Surgical repair of damaged anterior cruciate ligaments is almost a standard of care in the United States, with the vast majority of tears managed surgically. There is another option for some patients, however, and emerging evidence can help us identify who those people might be. This course overviews conservative management of ACL injury
Eric Robertson, PT, DPT, OCS, FAAOMPT, is the director of Kaiser Permanente Northern California Graduate Physical Therapy Education, and Associate Professor of Clinical Physical Therapy at the University of Southern California in the Division of Biokinesiology and Physical Therapy. Previously he served as assistant professor of physical therapy at Regis University in Denver, Colorado and the University of Texas at El Paso. He received his bachelor’s degree in physical therapy from Quinnipiac University, and his doctor of physical therapy (DPT) degree from Boston University. He is board certified in orthopedics and a Fellow of the American Academy of Orthopaedic Manual Physical Therapists (FAAOMPT) where he currently serves as Secretary on its executive board. Dr Robertson has taught musculoskeletal physical therapy, pharmacology differential diagnosis, and radiology courses in several physical therapy education programs from entry level through the postgraduate level. He has authored several web-based continuing education courses for entry level and postprofessional physical therapy residency and fellowship programs. Dr Robertson leads a quality and health outcomes assessment team for Rehab Services at Kaiser Permanente in Northern California. Dr Robertson’s research interests lie in health service utilization, evidence-based practice, clinical reasoning, and exploring the impact of technology on health care. He is a frequent national presenter. He specializes in information management and the use of social media in health care. He is the founder of TalusMedia.org and PTThinkTank.com. A prolific writer, Dr Robertson’s work has been published in several peer-reviewed journals, on popular health websites, and in large television and print media outlets, such as the Wall Street Journal, Oprah.com, Good Morning America, and TIME magazine.
ACL injuries, though commonly managed through surgical repair, can be treated conservatively as well. This chapter compares and contrasts usual care of ACL injury versus a conservative management approach. Finally, this chapter provides some epidemiological background on ACL management.
This chapter discusses the management of an ACL knee from a conservative standpoint with a physical therapist.
Prior to any management decisions, careful attention should be paid to a thorough examination and diagnosis of ACL injuries. This chapter reviews signs and symptoms of ACL injuries and reviews ACL special tests.
This chapter reviews the definitions and evidence behind the concept of copers and non-copers. Differentiation between each subgroup is explored in detail and a conservative management rehabilitation program is presented.
This chapter applies the previous lecture to a discussion between Dr. Robertson and a local physical therapist. They examine the concepts and differences between copers and non-copers with ACL industries.