Page 156 - Demo

Chapter 8154have been postulated which had to be obtained before the start of the skate training. By preparing the subjects and setting criteria of objective muscle strength we hypothesized that the chances of falling and balance disturbances are no higher than during regular rehabilitation. In order to commence skating practice a subject had to meet the following criteria:• Minimal to no effusion in the knee joint• Able to perform 20 minutes of running without signs of effusion in the knee joint• Strength LSI > 80% regarding hamstring and quadriceps powerTreatment of subjects Compliant with current guideline of rehabilitation after ACL reconstruction, rehabilitation was divided in three phases as is shown in table 1. SkatingOnly after meeting the aforementioned criteria, a subject was allowed to start skating training. The first skating training consisted of 20-30 minutes pure skating time. Main focus was on the control of the skating motion and on symmetrical performance in skating. In the initial phase, the ‘cross over’ in the corners of the track were avoided. When subjects felt comfortable, the cross over manoeuvre was allowed. While increasing the intensity in skating, extra attention was paid to potential aggravation of pain and effusion of the knee. This had to be minimal in regards to both effusion and pain. A pain score on the Numeric Pain Rating Scale (NPRS) of up to 3-4/10 and minimal increase in effusion which reduces after 1-2 days, were leading in considering the progression in intensity of skating.Mark Zee.indd 154 03-01-2024 08:56