ACLR patient , 4/12 post op . U decided to start running . What are the key things to check before you get him to running1 pointMMT, ROM of 0 deg knee ext, Pain and swellingMMT, SL squat , pain and swelling , ROM of 0 deg knee extNo need to check anything , he should be fine as it is already 4/12Patient's confidence and duration since op is good enough to start running
Question
ACLR patient , 4/12 post op . U decided to start running . What are the key things to check before you get him to running1 pointMMT, ROM of 0 deg knee ext, Pain and swellingMMT, SL squat , pain and swelling , ROM of 0 deg knee extNo need to check anything , he should be fine as it is already 4/12Patient's confidence and duration since op is good enough to start running
Solution
Before starting a running program with a patient who is 4 months post-op from an Anterior Cruciate Ligament Reconstruction (ACLR), there are several key factors to consider:
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Manual Muscle Test (MMT): This is used to evaluate the strength of the patient's muscles. It's important to ensure that the patient has regained sufficient strength in the affected leg before starting a running program.
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Single Leg Squat (SL Squat): This exercise tests the patient's balance, strength, and stability. It's crucial that the patient can perform this exercise correctly and without pain before starting to run.
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Pain and Swelling: The patient should not have any significant pain or swelling. If they do, it could indicate that the knee is not yet fully healed and running could cause further damage.
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Range of Motion (ROM) of 0 deg knee extension: The patient should have a full range of motion in the knee, including full extension. This is important for running as it allows for a proper gait cycle.
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Patient's Confidence: The patient should feel confident and comfortable with the idea of starting to run. If they are anxious or fearful, it could affect their running form and potentially lead to injury.
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Duration since operation: While the patient is 4 months post-op, every individual heals at a different rate. It's important to ensure that the patient's knee is fully healed and they have regained sufficient strength and stability before starting to run.
Therefore, the correct answer would be: MMT, SL squat, pain and swelling, ROM of 0 deg knee extension.
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