ACL Reconstruction Rehab

ACL Reconstruction Rehab Programme In London

What Are Your ACL Injury Rehab Goals?

  • Do you want to achieve a successful knee rehab ?
  • A sustainable weight loss after a knee surgery ? 
  • Learn how to stay in shape with a torn Anterior Cruciate Ligament ?
  • Safely achieve your fitness goals with a rehabilitation personal trainer after ACL reconstruction surgery?

If you want to successfully achieve any of these goals, enjoy exercising with your family and friends or want a trustable, rehabilitation personal trainer after knee replacement you are in the right place.

Jazz Alessi is a long term specialised knee rehab professional and one of the best elite personal trainer in London.

He helps you with ACL graft healing, create for you personalised acl injury exercises to avoid re-injury, exercise and tailored diet plan to learning how to lose weight (increased BMI is a risk factor) with a torn anterior cruciate ligament and how to stay in shape after acl reconstruction surgery.

What are your main ACL targets and rehab goals?

Contact us now through this link.

ACL-EXERCISE-WITH-FAMILY-min-10

Do you have a knee injury question you’d like it to be answered?

Contact us now through this link, HERE.

How to Successfully Rehab Your ACL Injury? 

Your ACL reconstruction package is conveniently delivered at your London location whether this is your home, nearby park or office.

Jazz provides all the ACL rehab equipment, and you only need a space covering the size of a Pilates mat.

Jazz will work closely with your doctor, physiotherapist (if required) to getting you back fast and safe into optimum level of activities, exercise and competitive sport.

In order to understand the unique benefits of your personalised ACL reconstruction service please read below why we are known to deliver one of the very best and most effective ACL reconstruction rehab programme in London.

How Your Knee Ligaments and Muscle Cause You Pain Affecting Your Knee Stability

Knee Ligaments anatomy-30-min-40-min

The dynamic stability of your knee joint is maintained by 2 major muscles – quadriceps and hamstrings, surrounding muscles interacting with the knee joints and 4 major ligaments.

The four major knee ligaments are:

    Anterior Cruciate Ligament (ACL) located inside the knee joint controls back and forth movements

    Posterior Cruciate Ligament (PCL) located inside the knee joint is one of the cross ligaments (the other one is the ACL) controlling the forward and backwards movements

    Medial Collateral Ligament (MCL) located outside the knee joint stabilises, controls and limits knee sideway movements and protects it from hits and blows

    Lateral Collateral Ligament (LCL) located outside the knee joint controls, limits sideway movements and it stabilises the knee

The Medial and Lateral Collateral ligaments are present on either sides of the knee and control the sideways movement of the knee.

The Cruciate Ligaments

The Cruciate ligaments form the central pillar of the ligament complex of the knee joint.

They are short ligaments that run crisscross between the two articulating surfaces (femur and tibia), hence the name.3

They are responsible for the forward backward and rotational stability of the joint.

MCL Injury

The Medial Collateral Ligament is present on the inner side of the joint, and connects ends of tibia and femur.

This ligament is more prone to direct contact injuries (like football) as some of its fibres blend into the joint capsule making it rigid.

An inward thrust to the side of the knee with the foot firmly on the ground is the main mechanism of MCL injury.4

LCL Injury

On the other hand, the Lateral Collateral Ligament is present on the outer side of the knee, connecting the ends of femur and fibula.

It is more flexible and thus less likely to get injured. An outward thrust to the knee is the main mechanism of LCL injury.5

 

 

 

PCL Injury

The primary function of Posterior cruciate ligament (PCL) is resisting the backward glide of the tibia on the femur.

In addition, it also limits hyperextension and inward and outward rotation of tibia on the femur.

It is a much broader and stronger ligament as compared to the ACL and hence constitutes only 10% of the total knee injuries.

It is usually injured by a direct blow to the flexed knee resulting in excessive backwards sliding of the tibia (dashboard injury).

Excessive extension and rotational forces may also injure the PCL.3

“My ACL injury rehabilitation program was fully customised. Any exercise I couldn’t perform was changed. When I started, I had no flexibility, balance and I felt lots of pain in my knee. Once I started training with Jazz I immediately felt a big improvement. I also saw an increased in strength, flexibility, body coordination, exercise flow and I could do more exercises then as I could when I started.

As time went on the pain dramatically reduced.

I 100% recommend Jazz Alessi injury rehabilitation services.”

