The importance of objective measures in end-stage rehabilitation for major knee injuries and how they influence end-stage rehabilitation decisions


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Sunday, November 13 1440-1520 MST
Provided by Niko Saler in English with French Translation

This workshop is a follow-up on the Presentation of the same name on Sunday 1400-1420 MST

In modern rehabilitation, return to activity decisions can be very difficult for clinicians to make appropriately. The re-injury rates of major knee injuries can be extremely high and individuals may not return to their activity or sport after ligamentous or meniscal injuries of high severity. The need for comprehensive rehabilitation programs has arisen and puts a large emphasis on heavy strength training and re-exposure of the body to plyometrics and high-speed movements patterns towards end-stage rehab. The aim of this workshop will be to test a couple volunteers with the VALD force frame and dynamometer. We will use their test measures and objective data to formulate a rehab plan that could address some of the findings. We can test muscle groups such as the quads, hamstrings, gastroc-soleus complex and hips to help make rehabilitation decisions. We can also put this in the context of a major knee injury if someone in the audience has suffered a knee injury previously. Furthermore, we can talk about how using end-stage testing batteries can have their limitations with patterns of compensation based on the objective data gathered from testing. Lastly, we can go through testing batteries and demonstrate some of the hop, jump and landing tests. We can talk through common compensation patterns and signs that show up in the data of when someone is not ready to return to activity or full discharge. These testing batteries are rigorous and have multiple components such as strength, proprioception and movement patterns. Passing return to activity or play testing is a very difficult task after major knee injuries and talking through some of the return statistics can demonstrate the importance of such rigorous testing batteries.

Learning Objectives

At the end of this presentation listeners will be able to:

  1. Have an understanding of the complexity of the rehabilitation needs for major knee injuries.
  2. Identify the limitations of conventional style rehabilitation without objective measures for major knee rehabilitation.
  3. Identify different means of objectives testing batteries and how they related to return to activity.