Successful return to sport following anterior cruciate ligament reconstruction (ACL-R) must include a plan that ensures restoration of strength, neuromuscular control, balance/proprioception, rate of force development, and patient confidence in the reconstructed limb. While the early stages of rehab following ACL-R help to improve range of motion and build a foundation of strength, the middle to late phases prepare the athlete for the challenges to be encountered as he/she returns to competition. Management of these timeframes in the athlete with an ACL-R requires the clinician to have a comprehensive understanding of the healing process and the inherent risks of re-injury involved with attempting to return to sport. With this understanding and the ability to recognize important milestones that must be met at 3 months following reconstruction, the clinician will be able to accurately determine the patient’s prognosis and formulate an effective treatment plan to address any deficits that might hinder further progress toward a full return. If these targets are not achieved at this time, the patient may develop compensatory patterns and demonstrate asymmetrical movement patterns that increase the risk of re-injury.
This webinar builds upon the previous “Early ACL” webinar and will provide the participant with the knowledge needed to recognize when a patient has missed the target during the middle stages of the ACL-R rehab process and implement effective strategies to address said deficits. Upon completion the participant will be able to recognize and implement middle to late stage post-operative objective measures to determine readiness for progression to return to sport following ACL-R.
Level of Instruction: Introduction
- Identify key anatomical structures and biomechanical principles as they relate to risk of re-injury to the ACL following primary ACL-R.
- Identify key factors for success of middle stage post-operative management of an ACL reconstruction.
- Identify important milestones of middle and late stage post-operative management of an ACL reconstruction to provide the athlete with a solid foundation for return to sport.
- Understand the multi-disciplinary nature of determining when an athlete is ready to return to sport following ACL-R.
- Presentation after anterior cruciate ligament injury
- Surgical interventions and associated procedures for anterior cruciate ligament tear
- Risk of re-injury to the ACL following primary ACL-R
- Important milestones for middle stage post-operative management of the ACL-R knee
- Important milestones for late stage post-operative management of the ACL-R knee
- Decision-making for return to sport following ACL-R
- DR. CRAIG GARRISON, PT, PhD, SCS, ATC
CRAIG GARRISON, PT, PhD, SCS, ATC is the Director of Research and Post-Professional Residencies at Texas Health Ben Hogan Sports Medicine also holding an adjunct faculty appointment at the University of North Texas Health Science Center School of Physical Therapy. He completed his PhD in Sports Medicine from the University of Virginia. He has multiple peer-reviewed publications related to the prevention and treatment of knee and elbow injuries in addition to ongoing research involving clinical outcomes in the rehabilitation and return to sports after ACL and UCL reconstruction. He continues to treat high school, collegiate, and professional athletes in a variety of different sports and lectures on sports medicine topics both nationally and internationally. He is a NATA-BOC certified athletic trainer and on the Board of Directors for the NATA Foundation, as well as serving as Vice-Chair for the Sports Physical Therapy Residency SIG.
Contact Hours: 1.5