Long time lurker occasional poster here. I am a physical therapist that has rehabilitated many ACL patients. Spencer is only 8 months from his surgery. The research shows the longer you wait the less risk for a re-tear. With this being a rebuilding year why take the risk? Why not maximize his strength? I’m not saying that a re- tear can’t happen even if he waits, but the risk does decrease.
I hope Lee keeps his redshirt
- Thread starter WiscHawkFan75
- Start date
I'm curious, at what rate does the risk go down and for how long does the risk decrease significantly. After 8 months what's my risk, after 12 months what's my risk, after 16 months etc... Also what are you doing during rehab, is it strictly rehab, can you do anything but live?
Your assessment is dead on. I am also a PT, And used to work in a large University sports med dept where we would rush students back to participation 6 to 9 months out. It was way too early as the research is now showing.. I am a bit skeptical about this year however, statisically re-rupture and contralateral knee injury rates reduce too much more acceptable levels at 10 months status post reconstruction as long as he hits appropriate metrics. Example hop testing -Limb symmetry index. More recent research, as you probably are aware, indicate 10 months decreases the athletes chance considerably for re-injury However, biologic healing continues to 24 months.
Holding a Division I NCAA contender out 24 months is not an option in my opinion.10 months bring him pretty close assuming his rehab goes well. However it is always a gamble. Having said that I would not bring him back until at least mid January.
Holding a Division I NCAA contender out 24 months is not an option in my opinion.10 months bring him pretty close assuming his rehab goes well. However it is always a gamble. Having said that I would not bring him back until at least mid January.
Shhhhhhhh.
Wisc and NJPT, haven't you guys figured it out yet?
It is not what's best for the kid, it's what the fans want.
Wisc and NJPT, haven't you guys figured it out yet?
It is not what's best for the kid, it's what the fans want.
1.Anderson AF (2003). Transepiphyseal replacement of the anterior cruciate ligament in skeletally immature patients: A preliminary report. J Bone Joint Surg Am;85(7):1255-1263. 2.Araujo PH, Rabuck SJ, Fu RH (2012). Are we allowing patients to return to participation too soon? American Journal of Sports Medicine; 40 (5): NP5-6. DOI: 10.1177/0363546512444847 3.Ardern CL, Taylor NF, Feller JA, Webster KE. (2012). Return-to-sport outcomes at 2 to 7 years after anterior cruciate ligament reconstruction surgery. American Journal of Sports Medicine; 40 (1). DOI: 10.1177/0363546511422999 4.Ardern CL, Webster KE, Taylor NF, Felier JA. (2011). Return to the preinjury level of competitive sport after anterior cruciate ligament reconstruction surgery: two thirds of patients have not returned by 12 months after surgery. American Journal of Sports Medicine; 39: DOI: 10.1177/0363546510384798 5.Barber-Westin SD, Noyes FR (2011). Objective criteria for return to athletics after anterior cruciate ligament reconstruction and subsequent reinjury rates: a systematic review. Physician and Sports Medicine; 39. http://dx.doi.org/10.3810/psm.2011.09.1926 6.Barber-Westin SD, Noyes FR. (2011). Factors used to determine return to unrestricted sports activities after anterior cruciate ligament reconstruction. The Journal of Arthroscopic and Related Research, 27 (12); pp. 1697-1705 7.Barber-Westin SD, Smith ST. Campbell T, Noyes FR. (2010). The drop jump video screening test: retention of improvement in neuromuscular control in female volleyball players. Journal of Strength and Conditioning Research, 24 (11); pp. 3055-3062 8.Barrett AM, Craft JA, Replogle WH, Hydrick JM, Barrett GR. (2011). Anterior cruciate ligament graft failure: a comparison of graft type based on age and tegner activity level. American Journal of Sports Medicine; 39: 2194-2198 9.Beecher M, Garrison J Craig, Wyland D. (2010) Rehabilitation following a minimally invasive procedure for the repair of a combined anterior cruciate ligament and posterior cruciate ligament partial rupture in a 15 year old athlete. Journal of Orthopaedic and Sports Physical Therapy; 40 (5). 297-309. 10.Bizzini M, Hancock D, Impellizzeri F. (2012). Suggestions from the field for return to sports participation following anterior cruciate ligament reconstruction: soccer. Journal of Orthopaedic and Sports Physical Therapy; 42 (4). DOI: 10.2519/jospt.2012.4005
