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Ep 196: Taking care of strength business in ACL rehabilitation, with Olivia Barbosa
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.
23:16
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Quick takeaways
- Continuous monitoring of strength in ACL rehabilitation is vital, as athletes may face long-term deficits affecting both performance and re-injury risk.
- The limb symmetry index has limitations, necessitating a focus on absolute strength values for a thorough assessment of recovery progress.
Deep dives
Importance of Monitoring Strength in ACL Rehabilitation
Monitoring strength during ACL rehabilitation is crucial as athletes often experience residual knee muscle strength deficits that can last for over two years, potentially affecting their performance and increasing the risk of re-injury. Historically, the focus has shifted from time-based criteria to performance-based assessments, particularly emphasizing strength as a critical discharge metric. Current benchmarks have evolved from an initial 80% limb symmetry index to expectations of reaching 100% or even 110%, reflecting the growing demands placed on athletes. This highlights the necessity of continual strength assessment to ensure athletes meet these stringent recovery criteria.
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