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.
Megan Graham emphasizes the need for individualized rehabilitation programs post-ACL surgery, moving away from standard protocols to better meet patient needs.
She highlights the importance of understanding the biological processes behind muscle atrophy to develop more effective recovery strategies for ACL patients.
In late-stage rehabilitation, Megan advocates for integrating functional movement patterns and advanced training techniques to enhance athletes' readiness for sports activities.
Deep dives
Megan Graham's Journey into ACL Rehabilitation
Megan Graham, a physical therapist and PhD candidate, shares her transition from clinical practice to academia, highlighting her passion for ACL rehabilitation. After working in sports PT and educating residents, she felt the need for a more fulfilling career path beyond traditional clinical roles. Megan's interest in academia was driven by her love for teaching and mentoring new clinicians, which ultimately led her back to the University of Kentucky to pursue her PhD. Through her research on ACL rehabilitation, she has gained valuable insights into effectively managing patients post-surgery.
Evolving Understanding of ACL Rehabilitation Techniques
Throughout her academic journey, Megan's understanding of ACL rehabilitation has evolved significantly, particularly regarding late-stage recovery and treatment techniques. She emphasizes the importance of extending rehabilitation timelines, recognizing that many patients may not be ready for sports activities until nine months post-operation. Megan also highlights the need for tailored rehabilitation programs, stepping away from one-size-fits-all templates to better accommodate individual patient needs. New techniques, such as prolonged use of electrical stimulation and targeted muscle rehabilitation, illustrate a shift towards more effective strategies for improving recovery outcomes.
The Role of Muscle Atrophy in ACL Recovery
Megan reveals that muscle atrophy post-ACL surgery is not merely a result of disuse but also involves biological responses and cellular changes that hinder muscle recovery. Understanding these changes has reshaped her approach to treatment, as patients might not respond to traditional hypertrophy training due to these physiological realities. The influence of myostatin on muscle recovery underscores the complexity of rehabilitation processes for ACL injuries, prompting Megan to focus on strategies that address both cellular and developmental factors. This expanding awareness helps her manage patient expectations and tailor treatment plans effectively.
Innovations in Late-Stage Rehabilitation
In late-stage rehabilitation, Megan has integrated more advanced techniques, such as power-based training and the incorporation of functional movement patterns suited for individual sports. Her experience emphasizes that traditional return-to-sport criteria may overlook important functional capabilities, urging clinicians to adopt a more holistic perspective on performance readiness. Strength and performance metrics, including rate of force development, have become critical components of the late rehabilitation phase, allowing for a more personalized return to athletic activities. This approach considers both physical capabilities and psychological readiness, enhancing overall recovery strategies for athletes.
Challenges and Perspectives in ACL Injury Prevention
Megan discusses the challenges in ACL injury prevention, acknowledging the complexity of predicting which athletes are at risk for re-injury based on strength and performance metrics alone. She notes that some individuals may return to play without incident, even after demonstrating specific deficits, while others may face complications despite appearing clinically ready. The conversation underscores the need for clinicians to recognize the nuances of each athlete's recovery journey, advocating for ongoing communication with athletes and coaches to ensure safe reintegration into sports. Ultimately, Megan believes that understanding the athletic population and the inherent risks involved is crucial for effectively managing ACL injuries and enhancing athletes' long-term safety.
Chris Hughen sat down with Megan Graham to discuss all things ACL Rehab. We dive into Megan’s reflections on managing ACL’s throughout the course of her PhD program and clinical career. Megan touches on: muscle atrophy, E-stim, evolving views on late stage rehab, injury prevention, and much more.