References (cont.) 11.Brophy R, Silvers HJ, Gonzales T et. al. (2010). Gender influences: the role of leg dominance in ACL Injury among soccer players. British Journal of Sports Medicine, 44: pp. 694-697 12.Gilchrist J, Mandelbaum BR, Melancon H, Ryan GW, Silvers HJ, Griffin LY, Watanabe DS, Dick RW, Dvorak J. (2008). A randomized controlled trial to prevent noncontact anterior cruciate ligament injury in female collegiate soccer players. The American Journal of Sports Medicine, 36 (8). 13.Mandelbaum BR, Silvers HJ, Watanabe DS, Knarr JF, Thomas SD, Griffin LY, Kirkendall DT, Garrett W. (2005). Effectiveness of a neuromuscular and proprioceptive training program in preventing the incidence of anterior cruciate ligament injuries in female athletes: 2 year follow up. The American Journal of Sports Medicine, 33 (7) 14.Noyes, FR, Barber-Westin, SD, Smith, STT, and Campbell, T. (2011). A training program to improve neuromuscular and performance indices in female high school soccer players. Journal of Strength and Conditioning Research 27(2): 340–351. 15.Reinold M. (2013). Six keys to the early phases of rehabilitation following ACL reconstruction surgery. Mikereinold.com-The Week in Review. Retrieved on March 22, 2013 from http://mikereinold.com 16.Van Eck CF, Schkrohowsky JG, Working ZM, Irrgang JJ, Fu FH. (2012). Prospective analysis of failure rate and predictors of failure after anatomic anterior cruciate ligament reconstruction with allograft. American Journal of Sports Medicine. DOI: 10.1177/0363546511432545 17.Warnick, D. (2011). Knee Biomechanics and Common Knee Injuries In Youth Athletes. Continuing Education Presentation. All Children’s Hospital, St. Petersburg, FL. 18.Wilk KE, Macrina LC, Cain EL, Dugas JR, Andrews JR. (2012). Recent advances in the rehabilitation of anterior cruciate ligament injuries. Journal of Orthopaedic and Sports Physical Therapy 42 (3). DOI:10.2519/jospt.2012.3741 19. www.stopsportsinjuries.org. (2013).
References (cont.) 11.Brophy R, Silvers HJ, Gonzales T et. al. (2010). Gender influences: the role of leg dominance in ACL Injury among soccer players. British Journal of Sports Medicine, 44: pp. 694-697 12.Gilchrist J, Mandelbaum BR, Melancon H, Ryan GW, Silvers HJ, Griffin LY, Watanabe DS, Dick RW, Dvorak J. (2008). A randomized controlled trial to prevent noncontact anterior cruciate ligament injury in female collegiate soccer players. The American Journal of Sports Medicine, 36 (8). 13.Mandelbaum BR, Silvers HJ, Watanabe DS, Knarr JF, Thomas SD, Griffin LY, Kirkendall DT, Garrett W. (2005). Effectiveness of a neuromuscular and proprioceptive training program in preventing the incidence of anterior cruciate ligament injuries in female athletes: 2 year follow up. The American Journal of Sports Medicine, 33 (7) 14.Noyes, FR, Barber-Westin, SD, Smith, STT, and Campbell, T. (2011). A training program to improve neuromuscular and performance indices in female high school soccer players. Journal of Strength and Conditioning Research 27(2): 340–351. 15.Reinold M. (2013). Six keys to the early phases of rehabilitation following ACL reconstruction surgery. Mikereinold.com-The Week in Review. Retrieved on March 22, 2013 from http://mikereinold.com 16.Van Eck CF, Schkrohowsky JG, Working ZM, Irrgang JJ, Fu FH. (2012). Prospective analysis of failure rate and predictors of failure after anatomic anterior cruciate ligament reconstruction with allograft. American Journal of Sports Medicine. DOI: 10.1177/0363546511432545 17.Warnick, D. (2011). Knee Biomechanics and Common Knee Injuries In Youth Athletes. Continuing Education Presentation. All Children’s Hospital, St. Petersburg, FL. 18.Wilk KE, Macrina LC, Cain EL, Dugas JR, Andrews JR. (2012). Recent advances in the rehabilitation of anterior cruciate ligament injuries. Journal of Orthopaedic and Sports Physical Therapy 42 (3). DOI:10.2519/jospt.2012.3741 19. www.stopsportsinjuries.org. (2013).
