{"id":4195,"date":"2024-08-05T19:56:07","date_gmt":"2024-08-05T19:56:07","guid":{"rendered":"https:\/\/andreasphysioblog.com\/?p=4195"},"modified":"2024-08-06T05:49:09","modified_gmt":"2024-08-06T05:49:09","slug":"%f0%9d%99%8c%f0%9d%99%aa%f0%9d%99%96%f0%9d%99%99%f0%9d%99%a7%f0%9d%99%9e%f0%9d%99%98%f0%9d%99%9a%f0%9d%99%a5%f0%9d%99%a8-%f0%9d%98%bc%f0%9d%99%98%f0%9d%99%a9%f0%9d%99%9e%f0%9d%99%ab%f0%9d%99%96","status":"publish","type":"post","link":"https:\/\/andreasphysioblog.com\/?p=4195","title":{"rendered":"\ud835\ude4c\ud835\ude6a\ud835\ude56\ud835\ude59\ud835\ude67\ud835\ude5e\ud835\ude58\ud835\ude5a\ud835\ude65\ud835\ude68 \ud835\ude3c\ud835\ude58\ud835\ude69\ud835\ude5e\ud835\ude6b\ud835\ude56\ud835\ude69\ud835\ude5e\ud835\ude64\ud835\ude63 \ud835\ude3c\ud835\ude5b\ud835\ude69\ud835\ude5a\ud835\ude67 \ud835\ude3c\ud835\ude63\ud835\ude69\ud835\ude5a\ud835\ude67\ud835\ude5e\ud835\ude64\ud835\ude67 \ud835\ude3e\ud835\ude67\ud835\ude6a\ud835\ude58\ud835\ude5e\ud835\ude56\ud835\ude69\ud835\ude5a \ud835\ude47\ud835\ude5e\ud835\ude5c\ud835\ude56\ud835\ude62\ud835\ude5a\ud835\ude63\ud835\ude69 \ud835\ude4d\ud835\ude5a\ud835\ude58\ud835\ude64\ud835\ude63\ud835\ude68\ud835\ude69\ud835\ude67\ud835\ude6a\ud835\ude58\ud835\ude69\ud835\ude5e\ud835\ude64\ud835\ude63: \ud835\ude4f\ud835\ude5d\ud835\ude5a \ud835\ude40\ud835\ude56\ud835\ude67\ud835\ude61\ud835\ude6e \ud835\ude3d\ud835\ude5e\ud835\ude67\ud835\ude59 \ud835\ude42\ud835\ude5a\ud835\ude69\ud835\ude68 \ud835\ude69\ud835\ude5d\ud835\ude5a \ud835\ude52\ud835\ude64\ud835\ude67\ud835\ude62!&#8221;"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>New article!<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/ijspt.scholasticahq.com\/article\/121423-quadriceps-activation-after-anterior-cruciate-ligament-reconstruction-the-early-bird-gets-the-worm\">MOIROUX&#8211;SAHRAOUI A, FORELLI F, MAZEAS J, RAMBAUD AJ, BJERREGAARD A, RIERA J. Quadriceps Activation After Anterior Cruciate Ligament Reconstruction: The Early Bird Gets the Worm!&nbsp;<em>IJSPT<\/em>. 2024;19(8):1044-1051.&nbsp;doi:10.26603\/001c.121423<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"1024\" src=\"https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2024\/08\/copy-of-copy-of-nstagram-post.zip-7-1-1024x1024.png\" alt=\"\" class=\"wp-image-4201\" srcset=\"https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2024\/08\/copy-of-copy-of-nstagram-post.zip-7-1-1024x1024.png 1024w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2024\/08\/copy-of-copy-of-nstagram-post.zip-7-1-300x300.png 300w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2024\/08\/copy-of-copy-of-nstagram-post.zip-7-1-150x150.png?crop=1 150w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2024\/08\/copy-of-copy-of-nstagram-post.zip-7-1-768x768.png 768w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2024\/08\/copy-of-copy-of-nstagram-post.zip-7-1-800x800.png?crop=1 800w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2024\/08\/copy-of-copy-of-nstagram-post.zip-7-1-600x600.png?crop=1 600w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2024\/08\/copy-of-copy-of-nstagram-post.zip-7-1-400x400.png?crop=1 400w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2024\/08\/copy-of-copy-of-nstagram-post.zip-7-1-200x200.png?crop=1 200w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2024\/08\/copy-of-copy-of-nstagram-post.zip-7-1-100x100.png?crop=1 100w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2024\/08\/copy-of-copy-of-nstagram-post.zip-7-1.png 1080w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Starting Strong in ACL Rehab<\/strong><br \/>A strong start in ACL rehab is crucial for a successful return to play and to avoid long-term issues like increased OA risk, reduced quality of life, and diminished function.