ACL Reconstruction
University of Santo Tomas
España, Manila
College of Rehabilitation Sciences
Department of Physical Therapy
Physical Therapy Seminar I
Practice Case:
ACL Reconstruction
Submitted to:
Donald G. Manlapaz, RPT, MSPT, PTRP
Jocel M. Regino, CMT, MSPT, PTRP
Joice Carrido, MSPT, PTRP
Christopher G. Cruz, PTRP
Submitted by:
Group 6
4PT A
Bernal, Lorenzo Raphael
De Borja, Juan Miguel
Dela Rosa, Mary Christianne
Del Mundo, Ma. Ericka
Flores, Jazzmine Gale
Ramirez, Reina Rosanna
Umandap, Robert
I. Medical Correlation
a. Overview of the medical condition
Anterior Cruciate Ligament (ACL) Reconstruction
The Anterior Cruciate Ligament The knee is the most complex joint in the body and its function is to provide stability in the human body. Primarily, the knees rely on its inert structures such as the ligaments, meniscus and capsule to maintain its own stability. There are many ligaments that reinforce the knee and one of it is the Anterior Cruciate Ligament (ACL). The ACL is one of the two cruciate ligaments that the knees have (the other one being the Posterior Cruciate Ligament). It originates from the intercodylar area impression of th tibial plateau then travels superiorly, laterally and posteriorly to attach to the medial aspect of the lateral femoral condyle. It is due to its oblique orientation that this ligament is commonly ruptured. ACL, has two bundles, the anteromedial bundle (AMB) and the posterolateral bundle (PLB). Primarily, the ACL checks for anterior translation of the tibia on the femur, however, it must be noted that the bundles of the ACL acts on different degrees in accomplishing this function. Studies have shown that AMB is most active during higher degrees of flexion where as PLB is taut in extension. In addition, ACL also provides rotary stability of the knee during medial and lateral rotation, varus/valgus angulation and combinations of the said movements.
Figure . The cruciate ligaments of
España, Manila
College of Rehabilitation Sciences
Department of Physical Therapy
Physical Therapy Seminar I
Practice Case:
ACL Reconstruction
Submitted to:
Donald G. Manlapaz, RPT, MSPT, PTRP
Jocel M. Regino, CMT, MSPT, PTRP
Joice Carrido, MSPT, PTRP
Christopher G. Cruz, PTRP
Submitted by:
Group 6
4PT A
Bernal, Lorenzo Raphael
De Borja, Juan Miguel
Dela Rosa, Mary Christianne
Del Mundo, Ma. Ericka
Flores, Jazzmine Gale
Ramirez, Reina Rosanna
Umandap, Robert
I. Medical Correlation
a. Overview of the medical condition
Anterior Cruciate Ligament (ACL) Reconstruction
The Anterior Cruciate Ligament The knee is the most complex joint in the body and its function is to provide stability in the human body. Primarily, the knees rely on its inert structures such as the ligaments, meniscus and capsule to maintain its own stability. There are many ligaments that reinforce the knee and one of it is the Anterior Cruciate Ligament (ACL). The ACL is one of the two cruciate ligaments that the knees have (the other one being the Posterior Cruciate Ligament). It originates from the intercodylar area impression of th tibial plateau then travels superiorly, laterally and posteriorly to attach to the medial aspect of the lateral femoral condyle. It is due to its oblique orientation that this ligament is commonly ruptured. ACL, has two bundles, the anteromedial bundle (AMB) and the posterolateral bundle (PLB). Primarily, the ACL checks for anterior translation of the tibia on the femur, however, it must be noted that the bundles of the ACL acts on different degrees in accomplishing this function. Studies have shown that AMB is most active during higher degrees of flexion where as PLB is taut in extension. In addition, ACL also provides rotary stability of the knee during medial and lateral rotation, varus/valgus angulation and combinations of the said movements.
Figure . The cruciate ligaments of
References: Braddom, R. L. (2011). Physical Medicine & Rehabilitation. Philippines: Elsevier (Singapore) PTE Ltd. Brashear, H. R., & Raney, R. B. (2003). Handbook of Orthopedic Surgery, 10th ed. Philippines: Elsevier Science (Singapore) PTE Ltd. Feagin, J. A. (1994). The Crucial Ligaments. New York: Churchill Livingstone. Gill, T. J. (2009). Arthroscopic Techniques of the Knee: A Visual Guide. Danvers: SLACK Incorporated. Kisner, C., & Colby, L. A. (2007). Therapeutic Exercises 5th ed. Philadelphia: F.A. Davis Company. Kolt, G. & Snyder-Mackler, L. (2007). Physical Therapies in Sports and Exercise. 2nd ed. pp. 391-393. UK: Elsevier Levangie, P Mangine, R. E. (1995). Physical Therapy of the Knee. New York: Churchill- Livingstone Inc. McArdle, W. D., Katch, V. L., & Katch, F. I. (2011). Essentials of Exercise Physiology. Philadelphia: Lippincott Williams & Wilkins. Miller, M., Cole, B., Cosgarea, A., & Sekiya, J. (2008). Operative Techniques: Sports Knee Surgery. Philadelphia: Saunders. O 'Sullivan, S. B., & Schmitz, T. J. (2007). Physical Rehabilitation, 5th ed. Philadelphia: F.A. Davis Company. Prodromos, C. C. (2008). The Anterior Cruciate Ligament: Reconstruction and Basic Science. Philadelphia: Saunders. Risberg, M., et al.(2007) Neuromuscular Training versus Strength Training During First 6 Months After Anterior Cruciate Ligament Reconstruction: A Randomized Clinical Trial. Physical Therapy, 87(6), 737-747.