Online anterior cruciate ligament rehabilitation
For €10 per month
Minimum term is 3 months, cancellable monthly thereafter.
What does the online rehabilitation program entail?
During the assessment we gather all the information needed to paint a good picture of the current situation. Fysio Fitaal stands for transparent physiotherapy. Together with you and your treating physiotherapist we come to a main goal to which possibly some sub-goals can be linked. By means of our app, we can make the progress transparent for you and adjust when necessary. The content of the rehabilitation depends on the specific situation and wishes. Evaluations are scheduled at set times so that there is a clear timeline to full recovery!
Joining now?
Would you like to join this program? You can join right now. For €10 per month (with a minimum term of 3 months) you can already become a member.
Pre-operative
After tearing the anterior cruciate ligament, reconstruction is often chosen in athletes. This means that the anterior cruciate ligament is repaired with a tendon from the hamstring, quadriceps or patellar tendon. The new cruciate ligament is placed in the knee at the site of the original cruciate ligament. This is all done in one operation. After surgery, an intensive rehabilitation program follows that can last 12-15 months.
We know that training is essential to regain optimal function in daily life and sports after anterior cruciate ligament surgery.
We know that when you prepare yourself well for surgery it greatly affects the final outcome. So it is very important that you go into surgery as fit as possible. We call this Better In Better Out (also known as BIBO). You will work on your strength and condition digitally or under the physical supervision of a specialized physio in order to be as fit as possible after your anterior cruciate ligament surgery.
Some conditions are essential. Some orthopedists do not operate (for an isolated cruciate ligament tear, no other injury) if you do not meet the criteria below:
- Good flexion and extension of the knee, especially stretching should be good for normal gait pattern
- Little to no swelling in the knee; operating in an irritated knee increases the risk of complications
- An active and dynamic gait pattern is enormously important for continuing rehabilitation after surgery
- Strength in the upper leg is essential. Studies indicate that it is only wise to operate when the force difference is less than 20% between the two legs
Information and advice are absolutely essential. Important topics that are covered are: the use of crutches , the extent to which you can load the knee before and after surgery, when you can do what kind of work again and what the exercises will be immediately after your surgery. The better the preparation the more beneficial the final result!
Information first phase
In the first phase, recovery is the key word. your knee needs 4 to 6 weeks to recover from the surgery. From the outside it looks pretty neat but inside your knee is still working hard to recover. So it is important that your knee gets rest. For this we use the 80-20% rule. This means that you rest/recover your knee 80% of the day, the other 20% you are busy with exercises or all kinds of movement indoors. It is important to elevate your leg regularly. Furthermore, stretching the knee in the first phase is one of the most important goals of rehabilitation. Especially for normal gait, full extension in the knee is incredibly important. On average, you will use the crutches for 4-6 weeks. This depends on the quality of the gait pattern. Only when these crutches are gone is driving allowed again. (There are exceptions but discuss this with your physical therapist).
Goals Phase 1:
- Reducing swelling of the knee
- Improving the extension of the knee(0°)
- Improve knee flexion (>90°)
- Good control of the thigh muscle
- An active dynamic gait pattern, with or without crutches
- Tapering off the crutches
Joining now?
Would you like to join this program? You can join right now. For €10 per month (with a minimum term of 3 months) you can already become a member.