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Resumption of the sport after ACL reconstruction of the anterior knee ligament

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What resumption sport are we talking about?
Is it in the gym, swimming pool, jogging, a tennis match, or downhill?
Indeed, the resumption of sport is a general term variable depending on the goals of each patient. Of course, there is a frame with a stroke recovery time, sports pivot, but it is very variable, a patient to patient, a knee to knee. The recovery for a professional sportsman, competition, leisure, respectively, 7, 9 and 12 months.
As for the level of recovery of the desired practice, this is also variable. This is multifactorial, but not running knee for most patients (personal, family, professional ..). When we talk about the resumption of sport, we distinguish whether the level prior to the injury or the level prior to the surgery or even be the maximum possible level of the knee recovery.
For example, the recovery of a knee that has been unstable for several years with meniscal and cartilage damage could not be the same without a knee cartilage damage or meniscus surgery in a quick time after the breakup.
There are different levels of resumption of athletic activity. These steps follow one another in a single sequence, variable depending on the patient, the knee and the type of ligament reconstruction performed.
The first level of activity: GENERAL MAINTENANCE PHYSICAL without stimulation knee support or pivot, achievable gym. We can do the exercise bike, rowing, physical preparation of the upper body, strengthen the lower limb. There is no charge stress on the knee.
Second level of activity. ONLINE COURSE We propose a resumption of physical activity with a work load of the knee, but not pivot. Race activities which are set very gradually by intensity levels. We must begin with a plot with sequences of short duration. Gradually increasing the length, vertical drop is the necessary aerobic expense. There is no pivot stress on the knee.
Finally, the third level of activity: ACTIVITIES PIVOT. One carries out a work load of the knee and twisting stresses. Once validated the previous two types of activity, the pivotal activities is prepared. First guided by the physiotherapist, then carried on outside ground, and then taken up with other interactions. The gradient of the constraints that they must submit the knee is: multi-patient control (jump, twist, pulse) and then subjected to external events perceived by the patient, then random multiple stimulations. Evolution is gradual in order to obtain the disappearance of the feelings of apprehension, to regain confidence in his knee and his ability to return to sport.

Doctor Yoann BOHU, Doctor Nicolas LEFEVRE, Doctor Serge HERMAN. - 28 janvier 2014.

Conflicts of interest: the author or authors have no conflicts of interest concerning the data published in this article.


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