– Aaron Cadette –

Would you like to get rid of your knee pain, and successfully rehabilitate your ACL injury?

Contact us now through this link, HERE.

 How Your ACL Ligament Gets Injured

The Anterior Cruciate Ligament (ACL) acts as the anterior restraint (prevents the forward glide of tibia on femur) to the tibia during flexion and extension of the knee joint.

It also acts as a rotatory restraint to inward rotation of tibia during knee flexion.

The most common mechanism of injury is the rapid deceleration and sudden cutting movement with foot firmly planted on the ground (also known as cut and plant motion).1

Causes of ACL injury:

ACL injury is one of the commonest ligament injuries in many of the fast-paced games.

Torn Anterior Cruciate Ligament

There are many factors responsible.

1  Shoe- surface interface. Evidence dictates that risk of ACL injury is 2.5 times higher when there is more rotational traction at the shoe-surface interface.

Though some amount of friction improves sports performance, it can also increase the risk of ACL injury.

The edge design of cleats (irregular long cleats in the periphery and short regular cleats in the interior) have been associated with highest percentage of ACL injuries.6

2  Age: 70% of ACL injuries are non-contact injuries in athletes between 15-45 years of age.1

Younger individuals are more prone as they are more involved in competitive sports with pivoting, decelerating and jumping actions.1

Age associated ligament laxity and skeletal immaturity can be the probable causes.1

3  Gender: Women are 2-8 times more prone to ACL injury than men in same sports due to gender related differences in loading mechanisms and joint geometries and neuromuscular control in the trunk, pelvis and hip.8,9

4  Reduced core stability has also been seen as an important cause of ACL injury.

Weakness in the abdominals, hip abductors and external rotators causes pelvic to tilt forwards.

It also increases inward rotation of the femur, that places increased inward stress on the knee.

This, doubles the risk of ACL injury. 10

5  Previous history of ACL injury disturbs the normal loading and muscle activity around the injured as well as uninjured knee, making it prone to injury.11

6  Position of the leg for example excessively straight knee with directed inwards places greatest stress on the ACL ligament.12

Another triggering position is when the athlete attempts to change direction suddenly on an inwardly deviated and flexed knee.14

7  Dry weather: It has been noted that non-contact ACL injuries in football were more common during periods of low rainfall and high evaporation.13

8  Neuromuscular control – Poor muscle control around the hip, knee and ankle have been increasingly implicated in the injury of ACL.15

ACL Injury and Effects on Lower Body Stability and Coordination Tend to Escalate Rapidly, Research Says

Injury to the ACL is regarded as very serious as it affects the kinematics of the knee joint causing long term complications.

It has been reported that the initial trauma and resultant changes may cause meniscal and cartilage damage and degenerative changes leading to early onset OA (osteoarthritis).16

Read more

What is an ACL Rehab Program and How does it help?

An ACL rehabilitation protocol is a scientifically designed exercise plan which helps the client to return to optimum functional status within a span of 4-9 months.

An athlete who wishes to return to highly competitive sports will need around 12 months of rehabilitation. 36

We will also show you how to lose weight with a torn acl and in a safe manner how to stay in shape with a torn ACL.

Read more

What Type of Nutrition Helps You To Lower Inflammation, Pain Levels and Improve Mental Focus

Food items could upregulate or downregulate pain levels.

Sugar and process foods could upregulate pain levels.

It has been proposed that consumption of some foodstuffs can enhance healing and reduce inflammation.

Read more

REFERENCES:

  1. J. Dargel, M. Gotter, K. Mader, D. Pennig, J. Koebke, R. Schmidt-Wiethoff “Biomechanics of the  anterior cruciate ligament and implications for surgical reconstruction”. Strategies in  Trauma and Limb Reconstruction,2007 April;Volume 2, Issue 1, pp1–12
  2. Physiopedia – Posterior Cruciate Ligament
  3. Physiopedia – Anterior Cruciate Ligament  (ACL) Injury
  4.   Physiopedia – Medial Collateral Cruciate Ligament Injury of the Knee
  5. Physiopedia – Lateral Collateral Cruciate Ligament Injury of the Knee     https://www.physiopedia.com/Lateral_Collateral_Ligament_Injury_of_the_Knee
  6. Lambson RB, Barnhill BS, Higgins RW “Football Cleat Design and Its Effect on Anterior Cruciate Ligament Injuries: A Three-Year Prospective Study” American College of Sports Medicine, 1996, March 1; 24 (2): 155-159 https://doi.org/10.1177/036354659602400206
  7. Wiggins AJ, Grandhi RK, Schneider DK, Stanfield D, Webster KE,   Myer GD “Risk of Secondary Injury in Younger Athletes After Anterior Cruciate Ligament Reconstruction” Am J Sports Med. 2016 Jul; 44(7): 1861–1876. doi:  10.1177/0363546515621554. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC550124

