JOSPT Insights Ep 25: ACL rehabilitation from A to Z, with Dr Erik Meira
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Mar 1, 2021 Dr. Erik Meira, a specialist in ACL rehabilitation, joins Drs. Dan Chapman and Chelsea Cooman to break down the stages of recovery after ACL surgery. He discusses critical strategies for the acute phase and the significance of tailored assessments and pain management. The conversation highlights overcoming quad strength plateaus, transitioning to dynamic exercises, and the essential training needed for return to sports. Meira also emphasizes the importance of symmetry in strength and biomechanics adjustments for optimal recovery.
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Acute Phase Priorities
- Prioritize getting knee extension and calming it down in the acute post-op phase of ACL rehab.
- Address pain and swelling, and consider the patient's personal support system.
Swelling Management
- Elevate the leg with a compression wrap and ice to manage swelling.
- Progress to using a hamstring curl machine to improve extension.
Quad Strengthening
- Focus on partial-arc leg extensions (100 to 60 degrees) with heavy weight during quad strengthening.
- This isolates the quads and maximizes force production.