JOSPT Insights Ep 196: Taking care of strength business in ACL rehabilitation, with Olivia Barbosa
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Sep 23, 2024 Olivia Barbosa, a sports physiotherapist with over ten years in soccer and rugby, shares her insights on ACL rehabilitation. She emphasizes the often-overlooked importance of measuring both quadriceps and hamstring strength. Olivia critiques the reliance on the Limb Symmetry Index, advocating for comprehensive strength assessments. She discusses the varying outcomes in recovery for professional versus recreational athletes and highlights innovative techniques for tracking strength. Her focus on integrating clinical research with practical applications reveals new strategies for effective rehabilitation.
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Monitoring Strength in ACL Rehab
- Monitor strength during ACL rehabilitation, shifting from time-based to performance-based criteria.
- Strength is crucial as persistent deficits can negatively impact performance and re-injury rates.
Strength Measurement Methods
- Isokinetic testing is the gold standard for ACL rehab, providing specific strength metrics.
- Handheld dynamometers, fixed and stabilized, offer a reliable, cheaper alternative, especially isometrically at 60 degrees flexion.
Limitations of Limb Symmetry Index
- Limb symmetry index (LSI) can be insufficient, potentially overestimating involved limb recovery.
- Uninvolved limb strength can change, making LSI a moving target; consider absolute values alongside LSI.