{"id":2595,"date":"2020-12-28T12:47:09","date_gmt":"2020-12-28T12:47:09","guid":{"rendered":"https:\/\/andreasphysioblog.com\/?p=2595"},"modified":"2021-07-13T15:03:09","modified_gmt":"2021-07-13T15:03:09","slug":"a-ten-task-based-progression-in-rehabilitation-after-acl-reconstruction-from-post-surgery-to-return-to-play-a-clinical-commentary","status":"publish","type":"post","link":"https:\/\/andreasphysioblog.com\/?p=2595","title":{"rendered":"A TEN TASK-BASED PROGRESSION IN REHABILITATION AFTER ACL RECONSTRUCTION: FROM POST-SURGERY TO RETURN TO PLAY \u2013 A CLINICAL COMMENTARY"},"content":{"rendered":"<header class=\"entry-header\">\n<h1 class=\"entry-title\">A TEN TASK-BASED PROGRESSION IN REHABILITATION AFTER ACL RECONSTRUCTION: FROM POST-SURGERY TO RETURN TO PLAY \u2013 A CLINICAL\u00a0COMMENTARY<\/h1>\n<\/header>\n<div class=\"entry-body\">\n<div class=\"entry-content\">\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7735691\/\">Article link<\/a><\/p>\n<p>Movement re-training is considered an important element of rehabilitation after ACLR, but there is a lack of knowledge on the \u2018how\u2019 and \u2018what\u2019 movement re-training should occur after ACLR.<\/p>\n<p>In its basic form, movement re-training after ACLR is about progressing a patient through gradually more demanding tasks from the point of being able to walk to being able to perform highly complex sports movements. However, there is a lack of guidance on when to implement certain tasks (e.g. when to begin running) and how to transition between tasks. This paper presents a 10 task progressions system which can form an important aspect of the movement-based re-training process, providing structure and patient autonomy. Monitoring knee function and movement and neuromuscular status to safely transition between these tasks is important.<\/p>\n<p>1. Normal walking gait<br \/>\n2. Bilateral squat<br \/>\n3. Unilateral foundation exercises \u2013 Single leg squat4.\u00a0Bilateral landing5.\u00a0Running6. Bilateral plyometrics \u2013 Bilateral drop jump<br \/>\n7. Unilateral landing\/ deceleration \u2013Single leg deceleration8. Unilateral plyometrics \u2013Single leg drop jump<br \/>\n9. Change of direction ability\/coordination \u2013 90\u00ba cut maneuver10. Sport-specific movements \u2013 Movement control under sport specific change of direction<br \/>\nSUMMARY\u00a0Establishing clear task-based progressions can provide structure to a rehabilitation approach and give autonomy and motivation to a patient after ACLR. This clinical commentary presents 10 task-based progression which can be used by clinicians for their patients who intend to return to sporting activity after ACLR. Progression through a task and between tasks is based on respecting the joint, strength, movement quality and muscle soreness.<br \/>\nThe presented task-based framework is evidence informed and based on applying theory into practice.<\/p>\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7735691\/\">Buckthorpe M, Tamisari A, Villa FD. A TEN TASK-BASED PROGRESSION IN REHABILITATION AFTER ACL RECONSTRUCTION: FROM POST-SURGERY TO RETURN TO PLAY \u2013 A CLINICAL COMMENTARY.\u00a0<em>Int J Sports Phys Ther<\/em>. 2020;15(4):611-623.<\/a><\/p>\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2020\/12\/screenshot-2020-12-28-at-14.06.15.png\"><img decoding=\"async\" class=\"wp-image-15792\" src=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2020\/12\/screenshot-2020-12-28-at-14.06.15.png?w=843\" sizes=\"(max-width: 843px) 100vw, 843px\" srcset=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2020\/12\/screenshot-2020-12-28-at-14.06.15.png?w=843 843w, https:\/\/andreasbjerregaard.files.wordpress.com\/2020\/12\/screenshot-2020-12-28-at-14.06.15.png?w=123 123w, https:\/\/andreasbjerregaard.files.wordpress.com\/2020\/12\/screenshot-2020-12-28-at-14.06.15.png?w=247 247w, https:\/\/andreasbjerregaard.files.wordpress.com\/2020\/12\/screenshot-2020-12-28-at-14.06.15.png?w=768 768w, https:\/\/andreasbjerregaard.files.wordpress.com\/2020\/12\/screenshot-2020-12-28-at-14.06.15.png 1264w\" alt=\"\" data-attachment-id=\"15792\" data-permalink=\"https:\/\/physioblogandreasbjerregaard.com\/screenshot-2020-12-28-at-14-06-15\/\" data-orig-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2020\/12\/screenshot-2020-12-28-at-14.06.15.png\" data-orig-size=\"1264,1536\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"screenshot-2020-12-28-at-14.06.15\" data-image-description=\"\" data-medium-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2020\/12\/screenshot-2020-12-28-at-14.06.15.png?w=247\" data-large-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2020\/12\/screenshot-2020-12-28-at-14.06.15.png?w=825\" \/><\/a><\/figure>\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2020\/12\/screenshot-2020-12-28-at-14.03.36.png\"><img