hrvatski

Fizioterapijski protokol nakon rekonstrukcije stražnjeg križnog ligamenta

Injuries to the posterior cruciate ligament (PCL) in sports are less common than injuries to other ligament structures in the knee, but they are often combined with injuries to other structures in the knee, especially the posterolateral corner. Isolated injuries can be treated conservatively ; however, a PCL-deficient knee is biomechanically abnormal. The general consensus is that PCL rupture, especially combined with an injury to another structure of the knee, usually warrants surgical intervention. The primary purpose of the poster is to present and define the current approach to postoperative physiotherapy protocol after PCL reconstruction. Its secondary purpose is to describe different phases of the physiotherapy protocol, specific interventions and goals, criteria to advance to the next phase and specific precautions regarding the use of therapeutic exercises. Comprehensive database search was performed during July 2012 within PubMed, OvidSP and PEDro in order to find articles on physiotherapy exercise protocol after PCL reconstruction. Therapeutic exercises are the most important segment of postoperative rehabilitation. Contrary to ACL rehabilitation, accelerated PCL postoperative rehabilitation is not desirable. A slow and rather conservative rehabilitation approach is very important for a successful outcome and good knee stability. The rehabilitation program initially needs to protect the graft healing, and later, in the final outcome, it needs to provide a functional knee and a possibility for the patient to return to their pre-injury level of activity. An overly aggresive approach may cause increased laxity of the PCL graft and a poor long-term outcome. Rehabilitation following a PCL reconstruction still presents a significant challenge for the rehabilitation team because they need to provide a rapid return to function while protecting adequate joint stability. To achieve that, it is very important to understand the biomechanical characteristics of therapeutic exercises. Further research is needed to design the optimal evidence-based physiotherapy protocol.

stražnji križni ligament ; postoperativna rehabilitacija ; kineziterapija ; terapijsko vježbanje

nije evidentirano