Knee brace & knee

Braces with
strengthening exercise
for patient with
incomplete tear ACL
BY:
MESHAL ABDULLAH ALQAHTANI
DR. Hamayun Zafar
Abstract :
-We want to fiend and to make sure that new method are
effected more than normal modality and does not have any side
effect or complication .

-We will combined Knee Braces with strengthening exercise

to approve it effect . So our study is comparative between
Knee Braces& Knee Braces with strengthening exercise for
treating incomplete tear of anterior cruciate ligament.

Introduction :
-Anterior cruciate ligament: A ligament in the knee that
crosses from the underside of the femur (the thigh bone) to
the top of the tibia (the bigger bone in the lower leg).
- The ACL (anterior cruciate ligament) major ligament in the
knee that work to provide stability in the knee
-The anterior cruciate ligament (ACL) is the most frequently
injured ligament of the knee.
-ACL injuries are most common during sports that require a
sudden change of direction, sudden, abrupt stops and starts
and lots of jumping. The most common treatment for a torn
ACL is arthroscopic surgery and ACL reconstruction
— - ACL injuries commonly involves imbalances of body
weight and malalignment of body position
-About 80% of sports-related ACL tears are "non-contact" injuries
— - Incidence is higher in men than women
— - The incidence in the USA is 200,000 annual ACL tears
-Injury causes pain, effusion and inflammation leading to the
inability to fully activate the thigh muscles.
.
  Literature Review :

 Effect of knee brace:

1- Avoid excessive motion ( hyper extension )
2- Increase knee stability
3- PROTECT KNEE

 Effect of strengthening exercise:

1- avoid joint stiffness and muscle tightness
2- Increasing the range of motion of the knee
3- Increase knee stability

Research Question :
Dose the combination of Knee Braces with strengthening exercise
more effected than Knee Braces alone for patient with incomplete
tear of anterior cruciate ligament ?

PICO :

Problem Interventio Comprehensive Outcome

n
Intervention

incomplete Knee Braces Knee Braces with Increase

tear of ACL strengthening stability
 exercise

Method :
Subject :
1- Adolescent patient above 20 years till 30 Male .
2- Non-smoker without any other chronic diseases (diabetes
blood pressure ).
3-30 Patient divided into two group.

Place:
1-In university hospital .
2- K.K hospital .
3- K.A hospital

Equipment needed :
1- magnetic resonance imaging scan (MRI scan).
2- anterior drawer test and the Lachman test
3- Knee Braces
4- statistic programs and specialist.
5- Researcher assistance

Study Design : Comparative study

Significance :
-Social : we can treat these condition more easily if my
hypothesis became true and decrease the time that patient
visit the hospital .
-Scientific : If it came true we may can apply it on other
deformity condition .
-Clinically : Decrease the effort done by clinician &physician .

References :
 http://www.thestretchinghandbook.com/archives/acl-
injuries.php#
 Anterior cruciate ligament (ACL) injury prevention.
American Orthopaedic Society for Sports Medicine.
 The injured ACL. American Orthopaedic Society for
Sports Medicine.
http://www.sportsmed.org/secure/reveal/admin/uploads/
documents/ST%20Injured%20ACL%2008.pdf.
Accessed Sept. 24, 2010.
 Goldberg B, Hsu JD. Atlas of Orthoses and Assistive
Devices. 3rd ed. St Louis, MO: Mosby-Year Book;
1997: 416, 427, 463.
 http://www.sportsinjuryclinic.net/cybertherapist/front/k
nee/anterior_cruciate_ligament/strengthening.php
 A Genetic Link for ACL Injuries, Science of Soccer
Online