Скачать или смотреть DOCPOD16 - ACL Tears – Non-Surgical Rehabilitation | Tamil | Dr Santhosh Jacob

ACL Function & Injury
The ACL stabilizes the knee by preventing the shin bone from sliding forward and controlling rotation. Tears often occur in sports with sudden stops, pivots, or awkward landings (football, basketball, skiing). Diagnosis often includes the Lachman test, where the shin is gently pulled forward while stabilizing the thigh; excessive movement or a soft end-feel suggests injury.

When Non-Surgical Rehab is Suitable

Partial tear with good stability.

Older adults or low-impact lifestyles.

Medical risks for surgery.

Willingness to avoid pivot-heavy sports.

Good initial response to physiotherapy.


Goals

Restore full knee motion.

Strengthen quads, hamstrings, glutes, calves.

Improve balance and proprioception.

Correct movement patterns to avoid buckling.

Prevent secondary injuries.

Achieve at least ninety percent Limb Symmetry Index (LSI) — comparing injured limb performance to the uninjured limb to ensure readiness for return to activity.


Rehab Phases

Acute (0–2 weeks): Reduce swelling, gentle mobility (heel slides, knee bends), quad activation, brace if needed.

Early Strength (2–6 weeks): Mini-squats, step-ups, hamstring curls, balance drills, light cardio.

Advanced (6–12 weeks): Lunges, leg press (less than ninety degrees flexion), resistance walks, ladder drills.

Return (3–6 months): Plyometrics, light running, modified sport drills.


Training Approach

Unilateral exercises (single-leg squats, step-ups) to restore limb symmetry and correct imbalances.

Bilateral exercises (squats, leg press) to build total strength and coordination.

Combine both for optimal recovery.


Support & Long-Term Care

Functional knee brace during sport or on uneven terrain for stability and confidence.

Progress gradually; avoid pain or swelling.

Maintain hip, hamstring, and core strength.

Continue a long-term maintenance program to prevent re-injury.


Best Candidates: Stable partial tears, older adults, low-demand activities.
Not Ideal: Young competitive pivot-sport athletes.