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"834\" height=\"1024\" src=\"https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2024\/08\/img_3893-1-834x1024.jpg\" alt=\"\" class=\"wp-image-4191\" srcset=\"https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2024\/08\/img_3893-1-834x1024.jpg 834w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2024\/08\/img_3893-1-244x300.jpg 244w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2024\/08\/img_3893-1-768x943.jpg 768w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2024\/08\/img_3893-1-600x737.jpg 600w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2024\/08\/img_3893-1.jpg 1170w\" sizes=\"(max-width: 834px) 100vw, 834px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Arthrogenic Muscle Inhibition (AMI) can delay this good start by hindering quadriceps activation. This article covers early intervention strategies to address AMI for quicker recovery and better outcomes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>What is AMI?<\/strong><br>AMI reduces motor neuron availability and voluntary activation, often due to pain, patellar issues, swelling, and lack of quadriceps contraction.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"536\" height=\"436\" src=\"https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2024\/08\/img_3881-1.jpg\" alt=\"\" class=\"wp-image-4193\" srcset=\"https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2024\/08\/img_3881-1.jpg 536w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2024\/08\/img_3881-1-300x244.jpg 300w\" sizes=\"(max-width: 536px) 100vw, 536px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Therapeutic Intervention Classification:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83e\uddb5 <strong>Grade 0:<\/strong> Normal contraction.<br>\ud83e\uddb5 <strong>Grade 1:<\/strong> Inhibited contraction, no extension deficit.<br>\ud83e\uddb5 <strong>Grade 2:<\/strong> Inhibited contraction, knee extension deficit due to hamstring contracture.<br>\ud83e\uddb5 <strong>Grade 3:<\/strong> Chronic extension deficit from posterior capsular retraction.<br>These classifications are based on clinical experience with limited validation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Clinician Observations:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Minimal activation:<\/strong> SLR without lag, sensing quadriceps contraction.<br><strong>Adequate activation: <\/strong>Full knee extension, qualitative quadriceps contraction, and patient feedback.<br><strong>Fast activation: <\/strong>Important in later rehab phases, especially for plyometric activities.<br><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"517\" src=\"https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2024\/08\/img_3880-1-1024x517.jpg\" alt=\"\" class=\"wp-image-4192\" srcset=\"https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2024\/08\/img_3880-1-1024x517.jpg 1024w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2024\/08\/img_3880-1-300x152.jpg 300w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2024\/08\/img_3880-1-768x388.jpg 768w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2024\/08\/img_3880-1-600x303.jpg 600w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2024\/08\/img_3880-1.jpg 1055w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>AMI Treatment Modalities:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Muscle interventions:<\/strong> BFR, hamstring fatigue exercises.<br><strong>Brain interventions:<\/strong> Virtual Reality, Cross Education Therapy, EMG Biofeedback, Motor Imagery, Vibration.<br><strong>Nerve interventions:<\/strong> NMES, TENS, Cryotherapy, Percutaneous Electrical Stimulation.