ACL rehab and return to sports ONLINE+ LIVE

Teacher: dr. Alli Gokeler

Language: English, no translation

ONLINE PART WILL BE HELD EVERY WEDNESDAY 5-7PM CET , FROM  6.4.2022 TO 11.5.2022. (6.4,13.4,20.4,27.4, 4.5, 11.5.)

***Link for online course will be send to each participant

LIVE: 28.-29.5.2022

VENUE: Proprio centar, Ul. Ante Starčevića 7a, 23 000 Zadar

Prices: early bird 450eur (3400HRK) until 28th February 2022 and 500eur (3800HRK) thereafter.   Prices include  online course(6x2h)+live course (28-29. May 2022, both days 9-5).

 

(SOLD OUT!!!) FREE pre-course webinar 16.3.2022.- Q&A; ASK A QUESTION WHICH DR. GOKELER WILL ANSWER DURING THE WEBINAR! (SOLD OUT!!!)

An injury to the anterior cruciate ligament (ACL) has profound effects for an athlete, given the time lost from sport and its inherent physical and psychological effects as well as the long-term sequelae associated with common pathologies such as meniscal injury or osteoarthritis. Most athletes who want to continue sports after an ACL injury are recommended to undergo an ACL-reconstruction.

Deciding when an athlete is cleared to return to sports is difficult and challenging for clinicians as due to the multifactorial nature. Despite the development of the return to sport guidelines in recent years, there still more questions than answers to the optimal return to sports criteria after ACL reconstruction. The absence of a scientific consensus on the criteria used to release an athlete to unrestricted sports activity return to play – after ACL reconstruction, may contribute to increased risk of recurrence as return may be premature.

Return to sports should be considered as a continuum as a process al the way up to when an injured athlete has reached a level of return to performance During this course, a critical assessment of the current return to sport and performance after ACL-reconstruction will be presented.

Return to Sports starts already already after the ACL injury and the subsequent prehabilitation before the surgery. Subsequently the rehabilitation after the ACL reconstruction should be time and criterion based.

Possibilities for optimizations based on current trends in the literature are presented and practiced.

At the end of this 2-day course, you will be able to plan and implement an evidencebased rehabilitation program phasing in towards RTP of the athlete. Furthermore, you will learn how to contribute in the shared decision making process for the return to play of an injured athlete. All these aspects allow for an optimal return to play with taking into account secondary ACL prevention.

This course has about 50% practice including demonstrations by dr. Gokeler, practicing these skills by participants and using case studies so that participants can apply the knowledge obtained.

Course objectives

At the end of the course you can:

• Plan and implement an individual evidence-based rehabilitation program
• Use a comprehensive spectrum of sensorimotor and biomechanical assessments Recognise that return to play is a continuum rather than a fixed moment in time
• Contribute to the return to sport shared decision making

ONLINE PART DETAILS:

Day 1 (6.4.2022.): Pre-operative phase
– Key components of ACL rehabilitation
– Homework- Oultine rest of the course+ weekly assignments

Day 2 (13.4.2022.): Acute phase rehab
– FAQ from Day 1
– Reduce AMI
– Gait training
– Improve balance (adaptability, reaction)
– Motor learning (external focus, implicit learning)
Homework – read articles, prepare case study

Day 3 (20.4.2022.): Immediate phase 1
– FAQ from Day 2
Intermediate phase: – Enhance neuromuscular control
– Early strengthening
Homework – read articles, continue with case study

Day 4 (27.4.2022.): Immediate phase 2
– FAQ from Day 3
– Advanced strengthening
– Enhance neuromuscular control
– Start running
– Initial changes of direction
– Homework – read articles, continue with case study

Day 5 (4.5.2022): Return to Sports Phase
– FAQ from Day 4
RTS tests-I
– Strength
– Hop tests
– Agility
– On field training
– Qualitative and quantitative analysis
RTS Tests-II
– Anticipation, Reaction, sportspecific elements
and demands) in context of secondary ACL
prevention

– Homework – read articles, continue with case study

Day 6 (11.5.2022.): Integration

-FAQ Day 5
-You will submit a case study of a patient you have worked/currently work(ed) with. Describe the steps from beginning of the rehab to the RTS phase. We will select 2 cases studies from the group. The 2 selected cases will be presented by the treating physiotherapist. After the presentation a group discussion will follow on how we can optimize the outcome. This is peer to peer learning.

 

LIVE PART DETAILS: 

DAY 1 (28.5.2022)

9:00-9:30          Key components of ACL rehabilitation

9:30-11:00        Pre-habilitation

11:00-11:30      Break

11:30-13:00      Acute phase rehabilitation 1

Evidence-based Rehabilitation practice with consideration to create optimal conditions for motor learning)

Discussion

13:00-14:00          Lunch

14:00-15:30      Acute phase rehabilitation 2

Participants will work in groups to apply the knowledge to case studies.

Groups will present to other groups to stimulate exchange of learning from each other

15:30-16:00    Break

16:00-17:00     Intermediate phase

Practice

– enhanced neuromuscular control strengthening starting running

– Initial changes of direction

DAY 2 (29.05.2022.)

9:00-9:30       FAQ Day 1

9:30-11:00     Intermediate phase rehabilitation 2

Participants will work in groups to apply the knowledge to case studies.

Groups will present to other groups to stimulate exchange of learning from each other

11:00-11:30    Break

11:30-13:00   ATP tests strength Hop tests

Agility

On field training

Qualitative and quantitative analysis

13:00-14:00   Lunch

14:00-15:30   RTP Tests Il (Anticipation, Reaction, sportspecific elements and demands) in context of secondary

ACL prevention

Participants will work in groups to practice RTP tests

Group discussion RTP Tests

15:30-16:00   Break

16:00-17:00  Summary and Q&A