Articles

Anterior Cruciate Clinic

ANTERIOR CRUCIATE LIGAMENT  

Javed has over twenty five years of experience treating knee problems in both the professional sportsmen and the layman. He has treated players from all over the world and recently treated a player from Trabzonspor FC  for a knee injury which was treated successfully and the player is now back playing.
Javed with all his experience and expertise has used existing research based evidence and emalgamated this with his own expertise and experience to develop a specialist rehabilitation programme to treat Anterior cruciate ligament injuries, posterior cruciate ligament injuries, medial collateral ligament injuries, lateral collateral ligament injuries, medial meniscus injuries , lateral meniscus injuries, patella tendonitis, jumpers knee , runners knee and a whole range of other knee problems.
Javed uses a modified 5 stages of ACL rehabilitation programme to treat Anterior Cruciate injuries. Goals and criteria are set for each phase. The programme is individual specific and the rehabilitation is carried out under guidance with a very specific home exercise programme

Below is  the time scales for 5 phases of ACL rehabilitation with a rough timeline.
We have also included the phase 1 programme with a rough guideline of exercises.
For further information , please contact javed Mughal on 01634 377638, he will be more than happy to answer any of your questions.

5 PHASES OF ACL REHABILITATION

• Phase 1                                0-3 weeks
• Phase 2                                3-6 weeks
• Phase 3                                6-16 weeks
• Phase 4                                16-24 weeks
• Phase 5                                24 weeks +(back playing)

WHAT ARE THE GOALS FOR PHASE 1

1. Educate patient about rehabilitation process
2. Wound care, Reduce pain and swelling
3. Improve muscle strength activation in quads
4. Improve ROM- Achieve full extension, 90* knee flexion. avoid hyperextension
5. Improve hamstring calf stretch( carefull with hamstring graft)
6. Improve proprioception
7. Gaite re-education { 2 crutches FWB}
8. Protect graft fixation

EXERCISES PHASE 1
ROM

1. Heel slides/ wall heel slides
2. Calf/soleus/hamstring stretches
3. Pendular bike
4. Prone leg hangs

MUSCLE STRENGTH

1. Straight leg raises/ alphabets all directions with brace in full extension until quadriceps strength is sufficient to prevent quads lag
2. Work on knee control 15 * DIPS
3. Abduction/adduction
4. Calf raise
5. Calf pump with elevation

PROPRIOCEPTION

1. Stable platform, eyes open
2. Stable platform, eyes closed
3. Seated ball throwing and catching

GAITE REDUCATION

1. Weight transference side to side/ back forward
2. Wean off two crurches

These are just some of the basic exercises we use for ACL rehabilitation.
For further information please contact javed mughal on 01634 377638 . He will be more than happy to help.