decoding=\"async\" class=\"wp-image-15793\" src=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2020\/12\/screenshot-2020-12-28-at-14.03.36.png?w=696\" sizes=\"(max-width: 696px) 100vw, 696px\" srcset=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2020\/12\/screenshot-2020-12-28-at-14.03.36.png?w=696 696w, https:\/\/andreasbjerregaard.files.wordpress.com\/2020\/12\/screenshot-2020-12-28-at-14.03.36.png?w=102 102w, https:\/\/andreasbjerregaard.files.wordpress.com\/2020\/12\/screenshot-2020-12-28-at-14.03.36.png?w=204 204w, https:\/\/andreasbjerregaard.files.wordpress.com\/2020\/12\/screenshot-2020-12-28-at-14.03.36.png?w=768 768w, https:\/\/andreasbjerregaard.files.wordpress.com\/2020\/12\/screenshot-2020-12-28-at-14.03.36.png 974w\" alt=\"\" data-attachment-id=\"15793\" data-permalink=\"https:\/\/physioblogandreasbjerregaard.com\/screenshot-2020-12-28-at-14-03-36\/\" data-orig-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2020\/12\/screenshot-2020-12-28-at-14.03.36.png\" data-orig-size=\"974,1432\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"screenshot-2020-12-28-at-14.03.36\" data-image-description=\"\" data-medium-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2020\/12\/screenshot-2020-12-28-at-14.03.36.png?w=204\" data-large-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2020\/12\/screenshot-2020-12-28-at-14.03.36.png?w=696\" \/><\/a><\/figure>\n<div id=\"jp-post-flair\" class=\"sharedaddy sd-like-enabled sd-sharing-enabled\">\n<div class=\"sharedaddy sd-sharing-enabled\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>A TEN TASK-BASED PROGRESSION IN REHABILITATION AFTER ACL RECONSTRUCTION: FROM POST-SURGERY TO RETURN TO PLAY \u2013 A CLINICAL\u00a0COMMENTARY Article link Movement re-training is considered an important element of rehabilitation after ACLR, but there is a lack of knowledge on the \u2018how\u2019 and \u2018what\u2019 movement re-training should occur after ACLR. In its basic form, movement re-training after ACLR is about progressing a patient through gradually more demanding tasks from the point of being able to walk to being able to perform highly complex sports movements. However, there is a lack of guidance on when to implement certain tasks (e.g. when to begin running) and how to transition between tasks. This paper presents a 10 task progressions system which can form an important aspect of the movement-based re-training process, providing structure and patient autonomy. Monitoring knee function and movement and neuromuscular status to safely transition between these tasks is important. 1. Normal walking gait 2. Bilateral squat 3. Unilateral foundation exercises \u2013 Single leg squat4.\u00a0Bilateral landing5.\u00a0Running6. Bilateral plyometrics \u2013 Bilateral drop jump 7. Unilateral landing\/ deceleration \u2013Single leg deceleration8. Unilateral plyometrics \u2013Single leg drop jump 9. Change of direction ability\/coordination \u2013 90\u00ba cut maneuver10. Sport-specific movements \u2013 Movement control under sport specific change of direction SUMMARY\u00a0Establishing clear task-based progressions can provide structure to a rehabilitation approach and give autonomy and motivation to a patient after ACLR. This clinical commentary presents 10 task-based progression which can be used by clinicians for their patients who intend to return to sporting activity after ACLR. Progression through a task and between tasks is based on respecting the joint, strength, movement quality and muscle soreness. The presented task-based framework is evidence informed and based on applying theory into practice. Buckthorpe M, Tamisari A, Villa FD. A TEN TASK-BASED PROGRESSION IN REHABILITATION AFTER ACL RECONSTRUCTION: FROM POST-SURGERY TO RETURN TO PLAY \u2013 A CLINICAL COMMENTARY.\u00a0Int J Sports Phys Ther. 2020;15(4):611-623.<\/p>\n","protected":false},"author":1,"featured_media":2598,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"postBodyCss":"","postBodyMargin":[],"postBodyPadding":[],"postBodyBackground":{"backgroundType":"classic","gradient":""},"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_wpcom_ai_launchpad_first_post":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[155,382],"tags":[156,37],"class_list":["post-2595","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-acl","category-knee","tag-acl","tag-knee"],"blocksy_meta":{"styles_descriptor":{"styles":{"desktop":"","tablet":"","mobile":""},"google_fonts":[],"version":7}},"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.2 - aioseo.com -->\n\t<meta name=\"description\" content=\"A TEN TASK-BASED PROGRESSION IN REHABILITATION AFTER ACL RECONSTRUCTION: FROM POST-SURGERY TO RETURN TO PLAY \u2013 A CLINICAL COMMENTARY Article link Movement re-training is considered an important element of rehabilitation after ACLR, but there is a lack of knowledge on the \u2018how\u2019 and \u2018what\u2019 movement re-training should occur after ACLR. 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