ACL Adelaide in Adelaide, South Australia | Medical and health

ACL Adelaide

Locality: Adelaide, South Australia

Phone: +61 8 7226 9901

Address: 31 Smart Road, Modbury 5092 Adelaide, SA, Australia

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25.01.2022 Before we can clear you for a safe return to sport, we aim for more than 90% symmetry between the ACL reconstructed side and the uninjured side in a number of assessments. This is referred to as the Limb Symmetry Index (LSI) and involves a battery of hopping and strength tests. . Clearance for sport should include scores of over 90% in ALL 6 of the following tests: Single Hop Test Triple Hop Test... Triple Crossover Hop Test 6m Timed Hop Test Knee Extensor Muscle Testing (Isokinetic Quad Strength) Knee Flexor Muscle Testing (Isokinetic Hamstring Strength) . Combine the above tests with functional and sport specific training and you're ready to go . Kyritsis et al. 2016 See more

25.01.2022 If you could reduce the chance of ACL injury by 50% with a 30 min program per week, would you do it? . Why are more teams not doing this?! Even better, the 30 minutes can be broken into 10 minute before trainings and games! . There are even specific programs for soccer, AFL and netball.... . FIFA 11+. AFL Footy First. Netball Knee. . If youre club isnt already doing this then it would be worth discussing with the coach or at the very least doing it yourself. I mean whats 10 minutes vs 12 months off? . Not only do they reduce the risk of ACL injury, ankle injuries are reduced by 40% and all lower limb injuries by 22%. (Finch et al. 2016; Grimm et al. 2016). . A program that includes agility, balance and plyometrics has also been shown to significantly improve Balance Jumping Power Agility Speed (Ayala et al 2017; Hopper et al. 2017). . The resources are free, check out the link below for your sport! . http://www.yrsa.ca/fifa-11.html http://www.aflcommunityclub.com.au/index.php?id=906 https://knee.netball.com.au

24.01.2022 Returning from an ACL injury? . Most will return to jogging/running at approximately the 3-4 month mark. This can sometimes be a time of stress however: What if Im not ready yet? Someone else I know was already running at this point in their rehab?... I tried to go for my first run and my knee was so sore... But it felt so different during my previous recovery or return!? . Its so tough to not compare your journey to others or feel like you are falling behind your own expectations. . No two people are the same, no two legs are the same, not even two ACL reconstructions on the same knee are the same! . Trust the process and think about hitting milestones instead of hitting time frames. If you do that, the rest will come . #aclrehab #aclrecovery #aclsurgery #kneesurgery #acl #aclreconstruction #kneeinjury #acltear #theaclclub #comebackstronger #rehab #aclclub #physiotherapy #knee See more

23.01.2022 Alex Rance was at one stage determined to return from his Round 1 ACL tear for the AFL Grand Final today, but eventually decided he wasnt willing to risk the clubs chances if he suffered a recurrence mid-game. . Teammate Dylan Grimes said he continued to be an inspiration to the players this year - He's actually been amazing so far. There was vision of him at the VFL Grand Final celebrating as though he was out there and really a part of it, he said. . He was a part of i...t because he played such a huge role in the development in not just our young players but some players like myself who have played a similar role to him. . The energy he brings to the group this year has been testament to the character he is because it would be understandable for a player of that influence going out in Round 1 and seeing the team play a role in finals like we have so far it would be understandable for them to go I guess kind of insular and make it about them . Well done Alex Rance . #aflgrandfinal #acladelaide #aclinjury #aclrecovery #aclreconstruction See more

23.01.2022 Unfortunately, ACL injuries are on the rise in Australia. - With some of the best prevention programs in place in elite sport we cant always explain why some people still manage to get this injury. - But we do know that there are some athletes that are at a much higher risk than others. This includes:... 14-18 year olds. Males 19-25 years old (Sanders et al. 2016). Players with a past history of ACL injury (Morgan et al. 2016). Those with a family history of ACL injury (mother or father) (Smith et al. 2012). Athletes with a current or past history of patellofemoral pain (Myer et al. 2015). Female athletes (Park et al. 2009). - So knowing who these athletes are what can we do about it? Lets make sure were identifying these groups during pre-season screenings and enforcing prevention programs. Prevention is always better than a cure See more

22.01.2022 NO ACL NO WORRIES . Dino Djulbic from Perth Glory decided to go down the non-surgical management of his ACL tear, which occurred in last seasons Grand Final. . He has made huge leaps and bounds in his recovery so far, which has enabled him to re-sign with the club for this season. Not a bad effort from the 36yr old centre back ... . #aleague #nonsurgicalacl #aclrecovery #footballinjuries #aclinjury See more

