Summary: <br> Quad Inhibition and Muscle Atrophy can really slow down the recovery process. However, <a href="https://www.linkedin.com/in/jackie-kleihege-pt-scs-304b716">Jackie</a> Kleihege and <a href="https://www.instagram.com/jcauten27/">Jena-Claire</a> Auten know it is essential for healing. Finding the balance between helpful and hurtful is kind of an art form.<br> <br> <br> <br> <a href="https://sportsmedicinebroadcast.com/wp-content/uploads/2017/04/cropped-SMB-LOGo-1.png"></a><br> <br> <br> <br> Looking at the timeline is essential so we can see the progress of where we have come.<br> <br> <br> <br> What is the research showing us?<br> <br> <br> <br> We do not have all the data yet from the quad tendon ACL<br> <br> <br> <br> We have 10 years of data on it<br> <br> <br> <br> What are some reasons we have inhibition?<br> <br> <br> <br> In the acute phase, it looks about the same.<br> <br> <br> <br> If we can interrupt the inhibition early then we have better outcomes<br> <br> <br> <br> It is really hard to study the brain when we are studying the knee<br> <br> <br> <br> How can we find this loophole or workaround to muscle atrophy?<br> <br> <br> <br> Decrease swelling<br> <br> <br> <br> Decrease local inflammatory response<br> <br> <br> <br> ICE???<br> <br> <br> <br> Is there a time frame where are going too fast in turning off the inflammation?<br> <br> <br> <br> We still want the natural healing process to continue through that phase.<br> <br> <br> <br> And then for that to quietly fade out.<br> <br> <br> <br> <a href="https://www.compex.com/" target="_blank" rel="noreferrer noopener">NMES</a><br> <br> <br> <br> JK: I have probably underutilized it most of my career.<br> <br> <br> <br> I needed to give something more and then added NMES and made a difference.<br> <br> <br> <br> What are your ideal volume and exercises to prevent muscle atrophy?<br> <br> <br> <br> PRE-OP therapy is critical<br> <br> <br> <br> There is not a magic wand protocol<br> <br> <br> <br> Pre-Op nutrition is super important as well.<br> <br> <br> <br> When we try to activate the quad and then the patient is absent for a week what is the problem?<br> <br> <br> <br> Latency is key - I want those first 7 days like they are falling downhill, then I dial it back.<br> <br> <br> <br> Often day 1 postop patients do not look bad, but then days 2-3 are worse.<br> <br> <br> <br> JA: Genetics plays a role in the inflammation process.<br> <br> <br> <br> Consistency is key, similar to <a href="https://www.instagram.com/sportsmedicinebroadcast/" target="_blank" rel="noreferrer noopener">Instagram</a> and <a href="https://www.facebook.com/sportsmedicinebroadcast" target="_blank" rel="noreferrer noopener">Facebook</a>, they keep putting the ads in front of you and then you end up buying it…<br> <br> <br> <br> Continue to use the same methods so the patients know what is coming and can buy in<br> <br> <br> <br> Looking at the 12-16 week patient<br> <br> <br> <br> OPEN KINETIC CHAIN - the type of graft makes a difference as well<br> <br> <br> <br> I need to be able to read the signs and customize the options for them.<br> <br> <br> <br> The goal is quad communication<br> <br> <br> <br> Determining when to progress:<br> <br> <br> <br> Biofeedback can help give visual and auditory feedback.<br> <br> <br> <br> BFR:<br> <br> <br> <br> It is really as good as they say.<br> <br> <br> <br> The uses keep growing.<br> <br> <br> <br> Femur fractures were one of the biggest changes on paper.<br> <br> <br> <br> <br> <br> <br> <br> Watch the Muscle Atrophy presentation on the Sports Medicine Broadcast Facebook.<br>