        8. Hewett TE, Myer GD, Ford KR, Powers S. “Book: Neuromuscular Intervention Targeted to Mechanisms of ACL Load in Female Athletes” National Institutes of Health; 2008.

  1. Hewett TE, Ford KR, Myer GD, Wanstrath K, Scheper M. “Gender differences in hip adduction motion and torque during a single leg agility maneuver” J. Orthop. Res. 2006; 24:416–421. https://www.ncbi.nlm.nih.gov/pubmed/16479597
  2. LEETUN D. T, IRELAND KL, WILLSON JD, BALLANTYNE BT, DAVIS IM “Core Stability Measures as Risk Factors for Lower Extremity Injury in Athletes”. Med. Sci. Sports Exerc., 2004  36(6), pp. 926–934,
  3. Pollard CD,  Stearns KM, Hayes AT, Heiderscheit BC “Altered Lower Extremity Movement Variability in Female Soccer Players During Side-Step Cutting After Anterior Cruciate Ligament Reconstruction.” AJSM Vol: 43(2):460-465
  4. Brukner, Khan. Clinical Sports Medicine. 3rd edition. Ch 27.Tata McGraw- Hill Publishing. New Delhi.)

      13. John Orchard,  Hugh Seward, Jeanne McGivern “Intrinsic and  Extrinsic Risk Factors for Anterior Cruciate Ligament Injury in Australian Footballers.” AJSM 2001, 29(2): 196-200

  1. Olsen OE, Myklebust G, Engebretsen L, et al. “Injury mechanisms for anterior cruciate ligament injuries in team handball: a systematic video analysis. Am J Sport Med 2004;32(4):1002-12.
  1. Sugimoto D. et al. “Compliance With Neuromuscular Training and Anterior Cruciate Ligament Injury Risk Reduction in Female Athletes: A Meta-Analysis” J Athl Train, 2012; 47(6): 714-723.

     16. Kaeding CC, Pedroza AD, et al  “Risk Factors and Predictors of Subsequent ACL Injury in Either Knee After ACL Reconstruction The American Journal of Sports Medicine, 2015 Apr 21; 43 (7): 1583-1590.

     17.  Muller W “The knee: form, function, and ligament reconstruction”

     18. Butler DL, Noyes FR, Grood ES “Ligamentous restraints to anterior-posterior drawer in the human knee. A biomechanical study” J Bone Joint Surg Am, 1980 Mar;62(2):259-70.

  1. Paterno MV, Kiefer AW et al “Deficits in Hip-Ankle Coordination in Female Athletes who Suffer a Second Anterior Cruciate Ligament (ACL) Injury after ACL Reconstruction and Return to Sport” The Orthopaedic Journal of Sports Medicine, 2014; 2(7)(suppl 2)
  2. Katz JW, Fingeroth RJ “The diagnostic accuracy of ruptures of the anterior cruciate ligament comparing the Lachman test, the anterior drawer sign, and the pivot shift test in acute and chronic knee injuries” The American Journal of Sports Medicine 1986;14:88-91.fckLR  (accessed 18 July 2013).
  3. William E.Prentice, Rehabilitation techniques for sports medicine and athletic training; fourth ed. McGraw Hill publications.
  4. E. Carlos Rodriguez-Merchan “Knee instruments and rating scales designed to measure outcomes” J Orthop Traumatol, 2012 Mar; 13(1): 1–6. Published online 2012 Jan 25. doi:  10.1007/s10195-011-0177-4
  5. Bing Yu and William E Garrett “Mechanisms of non‐contact ACL injuries” Br J Sports Med. 2007 Aug; 41(Suppl 1): i47–i51.
  6. Becky Woodford-Rogers, Lynne Cyphert,Craig R. Denegar, “Risk Factors for Anterior Cruciate Ligament Injury in High School and College Athletes” J Athl Train. 1994 Dec; 29(4): 343–346. PMCID: PMC1317810
  7. Helen C. Smith, Pamela Vacek, Robert J. Johnson, James R. Slauterbeck, Javad Hashemi, Sandra Shultz, and Bruce D. Beynnon,  “Risk Factors for Anterior Cruciate Ligament Injury :A Review of the Literature — Part 1: Neuromuscular and Anatomic Risk” Sports Health. 2012 Jan; 4(1): 69–78. doi:  10.1177/1941738111428281
  8. Katherine M. Bojicic, Melanie L. Beaulieu, Daniel Imaizumi Krieger, James A. Ashton-Miller, Edward M. Wojtys, Body Mass Index, Modulated by Lateral Posterior Tibial Slope, Predicts ACL Injury Risk” Orthop J Sports Med. 2016 Jul; 4(7 suppl4): 2325967116S00129. Published online 2016 Jul 29. doi:  10.1177/2325967116S00129

