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JOSPT Insights

Ep 25: ACL rehabilitation from A to Z, with Dr Erik Meira

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.
24:49

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Quick takeaways

  • Effective ACL rehabilitation requires careful management of the acute phase to minimize swelling and enhance range of motion.
  • Transitioning back to sport involves tailored functional training and ensuring strength symmetry to prevent reinjury and foster confidence.

Deep dives

Initial Phase of ACL Rehabilitation

The acute phase of ACL rehabilitation involves assessing the patient's range of motion, managing swelling, and ensuring pain control. Evaluating the patient's support system and personal beliefs is crucial, as these factors can influence recovery. Emphasis is placed on regaining knee extension while keeping swelling minimal, and various techniques such as elevation and compression are employed to aid recovery. The goal during this phase is to foster a calm environment for the knee to heal, with initial visits focused more on gentle, controlled activities rather than aggressive interventions.

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