Are you serious with this post? I'm a long winded poster but this is crazy. So what do you think, should we pull his shirt?
Bulldog check out link above ithas some nice injury profile epidemiological stats. Briefly rates go down at 10 months however are still present especially given the athletes younger age. Rates reduced at 24 months close to normal population rates for gender and age. Sport does make a difference wrestlers are in a higher risk sport.
Without knowing exactly what other structures the physician operated on example meniscal tears, chondral lesions, type of graft Used I would be generalizing here but.... This is an entertaining for him that I have enjoyed for years.
At eight months... His quad strength should be at least 80 to 90% of his unaffected limb. He should be able to hop on his one leg at least 80 to 90% of his unaffected limbWith excellent control Of the knee /hip/core (no poor mechanics.) Video motion analysis is usually used to ensure this is happening at this level of athletics.He should be on the interval running program cutting laterally decelerating with cutting and drilling neutral , Wrestling live top and bottom easy by now. The concern would be single leg defense, Scrambling, pivoting of the knee with throws. Example, somebody has his unaffected like in the air and he’s bouncing on his operated knee and being torqued from side to side these types of things are usually the last thing to come.
HeProbably is doing a lot of plyometric box drops and agility ladder drills. This will be my best guess on the division one college athlete at eight months out.
The tricky part is patients generally are doing well, knee feel stable, biology just hasn’t fully incorporated the new graft yet.
lol. I just copy and pasted the references from return to sport after ACL topic on the American Physical Therapy Website. Look at NJPTCAP’s reference. Like NJPTCAP said it would be safer to wait at least 10 months. Most re tears occur between 3-9 months.
Yeah well, Adrian Peterson came back in like 6 months and lead the NFL in rushing. So there! : )
Great...two new trolls who don’t know what the hell they are talking. He looks just fine. Jeez. 
Great...two new trolls who don’t know what the hell they are talking. He looks just fine. Jeez.
Yeah ...........and we already got a "cut and paste" King.
The Mighty VallHoll......
So what you are saying is Hoagie and RBY are going to be Hawks????
My head hurts.
LA-LA-LA!!!!! I can’t hear you, I can’t hear you!
And ten months would be the time he’d be returning, right?
C/P string cites with nothing more is fairly useless.
A
anon_0pi0cv8t1ggvb
Guest
Yay another thread on this. So should he be going live in the room?
Glad we have a bunch of doctors giving input on a knee that they haven't personally seen or assessed.
Maybe leave it to the doctors who Lee is working with?
Everyone's got an opinion.
Glad we have a bunch of doctors giving input on a knee that they haven't personally seen or assessed.
Maybe leave it to the doctors who Lee is working with?
Everyone's got an opinion.
If he's cleared, he goes. Also venture to say it's before Midlands...
My sister, who talked me into becoming a member of the HR, happens not only to be a graduate of University of Iowa but happens to be a doctor at the University of Iowa Hospital. She said to ask the individual who is recovering from knee surgery this question and be absolutely honest, Is your knee stronger Now than it was before?
I'm not a physician, but I did stay at a Holiday Inn last nite.
and it's Holiday Inn Express but it's your story'Stay a few more nights............
Your sister got an MD at the UI? I smoked pot with Johnny Hopkins.
It was Johnny Hopkins and Sloan Ketery and they were blazing that sh.. up everyday
Doctor that advise brother to join this cesspool message board either hates brother or has poor judgment.
If they're a neurosurgeon...no. If they're an orthopedic surgeon...maybe. Both can perform spine surgery.
I can't recall saying she was an expert. You must of assumed that or thought that's what I said or maybe heard from a source that that's what I said. When your a Doctor working at the Iowa City Hospitals and your working around Doctor's all day you might just pick up on the different conversations. Have a Happy Thanksgiving.
Most MDs have a pretty decent generalized knowledge of all facets of medicine. What she said makes sense to me.
If she is a surgeon that means she did a 5 year residency. In that time you train in multiple specialties. Ortho is typically one of those. So she may not be an expert, but probably has training in the area and is a board certified general surgeon.
Not all MD's just surgeon's who all typically do a 5 year residency in general surgery. Your basic internist who tells you to look one way in cough would not have much knowledge on this.
