Hi Nick - sorry for the delay in this reply.
I can't help at the moment as I'm on annual leave but i do have a copy of
his rehab protocol at work that one of our surgeons who work over in
Australia brought back with him. Off the top of my head i think he did
include some SLR stuff in the very early stages (first 7-10 days sort of
thing) but can't remember the rest. It was the usual case of well we're
doing a similar thing but I'll ignore the OKC stuff as I'm not a fan!
Alison
-----Original Message-----
From: PHYSIO - for physiotherapists in education and practice
[mailto:[log in to unmask]]On Behalf Of nick bent
Sent: 21 March 2001 19:02
To: [log in to unmask]
Subject: Shelbourne's accelerated ACL rehab protocol
Dear all
I wonder with anybody of knowledge of Donald
Shelbourne's accelerated ACL rehabilitation can help
me with this query - are any limitations placed on the
use of open chain quadriceps strengthening exercises
during his rehab programmes?
In the following article, the rehab programme included
states that "leg extension" exercises to increase
quadriceps strength are begun at 2-4 weeks (and no
mention is made of limiting the range of motion in
order to restrict anterior tibial translation)
Shelbourne, K.D. and Rask, B.P. (1998) Controversies
with anterior cruciate ligament surgery and
rehabilitation. Am J Knee Surg. Vol. 11, No. 2,
p136-43.
While in the following article, no mention is made of
open chain quads strengthening, it is instead stated
that during phase 3 of rehabilitation (week 2
onwards), that quadriceps strengthening begins with
the use of a stationary bike, stair-climbing machine
and leg-press exercises (all of which are essentially
closed chain exercises).
I know that this might seem quite a pedantic point but
it is quite critical to the way in which I set out the
lieterature review and results sections of my M.Sc.
research project.
I hope that someone acquainted with Dr. Shelbourne and
his accelerated rehab protocols can help.
Many thanks
Nick
PS - with respect to the bloke who posted the list of
physiotherapy-related songs, what about:
Ultrasound of silence by Simon and Garfunkel or
anything by Brian Ferrule.
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