The E3 Rehab Podcast 186. Reflections on ACL Rehab w/ Megan Graham
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Feb 4, 2025 Megan Graham, a physical therapist and PhD candidate at the University of Kentucky, shares her insights on ACL rehabilitation. She discusses muscle atrophy, the use of E-stim technology, and the evolution of late-stage rehab practices. Highlighting the challenges in balancing patient safety and effort, she emphasizes individualized programs post-surgery. Megan also explores unique recovery strategies like blood flow restriction training and the importance of personalized metrics to lower re-injury risks for athletes returning to sports.
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E-Stim in ACL Rehab
- Use electrical stimulation (STEM) for up to six months post-ACL surgery.
- Do not have patients volitionally contract with STEM; let it contract the muscles.
Different Types of E-Stim
- Passive and active STEM serve different purposes in ACL rehab.
- Passive STEM preserves motor units, while active STEM improves motor control and learning.
Tailor Late-Stage Rehab
- Avoid preset jump or running progression templates.
- Tailor plyometrics and running programs to each individual's skills and needs.