22.01.2022 The journey back is such a long one, make sure you’re enjoying the process! . If you feel like you’ve been doing the same thing for too long, or simply want a new challenge, don’t be afraid to ask the health professional looking after you. We usually have a wide variety of exercises we can be doing to achieve the same thing! . #aclrehabilitation #aclrehab #kneerehabilitation #kneerehab

22.01.2022 Should you rush straight into surgery following an ACL injury? . So many athletes want to have the operation as soon as possible, because the faster it happens, the faster you can return, right . Hmmm well actually, for best long term outcomes, its super important to allow the knee to settle down from the injury itself first. The purpose of this is to regain a moderate level of strength and function before heading in for your ACL reco to help with the recovery a...fterwards. . Recent studies have found that athletes who get back their full range of motion, good quadriceps and hamstring strength, and head into the surgery with minimal swelling will have better outcomes than those who dont 2 years post surgery . #aclrehab #aclrecovery #aclsurgery #kneesurgery #acl #aclreconstruction #aclreconstructionsurgery See more

20.01.2022 Did you know that athletes who reported undertaking complete rehabilitation were almost 8 times more likely to return to sport compared with those who did not??? . This is a significant difference, likely due to: Increased muscle strength Increased conditioning and aerobic fitness... Developing a better jumping and landing technique Improved coordination and movement patterning (squatting, lunging, cutting) More confidence in your knee overall . Edwards et al. 2018 Lauren Steer Metro United WFC Football Federation South Australia Adelaide Footy Women's League - SAWFL

20.01.2022 Pre-Op Handheld Dynamometer Testing . Goal: >90% strength compared with the other side . 1 Quads testing: Seated with hip and knees flexed at 90... 2 Hamstrings testing: Seated with hips and knees flexed at 90 . Mentiplay et al. 2015 . #aclrehab #aclrecovery #aclsurgery #kneesurgery #acl #aclreconstruction #kneeinjury #acltear #theaclclub #comebackstronger #rehab See more

16.01.2022 Mindset is what will keep you going - see this as an opportunity to come back better, stronger and smarter

16.01.2022 Continuing on from our post on Monday, we know prevention programs can significantly decrease the risk of ACL injury. So what should a prevention program look like?. - There are three main components that should be included in a prevention program: - 1. Plyometrics: Exercises such as jump training should focus on proper technique and body mechanics for push off and landing.... - 2. Neuromuscular training: - The aim of this form of training is to improve dynamic joint stability and generate optimal muscle firing patterns for the specific movement patterns and skills necessary during that particular sport. This may include: Balance and proprioceptive exercises on balance and wobble boards. Single-leg stability activities. Dynamic joint stability exercises. Agility drills. Sport-specific exercises. - 3. Strength training: Programs that incorporated strength training were among the most effective at decreasing ACL injury rate, however, we know that it is not efficient just on it's own! (Nessler et al. 2017) See more

16.01.2022 So many athletes just want to get back to the sport they love as soon as possible! However they are also willing to take the gamble of re-injury by not dedicating themselves to their rehab . Research indicates that the strongest predictor of returning to sport between 10 to 14 months post surgery is whether a rehabilitation program has been completed . It's time for athletes and health professionals to stop referring to simply "12 months" as the benchmark of return... to sport, and start referring to 12 months of COMPLETED REHAB as the benchmark . Edwards et al. 2018 See more

15.01.2022 Athletes who did not meet specific discharge criteria (LSI battery of tests) before returning to sport and are not fully discharged from ACL rehabilitation are FOUR TIMES MORE LIKELY to sustain an ACL re-rupture compared with those who returned to their sport after passing the criteria. . We know that the older you get and the more ACL ruptures you sustain, the less likely you are to return to the same level of sport as before. PLEASE PLEASE PLEASE don't risk it . Do the re...hab, Put in the work. Pass return to sport testing. . Kyritsis et al. 2016 @ Adelaide, South Australia See more

15.01.2022 The psychological influence on an athletes return to sport . Positive Psychological responses following an ACL injury were associated with: A higher return to sport rate after injury A faster return to sport... A greater likelihood of returning to the pre-injury participation level . As clinicians we need to ask and understand this part of a rehab journey, but as an athlete, you must be open and honest with those around you in order to get the support you need . Arden et al. 2012 See more

14.01.2022 How many can you do? . This is one of the tests I use to determine if someone is ready to return to sport following ACL reconstruction as it has been shown that if you can complete 22 good quality single leg squats, you're more likely to have a better knee-related quality of life at 1 and 3 years post-op (Culvenor et. al 2016). . The big focus though is QUALITY meaning keeping knees in line with toes the whole time and smooth transition from sit-to-stand.... . Even if your ACL is fine, there are heaps of other BENEFITS of adding this into your training program. . ACL and other knee injury prevention . Increased glute strength and pelvic stability (every sport requires standing on one leg at some point!). . Increased single leg hop distance. . Increased landing efficiency leading to improvement in performance. . (Hall et al 2015). . Test it out and see how good you are! See more