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"970\" src=\"https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2024\/08\/img_3879-1-1024x970.jpg\" alt=\"\" class=\"wp-image-4194\" srcset=\"https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2024\/08\/img_3879-1-1024x970.jpg 1024w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2024\/08\/img_3879-1-300x284.jpg 300w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2024\/08\/img_3879-1-768x728.jpg 768w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2024\/08\/img_3879-1-600x569.jpg 600w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2024\/08\/img_3879-1.jpg 1069w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><br>Enjoy the article and learn more about our online ACL rehab resources, including our patient handbook, blog posts, podcasts, and <a href=\"https:\/\/mailchi.mp\/e2f213efdeaa\/andreasphysioblog\">newsletter<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>New article! MOIROUX&#8211;SAHRAOUI A, FORELLI F, MAZEAS J, RAMBAUD AJ, BJERREGAARD A, RIERA J. Quadriceps Activation After Anterior Cruciate Ligament Reconstruction: The Early Bird Gets the Worm!&nbsp;IJSPT. 2024;19(8):1044-1051.&nbsp;doi:10.26603\/001c.121423 Starting Strong in ACL RehabA strong start in ACL rehab is crucial for a successful return to play and to avoid long-term issues like increased OA risk, reduced quality of life, and diminished function. Arthrogenic Muscle Inhibition (AMI) can delay this good start by hindering quadriceps activation. This article covers early intervention strategies to address AMI for quicker recovery and better outcomes. What is AMI?AMI reduces motor neuron availability and voluntary activation, often due to pain, patellar issues, swelling, and lack of quadriceps contraction. Therapeutic Intervention Classification: \ud83e\uddb5 Grade 0: Normal contraction.\ud83e\uddb5 Grade 1: Inhibited contraction, no extension deficit.\ud83e\uddb5 Grade 2: Inhibited contraction, knee extension deficit due to hamstring contracture.\ud83e\uddb5 Grade 3: Chronic extension deficit from posterior capsular retraction.These classifications are based on clinical experience with limited validation. Clinician Observations: Minimal activation: SLR without lag, sensing quadriceps contraction.Adequate activation: Full knee extension, qualitative quadriceps contraction, and patient feedback.Fast activation: Important in later rehab phases, especially for plyometric activities. AMI Treatment Modalities: Muscle interventions: BFR, hamstring fatigue exercises.Brain interventions: Virtual Reality, Cross Education Therapy, EMG Biofeedback, Motor Imagery, Vibration.Nerve interventions: NMES, TENS, Cryotherapy, Percutaneous Electrical Stimulation. Enjoy the article and learn more about our online ACL rehab resources, including our patient handbook, blog posts, podcasts, and newsletter.<\/p>\n","protected":false},"author":81,"featured_media":4191,"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_hide_featured_image":false,"_jetpack_featured_image_duplicate_dismissed":0,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[155,382,4,357],"tags":[156,37],"class_list":["post-4195","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-acl","category-knee","category-knee-injuries","category-surgery","tag-acl","tag-knee"],"blocksy_meta":[],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.5 - aioseo.com -->\n\t<meta name=\"description\" content=\"New article! 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IJSPT. 2024;19(8):1044-1051. doi:10.26603\/001c.121423 Starting Strong in ACL RehabA strong start in ACL rehab is crucial for a successful return to play and to avoid long-term issues like increased OA risk,\" \/>\n\t<meta name=\"robots\" content=\"max-image-preview:large\" \/>\n\t<meta name=\"author\" content=\"andreasbjerregaard\"\/>\n\t<link rel=\"canonical\" href=\"https:\/\/andreasphysioblog.com\/?p=4195\" \/>\n\t\t<meta name=\"generator\" content=\"All in One SEO (AIOSEO) 5.0.5\" \/>\n\t\t<meta property=\"og:locale\" content=\"en_US\" \/>\n\t\t<meta property=\"og:site_name\" content=\"Physioblog by Andreas Bjerregaard -\" \/>\n\t\t<meta property=\"og:type\" content=\"article\" \/>\n\t\t<meta