Posterior Cruciate Ligament Tear With Phase II Rehab
The posterior cruciate ligament (PCL) is a tough band of tissue in the knee that connects the shinbone to the thighbone. The LCL helps keep the knee stable. A PCL tear is an injury in which the PCL stretches or tears.
CAUSES
This condition is caused by stretching the PCL too far. It can happen if you:
Fall onto the top of your shinbone while your knee is bent.
Quickly and forcefully straighten or bend your knee more than normal.
RISK FACTORS
This condition is more likely to develop in people who play sports that involve cutting, playing on uneven surfaces, or direct contact with other players. These include:
Football.
Soccer.
Skiing.
Hockey.
SYMPTOMS
Symptoms
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Remove it only as told by your health care provider.
Loosen the brace if your toes become numb and tingle, or if they turn cold and blue.
Do not let your brace get wet if it is not waterproof.
Keep the brace clean.
Managing Pain, Stiffness, and Swelling
If directed, apply ice to your knee.
Put ice in a plastic bag.
Place a towel between your skin and the bag.
Leave the ice on for 20 minutes, 2–3 times per day.
Move your foot often to avoid stiffness and to lessen swelling.
Raise (elevate) your knee above the level of your heart while you are sitting or lying down.
Activity
Return to your normal activities as told by your health care provider. Ask your health care provider what activities are safe for you.
Do exercises as told by your health care provider.
Ask your health care provider when it is safe to drive if you have a brace on the leg that you use for driving.
General Instructions
Do not use the injured limb to support your body weight until your health care provider says that you can. Use crutches or a walker as told by your health care
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Place your feet hip width apart.
Slowly slide down the wall or door until your knees bend __________ °. Keep your knees over your heels, not your toes, and in line with your hips.
Hold this position for __________ seconds.
Repeat __________ times. Complete this exercise __________ times per day.
Exercise C: Squats, Quadriceps
Stand in front of a table, with your feet and knees pointing straight ahead. You may rest your hands on the table for balance, but not for support.
Slowly bend at your hips and knees and lower your weight. Keep your lower legs upright so that they are parallel with the table legs. Do not bend your knees to a point that increase your knee pain.
Hold the squat position for __________ seconds.
Slowly push with your legs to return to standing. Do not use your hands to pull yourself to standing.
Repeat __________ times. Complete this exercise __________ times per day.
Exercise D: Bridge, Hip Extensors
Lie on your back on a firm surface with your knees bent and your feet flat on the floor.
Tighten your butt
The anatomy of the knee contains the femur, tibia and the patella. There are four main ligaments within the knee. Those ligaments are called medial collateral (mcl), lateral collateral (lcl), anterior cruciate (acl) and posterior cruciate (pcl). The anterior cruciate ligament (acl) is in the middle of the knee and prevents the shin from sliding. An anterior cruciate ligament tear is the most common harmed ligament, undergoing an estimate of 200,000 happenings yearly. Typically individuals who play sports such as football, basketball, skiing or soccer experience this injury.
Osgood-Schlatter Disease or syndrome (OSD) is an irritation of the patellar ligament at the tibial tuberosity (Dhar). Osgood-Schlatter Disease is claimed by some to not actually be a disease (Sims). But is rather a collection of symptoms that involves the tibial tubercle epiphysis (Sims). Osgood-Schlatter Disease affects as many as 1 in 5 adolescent athletes (Diseases and Conditions: Osgood-Schlatter Disease). Some other common names for this disease are Osteochondrosis, Tibial Aponphysitis, Tibial Tubercle Apophyseal Traction Injury, Morbus Osgood- Schlatter, and Rugby Knee (Dhar). “This can cause multiple sub-acute avulsion fractures along with inflammation of the tendon, leading to excess bone growth in the tuberosity and producing a visible lump which can be very painful when hit (Dhar). Activities such as kneeling may irritate the tendon further (Dhar).”
The Anterior Cruciate Ligament (ACL) attaches the femur, which is the thighbone, and the tibia, which is the shin, together (northstar). A torn ACL is one of the most excruciating experiences in an athlete’s life. It is the first thing that comes to mind when they hurt their knee on the field; for many it is their greatest fear. A torn ACL can sometimes mean the end of an athlete’s career. It can mean losing the chance to get that scholarship for young athletes, and it can also mean the end of those million dollar paychecks for those who have gone professional. A torn ACL can result in numerous surgeries, months of vigorous exercise and rehabilitation, and a sufficient amount of pain. It requires complete patience, for pushing too hard can result in further, more painful injury. Even after all that, an athlete is not guaranteed he or she will ever be able to play sports again.
Or if you have stairs at home, you can also do step ups to strengthen your lower leg muscles as well as your knees and hip joints. To do step ups, place your right foot on the stair platform and press on your right heel while you bring your left foot to the platform. Then return to your starting position with your right foot going down followed by your left foot. Then step onto the platform again using your left foot next. Do this 10 to 12 times on each leg for 3 sets.
- Improve your posture which affects your overall physical health as well as your appearance.
Ligaments are tough, non-stretchable fibers that hold bones together. Damage to cruciate ligaments, which crisscross the knee to give it stability, is one of the most common sports injuries. The “tear” occurs from changing direction rapidly, slowing down from running, or landing from a jump improperly. The A.C.L tear is one injury that worries athletes in all sports at all levels because of its devastating effects. People ages 15-25 that participate in basketball and other sports that require pivoting are especially at risk.
1. You will want to start off by keeping your feet about shoulder with apart.
• Avoid strenuous activity. Return to your normal activities as directed by your health care provider.
Everyday an athlete goes to practice or game, putting on a possibility of getting injured. A common one of those injuries is the tear of the anterior cruciate ligament, better known as the ACL. When sports that require quick pivoting and harsh landings became more popular such as soccer and basketball, ACL injuries quickly multiplied. Since kids, teens, and even adults usually focus on one sport it often occurs that they can overuse and exert their body causing injury to the ACL (Young Athletes 10).
As soon as the alarm sounds you can begin the day with a healthy start. Before getting out of bed do a few stretches to warm up your muscles and improve your range of motion. For example, try the “back flying” exercise. You’ll not only stretch the muscles in your torso and feel your spine elongate, but you'll also feel this position bring length to your arms, legs, neck, chest, and shoulders. Sit in the middle of your bed with your legs extended in front of you. Slowly lower your torso down so that your head is hanging off the bed. Extend your arms to the floor, and relax your body. Allow gravity to deepen the stretch. Hold this position for 30 seconds, then bend your knees and put your hands behind your head to sit up. This can be key to getting through the day pain-free.
Wear the splint as told by your health care provider. Remove it only as told by your health care provider.
The knee joint is extended when in the standing position, to stabilize this joint the biceps femoris, semi-mebranosus, semi-tendonosus (hamstrings) and the rectus femoris, vastus lateralis, vastus intermedius and vastus medialis (quadriceps) co-contract isometrically.
toes pointed, and try and get your nose as close to your knees as you
"Sit with your hands resting in your lap or on your knees, keeping your back straight. Your neck should be relaxed, with your chin slightly tucked in. [..] Take five deep breaths, breathing in through the nose and out through the mouth. On the last exhalation, allow your eyes to close. Slowly settle into your body" (Puddicombe, 2013, para. 5).
tips of my fingers and my thumbs form a W shape), bending my knees as