Physiotherapy Chirayuwellness

08/09/2022

08/09/2021

08/09/2020

Happy World Physiotherapy Day


& COViD-19

12/04/2020

17/03/2020

08/01/2020

Altruism and pain management seem to go hand in hand.

19/10/2019

💥ACL - When to Run?💥
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📚 Today's post is from the January 2019 issue of the Physio Network researcher reviews and highlights a study on "Criteria for Return to Running after Anterior Cruciate Ligament Reconstruction: A Scoping Review", reviewed by Mick Hughes (.physio)

By Dr. Caleb Burgess DPT, OCS, CSCS👀💪🏻
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💥Background/Objective:

🔘There is a lack of high-quality information regarding when ACLR (Anterior Cruciate Ligament Reconstruction) patients can return to running (RTR)
🔘The primary purpose was to find out what criteria are used in the clinical decision making for RTR following ACLR
🔘They also aimed to provide information to help clinicians and patients make quality decisions regarding RTR
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💥Methods:

🔘Reviewed 201 studies which included participants ranging from skeletally mature adolescents to those aged 40 years, who had undergone a primary ACLR (autograft only, with or without meniscus surgery)
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💥Results:

🔘The median time from which RTR was permitted was 12 post-operative weeks
🔘Apart from "time after surgery", only 18% of the studies used additional criteria to allow patients to RTR
🔘The most common clinical criteria were full knee AROM and pain 80% and isokinetic quadriceps and hamstrings LSI >70%
🔘For performance-based criteria, the most common objective tests were: proprioception LSI of 100%, composite score on Y-Balance Test >90%, hop test LSI >85%, 10x consecutive single leg squats to 45 degrees knee flexion and 30 step up and holds
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💥Clinical Implications:

🔘The decision to allow someone to start a running program should be made on passing clinical/strength/functional criteria, rather than being based on an arbitrary time-point
🔘It should be individualized and for many patients it might be reasonable to commence running between weeks 8-16 post-op provided that there has been adequate progressively loaded rehab
🔘The patient should have

28/09/2019

Inspiring video on post pregnancy weight loss

08/09/2019

Chirayuwellness with Naga Hyma Chakravarthi wishes all Physiotherapist a very Happy world Physiotherapy Day