The anterolateral ligament (ALL) is a rotational stabilizer of the knee joint widely investigated the last 13 years as the possible cause of some anterior cruciate ligament (ACL) reconstructions failure. ALL injuries accompany 64% of ACL ruptures. Nevertheless, there are still no publications concerning changes in the ACL rehabilitation process due to the ALL concomitant rupture. We evaluated rotational stability in 12 athletes with the ACL rupture and concomitant ALL injury or Segond fracture treated conservatively before the treatment and 3 months later. The physical therapy comprised the range of motions and strengthening exercises during the immobilization period and thereafter. As only the knee joint was immobilized the physical therapy was conducted to the adjacent joints and muscles at the very beginning. A total of 83.33% of patients became pivot-shift negative in three months. In 16.67% pivot-shift test was questionable. Lachman test remained positive in 91.67%. The ACL is a more important structure than the ALL. So, our treatment strategy focuses mainly on it. Most changes in physical therapy are the immobilization and postponed axial loading with internal rotation. But even these minor changes may influence greatly the overall stability of the knee, particularly rotational stability. It seems to be the single case series as- sessing the rotational stability recovery after the ALL rupture conservative treatment we found in the scientific literature. Immobilization and non-weightbearing for up to 6 weeks may decrease the rotational instability in con- servatively treated ALL injuries concomitant to the ACL ruptures. Further investigations of the physical therapy and rehabilitation of the anterolateral ligament injuries and Segond fractures are necessary.
The article, based on the study of scientific literature, analyzes the peculiarities of physical culture and sports rehabilitation of football players aged 20-25 years after surgical intervention on the ligamentous apparatus of the knee joint. On the basis of the obtained data, a program of physical culture and sports rehabilitation of football players aged 20-25 years after surgical intervention on the ligamentous apparatus of the knee joint in the adaptation and training period was developed and substantiated using the following means and methods: physical exercises, therapeutic massage and cryo-massage, kinesiotaping. It was found out that the means and methods of physical culture and sports rehabilitation of football players 20-25 years old after surgical intervention on the ligamentous apparatus of the knee joint proposed in the program contributed to the restoration of the functional state of both the operated link of the musculoskeletal system and the functional state of the entire nervous system. muscular apparatus. The peculiarities of the use of means and methods of physical culture and sports rehabilitation of football players aged 20-25 years after surgical intervention on the ligamentous apparatus of the knee joint were analyzed. It was found that physical culture and sports rehabilitation is a restorative training activity, an injured athlete can be admitted to such activities only after the recovery of motor abilities and a sufficient level of strength capabilities of the weakened muscles of the thigh and lower leg of the injured limb. Therapeutic massage is aimed at improving blood circulation, lymph flow and strengthening the muscles of the thigh and lower leg. Kinesiotaping is used to restore the physiological normal tone and bioelectrical activity of the thigh and lower leg muscles, which mostly suffer from hypodynamia at the first stage of early rehabilitation; restoration of the athlete's working movement pattern.
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