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In in the present day’s video we go over: 8 Ways to Wake Up Your Patient’s Quadriceps After Major Knee Surgery
Struggling to get your sufferers’ quadriceps firing after a serious knee surgical procedure? Don’t fear, I’ve received you coated! In this video, I’ll share 8 efficient methods to make it easier to get up these quads and get your sufferers again on observe to restoration.
Arthrogenic muscle inhibition (AMI) is a typical drawback after knee surgical procedure, inflicting the quadriceps muscle mass to shut down and turn into weak. This can considerably hinder restoration and delay useful return. But don’t fret, I’ve received some efficient options to make it easier to overcome this problem.
In this video, I’ll talk about the next methods:
- Cryotherapy: Applying ice to the injured space may help scale back irritation and enhance muscle perform.
- Neuromuscular electrical stimulation (NMES): This approach makes use of electrical currents to stimulate the muscle mass and promote muscle activation.
- TENs: Thought TENs was ineffective? Think once more
- Biofeedback: This approach makes use of visible or auditory suggestions to assist sufferers learn the way to contract their muscle mass correctly.
- Contralateral limb coaching: Strengthening the other leg may help enhance quad perform within the injured leg.
- Blood circulation restriction coaching: This approach includes utilizing a cuff to limit blood circulation to the working muscle mass, which may help promote muscle development and energy.
- Vibration remedy: Using a vibrating platform may help enhance muscle activation and energy.I’ll additionally present detailed directions on how to implement every of those methods in your observe.
- Programming Principles: Choosing the precise units / reps and workouts is essential for quad rehabilitation. I’ll share a few of my favourite workouts which are secure and efficient.
So for those who’re a bodily therapist who desires to assist your sufferers obtain optimum restoration after a serious knee harm, make sure to watch this video.
Timeline:
- 00:00 – Intro
- 00:22 – What is Arthrogenic Muscle Inhibition? (AMI)
- 01:00 – 1) Cryotherapy
- 01:50 – 2) Neuromuscular Electrical Stimulation (NMES)
- 09:05 – 3) Transcutaneous Electrical Nerve Stimulation (TENS)
- 09:35 – 4) Vibration
- 10:28 – 5) Biofeedback
- 11:20 – 6) Contralateral Limb Training
- 12:35 – 7) Blood Flow Restriction Training (BFR)
- 14:37 – 8) Programming Considerations
- 15:40 – Practical Take-away
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(*8*)Dan Pope DPT, OCS, CSCS
References:
- Hart JM, Kuenze CM, Diduch DR, Ingersoll CD. Quadriceps muscle perform after rehabilitation with cryotherapy in sufferers with anterior cruciate ligament reconstruction. J Athl Train. 2014 Nov-Dec;49(6):733-9. doi: 10.4085/1062-6050-49.3.39. PMID: 25299442; PMCID: PMC4264644.
- Hauger AV, Reiman MP, Bjordal JM, Sheets C, Ledbetter L, Goode AP. Neuromuscular electrical stimulation is efficient in strengthening the quadriceps muscle after anterior cruciate ligament surgical procedure. Knee Surg Sports Traumatol Arthrosc. 2018 Feb;26(2):399-410. doi: 10.1007/s00167-017-4669-5. Epub 2017 Aug 17. PMID: 28819679.
- Conley CEW, Mattacola CG, Jochimsen KN, Dressler EV, Lattermann C, Howard JS. A Comparison of Neuromuscular Electrical Stimulation Parameters for Postoperative Quadriceps Strength in Patients After Knee Surgery: A Systematic Review. Sports Health. 2021 Mar;13(2):116-127. doi: 10.1177/1941738120964817. Epub 2021 Jan 11. PMID: 33428557; PMCID: PMC8167342.
- Son SJ, Kim H, Seeley MK, Feland JB, Hopkins JT. Effects of transcutaneous electrical nerve stimulation on quadriceps perform in people with experimental knee ache. Scand J Med Sci Sports. 2016 Sep;26(9):1080-90. doi: 10.1111/sms.12539. Epub 2015 Sep 8. PMID: 26346597.
- Blackburn JT, Pamukoff DN, Sakr M, Vaughan AJ, Berkoff DJ. Whole physique and native muscle vibration scale back artificially induced quadriceps arthrogenic inhibition. Arch Phys Med Rehabil. 2014 Nov;95(11):2021-8. doi: 10.1016/j.apmr.2014.07.393. Epub 2014 Jul 30. PMID: 25083559.
- Minshull C, Gallacher P, Roberts S, Barnett A, Kuiper JH, Bailey A. Contralateral energy coaching attenuates muscle efficiency loss following anterior cruciate ligament (ACL) reconstruction: a randomised-controlled trial. Eur J Appl Physiol. 2021 Dec;121(12):3551-3559. doi: 10.1007/s00421-021-04812-3. Epub 2021 Sep 20. PMID: 34542671.
- Charles D, White R, Reyes C, Palmer D. A SYSTEMATIC REVIEW OF THE EFFECTS OF BLOOD FLOW RESTRICTION TRAINING ON QUADRICEPS MUSCLE ATROPHY AND CIRCUMFERENCE POST ACL RECONSTRUCTION. Int J Sports Phys Ther. 2020 Dec;15(6):882-891. doi: 10.26603/ijspt20200882. PMID: 33344004; PMCID: PMC7727417.