13.01.2022 The journey back is such a long one, make sure youre enjoying the process! . If you feel like youve been doing the same thing for too long, or simply want a new challenge, dont be afraid to ask the health professional looking after you. We usually have a wide variety of exercises we can be doing to achieve the same thing! . #aclrehabilitation #aclrehab #kneerehabilitation #kneerehab

11.01.2022 Can a ruptured ACL heal itself . Is surgery the way to go after ACL rupture . Heres a unique story recently reported! A young female netballer from Perth injured her left knee in May 2018... She was recommended to undergo a full knee reconstruction but her surgery was postponed, and then cancelled. ... . She worked with her physiotherapist and continued rehab and strengthening, which eventually got her back to no pain with running, jumping and hopping. . She returned to netball at 9 weeks post injury, continuing to play each week until the season ended in September 2018. . 6 months later... this was the comparison scans and report! See more

10.01.2022 "We're here to act as a coach. You're the creator of your outcomes. We're just trying to help you find some insight." - Jim Millard

08.01.2022 Following a return to sport, athletes with more positive perceptions of their return to sport were shown to have greater intrinsic motivation . Those with more negative perceptions towards their return to sport were shown to have greater extrinsic motivation . Outlook is everything ... . Arden et al. 2012 See more

08.01.2022 During the first 9 months after surgery, a later return to sport has been shown to significantly lower reinjury rates. For every one month delay in return to sport, the knee reinjury rate is reduced by 51%! . In athletes who return between 9 and 23 months after surgery however, time has not been found to be significantly associated with knee reinjury - this is where performance based criteria is more important! . Grindem et al. 2016

08.01.2022 http:// YOUR STORY // . What advice would you give someone about to return to sport after an ACL reconstruction? Go back with confidence, @winston_123 .... Thanks to those who have filled out our Your Story - ACL Survey and provided insight into your journey and given advice for others. . If you havent already, head to our Facebook page to access the survey and to also contribute to our community! . #aclrehab #aclrecovery #aclsurgery #kneesurgery #acl #aclreconstruction #kneeinjury #acltear #theaclclub #comebackstronger #rehab #aclclub See more

07.01.2022 HAMSTRING FLEXIBILITY- Are you doing it wrong?- - Have you found that you keep trying to stretch your hamstrings but feel like youre not getting anywhere? - Recent studies are now suggesting that ECCENTRIC loading can actually increase range of movement and flexibility by increasing the length of the individual muscle fascicles. ... - They found this to be more effective as opposed to static stretching where the muscle would just bounce back 30 minutes later. - Even better, for every 0.5cm increase in fascicle length of one of the hamstring muscles (biceps femoris), hamstring injury was reduced by 73.9%! - Time to start working on those Nordics and RDLs! See more

07.01.2022 "Were here to act as a coach. Youre the creator of your outcomes. Were just trying to help you find some insight." - Jim Millard

06.01.2022 So much of the focus in an ACL recovery journey is based on what happens after surgery, however we believe it starts from the day of injury. . The journey starts now - the first step is to get ready for surgery, not ""wait"" until you have it . #aclrehab #aclrecovery #aclsurgery #kneesurgery #acl #aclreconstruction #kneeinjury #acltear #theaclclub #comebackstronger #rehab #aclclub #physiotherapy #knee

06.01.2022 It was so great to have Adam from the @australianathleticcentre come down yesterday and chat with us about all things to do with ACL rehab! - Rehab needs to be a team effort with different health care professionals who all have a different area of expertise so that the athlete can have the absolute best results. Were so grateful to be able to work with some amazing strength and conditioning coaches who can help our athletes perfect their rehab programs for returning to sports - Exciting things coming soon

05.01.2022 We wish that ACL injuries werent as common as they are but unfortunately the rate is rising in Australia! So we want to help! Our goal is to create a community in Adelaide where we can create awareness, educate, support and inspire as many people as we can who are going through this journey ... Whether youre currently going through rehab or you have in the past, we would love if you could take a few minutes to answer a few questions about your experience! https://forms.gle/JSUvPm2unhQTsXd26

05.01.2022 IS RUNNING BAD FOR YOUR KNEES? - A study compared x-rays of the knees in a group of long distance runners (N=45) vs a group of non-runners (N=53) over a period of 18 years to see what effect running had. - They found that the group of non-runners actually had a higher percentage of osteoarthritis in their knees than the running group! ... - For the healthy adult who is a regular runner, do not let this fear stop you! - Thank you to @adammeakins for the post . - (Chakravarty et al. 2008). See more

