MEDICAL REHABILITATION IN ACL, MENISCAL AND MCL INJURY PATIENT WITH CONSERVATIVE MANAGEMENT
Abstract
ACL injuries most commonly occur following a hyperextension injury or from a significant valgus force of blow to the knee. MCL injury occurs from a valgus force to the knee joint that stretches or tears the ligament. Nonoperative management in ACL injury with activity modification produces good to excellent results in 57% of patients older than 40 years. Acute phase focuses on the treatment of tissue injury, clinical signs, and symptoms. The goal in this stage is to allow tissue healing while reducing pain and inflammation. Recovery phase focuses on obtaining normal passive and active knee motion, improving knee muscle function, achieving normal muscle balance of the hamstrings and quadriceps, and working on proprioception. Functional phase focuses on increasing the power and endurance of the lower extremities while improving neuromuscular control.
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