property=\"og:title\" content=\"\ud835\ude4c\ud835\ude6a\ud835\ude56\ud835\ude59\ud835\ude67\ud835\ude5e\ud835\ude58\ud835\ude5a\ud835\ude65\ud835\ude68 \ud835\ude3c\ud835\ude58\ud835\ude69\ud835\ude5e\ud835\ude6b\ud835\ude56\ud835\ude69\ud835\ude5e\ud835\ude64\ud835\ude63 \ud835\ude3c\ud835\ude5b\ud835\ude69\ud835\ude5a\ud835\ude67 \ud835\ude3c\ud835\ude63\ud835\ude69\ud835\ude5a\ud835\ude67\ud835\ude5e\ud835\ude64\ud835\ude67 \ud835\ude3e\ud835\ude67\ud835\ude6a\ud835\ude58\ud835\ude5e\ud835\ude56\ud835\ude69\ud835\ude5a \ud835\ude47\ud835\ude5e\ud835\ude5c\ud835\ude56\ud835\ude62\ud835\ude5a\ud835\ude63\ud835\ude69 \ud835\ude4d\ud835\ude5a\ud835\ude58\ud835\ude64\ud835\ude63\ud835\ude68\ud835\ude69\ud835\ude67\ud835\ude6a\ud835\ude58\ud835\ude69\ud835\ude5e\ud835\ude64\ud835\ude63: \ud835\ude4f\ud835\ude5d\ud835\ude5a \ud835\ude40\ud835\ude56\ud835\ude67\ud835\ude61\ud835\ude6e \ud835\ude3d\ud835\ude5e\ud835\ude67\ud835\ude59 \ud835\ude42\ud835\ude5a\ud835\ude69\ud835\ude68 \ud835\ude69\ud835\ude5d\ud835\ude5a \ud835\ude52\ud835\ude64\ud835\ude67\ud835\ude62!\u201d - Physioblog by Andreas Bjerregaard\" \/>\n\t\t<meta property=\"og:description\" content=\"New article! 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MOIROUX--SAHRAOUI A, FORELLI F, MAZEAS J, RAMBAUD AJ, BJERREGAARD A, RIERA J. Quadriceps Activation After Anterior Cruciate Ligament Reconstruction: The Early Bird Gets the Worm! IJSPT. 2024;19(8):1044-1051. doi:10.26603\/001c.121423 Starting Strong in ACL RehabA strong start in ACL rehab is crucial for a successful return to play and to avoid long-term issues like increased OA risk,\" \/>\n\t\t<script type=\"application\/ld+json\" class=\"aioseo-schema\">\n\t\t\t{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"BlogPosting\",\"@id\":\"https:\\\/\\\/andreasphysioblog.com\\\/?p=4195#blogposting\",\"name\":\"\\ud835\\ude4c\\ud835\\ude6a\\ud835\\ude56\\ud835\\ude59\\ud835\\ude67\\ud835\\ude5e\\ud835\\ude58\\ud835\\ude5a\\ud835\\ude65\\ud835\\ude68 \\ud835\\ude3c\\ud835\\ude58\\ud835\\ude69\\ud835\\ude5e\\ud835\\ude6b\\ud835\\ude56\\ud835\\ude69\\ud835\\ude5e\\ud835\\ude64\\ud835\\ude63 \\ud835\\ude3c\\ud835\\ude5b\\ud835\\ude69\\ud835\\ude5a\\ud835\\ude67 \\ud835\\ude3c\\ud835\\ude63\\ud835\\ude69\\ud835\\ude5a\\ud835\\ude67\\ud835\\ude5e\\ud835\\ude64\\ud835\\ude67 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href=\"https:\/\/andreasphysioblog.com\/?cat=155\" rel=\"category\">ACL<\/a> <a href=\"https:\/\/andreasphysioblog.com\/?cat=382\" rel=\"category\">knee<\/a> <a href=\"https:\/\/andreasphysioblog.com\/?cat=4\" rel=\"category\">Knee injuries<\/a> <a href=\"https:\/\/andreasphysioblog.com\/?cat=357\" rel=\"category\">surgery<\/a>","rttpg_excerpt":"New article! MOIROUX&#8211;SAHRAOUI A, FORELLI F, MAZEAS J, RAMBAUD AJ, BJERREGAARD A, RIERA J. Quadriceps Activation After Anterior Cruciate Ligament Reconstruction: The Early Bird Gets the Worm!&nbsp;IJSPT. 2024;19(8):1044-1051.&nbsp;doi:10.26603\/001c.121423 Starting Strong in ACL RehabA strong start in ACL rehab is crucial for a successful return to play and to avoid long-term issues like increased OA risk,&hellip;","_links":{"self":[{"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=\/wp\/v2\/posts\/4195","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=\/wp\/v2\/users\/81"}],"replies":[{"embeddable":true,"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4195"}],"version-history":[{"count":5,"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=\/wp\/v2\/posts\/4195\/revisions"}],"predecessor-version":[{"id":4203,"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=\/wp\/v2\/posts\/4195\/revisions\/4203"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=\/wp\/v2\/media\/4191"}],"wp:attachment":[{"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4195"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4195"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4195"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}