     27. https://www.everydayhealth.com/acl-tear/guide/

     28. https://www.sciencedirect.com/science/article/pii/S1836955316000205

  1. Hurd WJ, Chmielewski TL, Snyder-Mackler L. “Perturbation-enhanced neuromuscular training alters muscle activity in female athletes” Knee Surg. Sports Traumatol. Arthrosc, 2006;14:60–69.
  1. Krosshaug T, Nakamae A, Boden BP, et al. “Mechanisms of anterior cruciate ligament injury in basketball: video analysis of 39 cases” Am. J. Sports Med. 2007;35:359–367.
  2. Hewett TE, Myer GD, Ford KR, Powers S. Book Neuromuscular Intervention Targeted to Mechanisms of ACL Load in Female Athletes. National Institutes of Health; 2008. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4168968/
  3. Lauren E. Imwalle,1,2 Gregory D. Myer,1,3 Kevin R. Ford,1,2 and Timothy E. Hewett1,2 “Relationship Between Hip and Knee Kinematics In Athletic Women During Cutting Maneuvers: A Possible Link to Noncontact Anterior Cruciate Ligament Injury and Prevention”, J Strength Cond Res. 2009 Nov; 23(8): 2223–2230.
  4. Hwang-Bo Kak, Sun-Ja Park, Byun-Joon Park, The effect of hip abductor exercise on muscle strength and trunk stability after an injury of the lower extremities . J Phys Ther Sci, 2016 Mar; 28(3): 932–935. Published online 2016 Mar 31. doi:  10.1589/jpts.28.932
  5. Beckett ME, et al. “Incidence of hyperpronation in the ACL injured knee: a clinical perspective.” J Athl Train, 1992;27:58-62
  6. Yohei Shimokochi, Sae Yong Lee, Sandra J Shultz, Randy J Schmitz, “The Relationships Among Sagittal-Plane Lower Extremity Moments: Implications for Landing Strategy in Anterior Cruciate Ligament Injury Prevention” J Athl Train. 2009 Jan-Feb; 44(1): 33–38. doi:  10.4085/1062-6050-44.1.33
  7. David S. Logerstedt, Lynn Snyder-Mackler, Richard C. Ritter, Michael J. Axe, Joseph J. Godges, “Knee Stability and Movement Coordination Impairments: Knee Ligament Sprain Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health from the Orthopaedic Section of the American Physical Therapy Association” J Orthop Sports Phys Ther. 2010 Apr; 40(4): A1–A37. doi:  10.2519/jospt.2010.0303
  8. Thomas AC1, Villwock M, Wojtys EM, Palmieri-Smith RM“Lower extremity muscle strength after anterior cruciate ligament injury and reconstruction.” J Athl Train. 2013 Sep-Oct;48(5):610-20. doi: 10.4085/1062-6050-48.3.23.
  9. https://www.health.harvard.edu/staying-healthy/foods-that-fight-inflammation
  10. Matthew C.Fadusa, Cecilia Laub, JaiBikhchandanic, Henry T.Lynchc “Curcumin: An age-old anti-inflammatory and anti-neoplastic agent” Journal of Traditional and Complementary Medicine. July 2017,  7( 3) :339-346
  11. Allan M. Joseph, Christy L. Collins,  Natalie M. Henke, Ellen E. Yard, Sarah K. Fields, R. Dawn Comstock, “A Multisport Epidemiologic Comparison of Anterior Cruciate Ligament Injuries in High School Athletics.” J Athl Train. 2013 Nov-Dec; 48(6): 810–817.
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