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   You have suffered a total or partial injury to the anterior cruciate ligament (ACL) , this ligament takes an important part of the rotational stability of your knee.

   The question of the operation will certainly arise and will depend on your motivations and needs .

   

   A clear discussion with your orthopedic surgeon will give you the guidelines of the ins and outs of your decision.

   However, special rehabilitation care will often be necessary to help you regain confidence in your knee.

   Also, we know that preparation before the operation improves the success of postoperative rehabilitation; it will be need to propose a preoperative rehabilitation.

   The knee acts as an intermediate joint in a linking system of interdependent segments; thus an ACL injury is a lesion that affects only one leg but the problem is in both.

(BENJAMINSE 2018).

  Injury to the ACL can be considered a neurophysiological dysfunction and not just a musculoskeletal injury. (KAPRELI 2009)

   The purpose of the sports rehabilitation process is to be able to bring the patient to manage rapid movements and dynamis activities which are more problematic; the neuro-muscular system which analyzes the movements must not find itself in a situation of black out and under optimal.

    Rehabilitation serves to give the brain the capacity to create a program in order to modify the neuromuscular system and make it more efficient.

   The sports therapist must guide the patient to find efficient movement solutions by stimulating an adapted motor learning process of the central nervous system (DIGENEN 2019).

   Motor learning is a process followed by an individual during which he acquires new motor skills accompanied by an almost permanent change in performance in the function of training or experience (GOKELER 2019).

  The quality of rehabilitation is to find an " optimal challenge point" between a simple task which will give a good performance and a complex task which leads the patient into error , but also learning .

 

 

   

ESSENTIAL POINTS OF ACL REHABILITATION:

Motivation, coaching, patient adherence

Set goals

Plan and monitor follow-up

Repetition - Variation

Progression

Challenge - Challenging - Fun

ACL RSI QUESTIONNAIRE
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