Recommendations for Hamstring Function Recovery After ACL Reconstruction
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Recommendations for Hamstring Function Recovery After ACL Reconstruction Matthew Buckthorpe1,2,3 · Furio Danelon4 · Giovanni La Rosa2 · Gianni Nanni5 · Matthew Stride3 · Francesco Della Villa2 Accepted: 28 November 2020 © The Author(s), under exclusive licence to Springer Nature Switzerland AG part of Springer Nature 2020
Abstract It is important to optimise the functional recovery process to enhance patient outcomes after major injury such as anterior cruciate ligament reconstruction (ACLR). This requires in part more high-quality original research, but also an approach to translate existing research into practice to overcome the research to implementation barriers. This includes research on ACLR athletes, but also research on other pathologies, which with some modification can be valuable to the ACLR patient. One important consideration after ACLR is the recovery of hamstring muscle function, particularly when using ipsilateral hamstring autograft. Deficits in knee flexor function after ACLR are associated with increased risk of knee osteoarthritis, altered gait and sport-type movement quality, and elevated risk of re-injury upon return to sport. After ACLR and the early post-operative period, there are often considerable deficits in hamstring function which need to be overcome as part of the functional recovery process. To achieve this requires consideration of many factors including the types of strength to recover (e.g., maximal and explosive, multiplanar not just uniplanar), specific programming principles (e.g., periodised resistance programme) and exercise selection. There is a need to know how to train the hamstrings, but also apply this to the ACLR athlete. In this paper, the authors discuss the deficits in hamstring function after ACLR, the considerations on how to restore these deficits and align this information to the ACLR functional recovery process, providing recommendation on how to recover hamstring function after ACLR.
* Matthew Buckthorpe [email protected] 1
Faculty of Sport, Health and Applied Science, St Mary’s University, Twickenham, London TW1 4SX, UK
2
Isokinetic Medical Group, FIFA Medical Centre of Excellence, Education and Research Department, Bologna, Italy
3
Isokinetic Medical Group, FIFA Medical Centre of Excellence, London, UK
4
Isokinetic Medical Group, FIFA Medical Centre of Excellence, Milan, Italy
5
Isokinetic Medical Group, FIFA Medical Centre of Excellence, Bologna, Italy
Vol.:(0123456789)
M. Buckthorpe et al.
Key Points A knee flexor maximal strength deficit after ACLR is a strong risk factor for ACL re-injury. Overcoming deficits in hamstring function after ACLR is essential for optimal outcomes, satisfactory return to sport and re-injury risk reduction. Most of the information concerning the hamstrings is devoted to hamstring injury prevention and hamstring muscle injury rehabilitation, with a lack of information on hamstring rehabilitation after ACLR. Most training recommendations are focused on uninjured athletes
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