Como determinar se um cliente está em risco de lesões no LCA?

you can check their your patient at history taking (anamnesis), check the mechanism of injury, do some test like anterior drawer test, posterior drawer test, Mcmurray test, etc to determine which ligament get injured, also check the knee joint too, apply some biomechanics check for the knee joint

When profiling a client for risk of ACL injury, it's important to note that we have modifiable and non modifiable factors. To the best of our abilities we can assess the modifiable factors: Non-modifiable factors -Sex -History of injury -Playing surface -Activity or sport -Anatomical variance -Menstrual cycle phase -Genetic predisposition Modifiable factors: -Neuromuscular and biomechanics -Core stability -Increased knee valgus -Hamstring to Quad ratio strength -LL strength (1Rmax)

the exercises are basicly the same with one keyword : 'strengthening', this works for post-op, also for pre-op patient, few exercises you can use : - Quadriceps Set - Hamstring Set - Glute Set - Hip Mobility Exercise - Ankle Mobility Exercise - Double-leg Calf Raise

From my experience I look to address strength deficits as an injury prevention again ACL injuries. 1) Quad to hamstring radio (R) and (L) 2) Single leg press (R) compared to (L) 3) Core fatigue 4) Hip abduction strength (L) and (R) 5) Knee control on box jumps/drop (video analysis works well) 6) Flexibility (L) compared to (R) 7) Range of motion differences (L) to (R) Remember - As humans we are asymmetrical so it is normal to have some (L) to (R) variance. Use your discretion on how much too much. There are "relative" normative data for age group and athletic populations that you can refer too.

Education is key in preventing ACL injuries. This involves teaching the client about the importance of proper technique in their movements, the role of different muscles in supporting the knee, and how to recognize signs of fatigue or strain that may predispose them to injury. From my experience, when clients understand the 'why' behind the exercises and precautions, they are more likely to adhere to the recommendations and be proactive in their injury prevention.

try to refer your patient to run some MRI test, then educate your patient, explain to them the importance of ACL to stabilize the knee, what to reconsider before doing ACL reconstruction surgery, you can also tell them the after effect if your patient dont wanna do the ACL reconstruction surgery, for example, tell them about risk of falling

ACL injuries can happen with contact or non-contact. by addressing certain imbalances and strength deficits you give yourself the best chance to decrease the risk of injury. Training loads, sleep, nutrition and managing stress are equally important to decreasing the risk of an ACL injury.

ACL injuries can't be predicted, especially contact injuries. Chaos occurs when playing a sport. Things happen. The best line of defense is to be strong, mobile, and recovered.

It's important to remember that risk factors for ACL injuries can be dynamic and multifactorial. This means ongoing reassessment and adaptation of the training program are necessary. Also, factors such as the client's sport, age, gender, and previous injury history can influence their risk level. Regular communication with the client about any discomfort, pain, or concerns during their activities is essential for early detection and prevention of potential injuries.

As a physiotherapist who is living near a ski area, I've observed a considerable number of ACL injuries occurring early in the ski season. Whether you're gearing up for an activity holiday, the ski season, joining a sports team, or any other physical endeavor, it's crucial to ensure that your body is adequately prepared for the demands of the activity. Prioritize conditioning your body in the gym before engaging in the planned activity.