadriceps Activation After Anterior Cruciate Ligament Reconstruction: The Early Bird Gets the Worm!


Listen Later

This is Season 2, Episode 7 of the Physioblog Podcast, hosted by Andreas Bjerregaard.

In Season 2, I will be presenting all the articles I have been involved in, using the mind-blowing technology of AI podcasting. I think everyone can agree that the AI hosts' voices are much more nice on the ears than my non-native English voice with a thick Danish accent.

Episode 7: Quadriceps Activation After Anterior Cruciate Ligament Reconstruction: The Early Bird Gets the Worm!, driven by a fantastic team of clinicians and researchers.

📊 Abstract

Starting Strong in ACL Rehab
A strong start in ACL rehab is crucial for a successful return to play and to avoid long-term issues like increased OA risk, reduced quality of life, and diminished function

However, Arthrogenic Muscle Inhibition (AMI) can delay this good start by hindering quadriceps activation. This article covers early intervention strategies to address AMI for quicker recovery and better outcomes.

What is AMI?
AMI reduces motor neuron availability and voluntary activation, often due to pain, patellar issues, swelling, and lack of quadriceps contraction.

Therapeutic Intervention Classification:

🦵 Grade 0: Normal contraction.
🦵 Grade 1: Inhibited contraction, no extension deficit.
🦵 Grade 2: Inhibited contraction, knee extension deficit due to hamstring contracture.
🦵 Grade 3: Chronic extension deficit from posterior capsular retraction.
These classifications are based on clinical experience with limited validation.

Clinician Observations:

Minimal activation: SLR without lag, sensing quadriceps contraction.
Adequate activation: Full knee extension, qualitative quadriceps contraction, and patient feedback.
Fast activation: Important in later rehab phases, especially for plyometric activities.


AMI Treatment Modalities:

Muscle interventions: BFR, hamstring fatigue exercises.
Brain interventions: Virtual Reality, Cross Education Therapy, EMG Biofeedback, Motor Imagery, Vibration.
Nerve interventions: NMES, TENS, Cryotherapy, Percutaneous Electrical Stimulation.

Find it here: 

Ref

MOIROUX—SAHRAOUI A, FORELLI F @flovarium @centre_orthosport , MAZEAS J @je_maze , RAMBAUD AJ @alexandrejmrambaud , BJERREGAARD A @andreas.bjerregaard , RIERA J @jeromeriera 

Who

Andreas Bjerregaard

Certificeret kliniker i sportsfysioterapi, IOC-diplom i sportsfysioterapi, Kandidatstuderende i fysioterapi ved Syddansk Universitet – University of Southern Denmark

For more information

Check out

💻Web: https://lnkd.in/dURMF-5g

📸IG: Andreasphysioblog https://lnkd.in/eZb9A2WJ

📚ResearchGate: https://lnkd.in/dd945uWB

🗞️Newsletter: https://lnkd.in/e8MgwUHv

🙋Online ACL Consultation: https://lnkd.in/dbiz6864

...more
View all episodesView all episodes
Download on the App Store

Physioblog PodcastBy Andreas Bjerregaard