04.01.2022 Side Hop Test . Have you done this as part of your return to sport testing protocol? It is a good challenge not only of anaerobic capacity and speed but is a great way for the practitioner to assess change of direction and look at how the knee is controlled during landing/push-off in a side-to-side plane. . There are numbers that wed hope to see for different levels of athletes I.e. greater than 55 for males and greater than 43 for females but its also important to loo...k at Limb Symmetry Index (I.e how many the injured leg can do in comparison to the other one!). (Gustavsson et al. 2006). . This is one of Emilys clients at just 4 months post-op and already at 55 reps on the operated side vs 65 reps on the non-operated side! . If you are about to go back to sport give it a go! Mark out 40cm on the ground and see how many times you can hop side-to-side during 30 seconds. See more

04.01.2022 Before ACL reconstruction, 91% of athletes believe they will return to their preinjury levels of sport. After surgery, only 65% actually return to that level (Ardern et al. 2014). . Athletes who DONT return to their pre-injury levels are actually at a much higher risk of a second ACL injury compared to those who do return to sport! . We know fitting in rehab around work/life/kids etc. can be tough but surgery is only part of the process. Remember why you started this and keep your eye on your final goals

03.01.2022 The re-injury rate in the first year after ACL reconstruction is over twice as frequent when compared with uninjured knees. What can you do to decrease your risk of a second ACL rupture? Clear all of your return to sport testing Complete the full 12 months of rehab... Work on developing your lower limb neuromusclur strength Work on optimal loading streategies for jumping and landing Edwards et al. 2018

03.01.2022 AFLW players are 9x more likely to sustain an ACL injury than male AFL players - There are increasing numbers of females moving into AFL which is great!! BUT, its scary the number of ACL injuries Im seeing coming through the door in the last couple of years!. - Why is this happening?.... - AFLW is a relatively NEWSPORT meaning that most women have not grown up playing it all their lives like men have - moving from netball or dancing to footy is a HUGE biomechanical change in the body that requires training and adaption. - Unfortunately most amateur clubs do not have the FUNDING for team physios and S&C coaches so there is often a big lack in prevention programs, pre-season screenings, warm up and cool down, education and load management throughout the season. - Hormones - every month our bodies are releasing hormones - Estradiol, Relaxin and Progesterone have all been shown to INCREASE laxity of the ACL with the highest rate of laxity being between Days 10-14 of the menstrual cycle (Park et al. 2009). - Biomechanics - women naturally have a wider pelvis than men which increases the Q-angle between the hip and the knee. This means that without appropriate single leg control, we may be more prone to the knee dropping in towards the body, placing more stress on the ACL. - What can you do?. - Talk to a Physio - get your own screening and find out what areas of your body you need to work on to prevent injury . - Get strong! Just rocking up to trainings/games isnt enough to get you through a season injury free - start a strength program at the gym - build up your strength in the off season and maintain during the season. - Recovery - eat right, get enough sleep, look after your body physically and mentally, warm up and cool down and if you have an injury get it rehabbed properly! See more

01.01.2022 Hot off the press from @matt_whalan_physio et al 2019 . Rescheduling Part 2 of the 11+ to the end of training significantly reduces injury burden and increases player compliance . Research Question:... What would be the impact on injury incidence and player compliance if we combined Parts 1 + 3 (range of motion, running, jumping and landing) of the 11+ as the warm-up and rescheduling Part 2 (strength and balance section) to the end of training? . Rescheduling Part 2 resulted in significantly lower (when compared to the normal 11+): Severe injuries Non-contact injury burden Hamstring injury burden Recurrent injury burden Total time lost to injury . Rescheduling Part 2 also resulted in: ~35% higher 11+ compliance 40% lower ankle sprain incidence 30% lower hamstring muscle incidence 60% lower ACL incidence 30% lower recurrent injury incidence . Time to get clubs implementing this across the board as the new injury prevention standard . Shout out to @metrounitedwfc, @chrissy_pana, @stellyy_ @8zerokms . @footballsouthau @ffsanpl @acladelaide #wnpl #fifa11 #fifa11plus #ffsanpl #muwfc2019 See more

01.01.2022 Did you know that younger athletes are at a significantly higher risk for sustaining a second ACL injury? . Studies have shown that between 20% and 30% of younger athletes sustain a second ACL injury, and that 27% of those aged less than 25 years at the time of ACL revision surgery go on to have a third! . It is so Important to better understand the reasons why younger athletes are at such high risk. Interestingly the fact that younger patients are more likely to return to sp...ort and, when they do, the sports they play are high risk sports seems to be the main contributor to this. . Even more reason to focus on rehabilitation and the timing of your return to sport! . Webster & Feller 2019 . #aclrehab #aclrecovery #aclsurgery #kneesurgery #acl #aclreconstruction #kneeinjury #acltear #theaclclub #comebackstronger #rehab #aclclub #physiotherapy #knee #meniscus #fitness #kneerehab #physicaltherapy #acljourney See more