Skip to main content

Advertisement

SpringerLink
Log in

Récupération musculaire après ligamentoplastie. Facteurs à prendre en compte. Conduite du renforcement musculaire

Muscular strengthening after ligamentoplasty. Factors to be taken into account. Organization of muscular strengthening

  • Mise Au Point
  • Published:
La Lettre de médecine physique et de réadaptation

Résumé

Le travail musculaire après ligamentoplastie du LCA doit tenir compte des contraintes s’exerçant sur le genou, du type de plastie et de sa fixation, des phénomènes de ligamentisation, de l’état du genou et du sport pratiqué par le sportif. La protection de l’appareil extenseur et du transplant nécessite de favoriser le travail en chaîne fermée du membre inférieur et le renforcement musculaire des ischiojambiers. Le renforcement analytique du quadriceps trouve sa place à distance de la chirurgie. Il est nécessaire pour récupérer les qualités musculaires indispensables à la pratique sportive et reprogrammer le contrôle musculaire indépendant.

Abstract

Muscular strengthening after ACL ligamentoplasty had to take into account the tension produces during rehabilitation, the plasty and her fixation, ligament healing, knee state and sport patients. Extensor apparatus and plasties protection indicates the use of closed kinetic chain exercises and hamstring strengthening. Analytic quadriceps strengthening is introduced with a delay. This work permits to recuperate the independent muscular control and quadriceps abilities to return to sport.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Références

  1. Christel P (2004) Fixation des greffes de ligament croisé antérieur. Aspect biologique. In: Landreau P, Christel P, Djian P (eds) Pathologie ligamentaire du genou. Springer-Verlag, France, pp. 321–36

    Google Scholar 

  2. Amiel D, Kuiper S (1990) Experimental studies on anterior cruciate ligament grafts: histology and biochemistry. In: Daniel D, Akeson W, O’Connor JJ (eds) Knee ligaments, structure, function, injury and repair. Raven Press, New York, pp. 379–88

    Google Scholar 

  3. Rougraff B, Shelbourne KD, Gerth PK (1993) Arthroscopic and histologic analysis of human patellar tendon autografts used for anterior cruciate ligament reconstruction. Am J Sports Med 21:277–84

    Article  CAS  PubMed  Google Scholar 

  4. Boussaton M, Potel JF, Brouchet-Gomez A (2004) Le choix de la greffe. Les phénomènes de ligamentisation. In: Landreau P, Christel P, Djian P (eds) Pathologie ligamentaire du genou. Spinger-Verlag, France, pp. 279–94

    Google Scholar 

  5. Christel P (1997) La ligamentisation du LCA. J Traumatol Sport 14:66–74

    Google Scholar 

  6. Stapelton TR (1997) Complications in anterior cruciate ligament reconstructions with patellar tendon grafts. Sports Med Arthrosc Rev 5:156–62

    Article  Google Scholar 

  7. Larson RV, Ericksen D (1997) Complications in the use of hamstring tendons for anterior cruciate ligament reconstruction. Sport Med Arthrosc Rev 5:83–90

    Article  Google Scholar 

  8. Cosgarea AJ, Sebastianelli WJ, De Haven KE (1995) Prevention of arthrofibrosis after anterior cruciate ligament using the central third patellar tendon autograft. Am J Sports Med 23:87–97

    Article  CAS  PubMed  Google Scholar 

  9. Noyes F, Wojtys E, Marshall M (1991) The early diagnosis and treatment of developmental patella infera syndrome Clin. Orthop 265:241–52

    Google Scholar 

  10. Lutz GE, Palmitier RA, An KN (1993) Comparison of tibiofemoral joint forces during open kinetic chain and closed kinetic chain exercises. J Bone Joint Surg (Am) 75:732–9

    CAS  Google Scholar 

  11. O’Connor JJ (1993) Can muscle co-contraction protect knee ligaments after injury or repair? J Bone Joint Surg (Br) 75:41–7

    Google Scholar 

  12. Beynnon BD, Fleming BC, Johnson RJ (1995) Anterior cruciate ligament strain behavior during rehabilitation exercises in vivo. Am J Sports Med 23:24–34

    Article  CAS  PubMed  Google Scholar 

  13. Yack HJ, Collins CE, Whieldon TJ (1993) Comparison of closed and open kinetic chain exercise in the anterior cruciate ligament-deficient knee. Am J Sports Med 21:49–54

    Article  CAS  PubMed  Google Scholar 

  14. Zavatsky AB, Beard DJ, O’Connor JJ (1994) Cruciate ligament loading during isometric muscle contractions. A theorical basis for rehabilitation. Am J Sports Med 22:418–23

    Article  CAS  PubMed  Google Scholar 

  15. Steinkamp LA, Dillingham MF, Markel MD (1993) Biomechanical considerations in patellofemoral joint rehabilitation. Am J Sports Med 21:438–44

    Article  CAS  PubMed  Google Scholar 

  16. More RC, Karras BT, Neiman R (1993) Hamstring an anterior cruciata ligament protagonist. An in vitro study. Am J Sports Med 21:231–7

    Article  CAS  PubMed  Google Scholar 

  17. Bynum EB, Barrack RL, Alexander AH (1995) Open versus closed kinetic exercises after anterior cruciate ligament reconstruction. A prospective randomised study. Am J Sports Med 23:401–6

    Article  CAS  PubMed  Google Scholar 

  18. Irrgang JJ (1993) Modern trends in anterior cruciate ligament rehabilitation: non-operative and postoperative management. Clin Sports Med 12:797–813

    CAS  PubMed  Google Scholar 

  19. Shelbourne KD, Klootwyck TE, De Carlo MS (1997) Rehabilitation program for anterior cruciate ligament reconstruction. Sport Med Arthrosc Rev 5:77–82

    Google Scholar 

  20. Middleton P, Puig P, Trouve P, et al (1996) Evolucion de nuestro protocolo de reeducacion despues de una ligamentoplastia del ligamento cruzado anterior con tendon rotuliano. In: Lesiones deportivas, Mapfre SA Ed, Madrid, 751–60

    Google Scholar 

  21. Gottlob CA, Gaunt BW (1996) Principles of rehabilitation following anterior cruciate ligament reconstruction. Sports Med Arthrosc Rev 4:350–60

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Clinique de rééducation et de réadaptation fonctionnelles Les-Grands-Chênes, 40, rue Stéhélin, F-33200, Bordeaux, France

    P. Middleton, V. Moreau, H. Petit & C. Montero

Authors
  1. P. Middleton
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. V. Moreau
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. H. Petit
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. C. Montero
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to P. Middleton.

About this article

Cite this article

Middleton, P., Moreau, V., Petit, H. et al. Récupération musculaire après ligamentoplastie. Facteurs à prendre en compte. Conduite du renforcement musculaire. Lett Med Phys Readapt 26, 9–13 (2010). https://doi.org/10.1007/s11659-009-0214-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11659-009-0214-3

Mots clés

Keywords

Search

Navigation