Dan Reveals ArpWave
Accelerated Recovery Performance after ACL Reconstruction.
Dan reveals ArpWave. After anterior cruciate reconstruction surgery, patients are encouraged to return to sports through a rigorous rehabilitation program.
Most sports medicine practitioners use an expedited approach to recovery, which helps increase range-of-motion (ROM) without compromising strength.
This approach is not suitable for all athletes. It may not work for those with lax grafts, or for those who are at high-risk of reinjury. Patients may also take longer to recover their strength, mobility and proprioception levels from before the injury.
The type of autograft used can also affect the strength and performance of the muscle after ACLR. Hamstring tendons and bone-patellar-tendon-bone (BPTB) are the two autografts most commonly used for ACLR.
No randomized study has compared the two autografts using a standard rehabilitation protocol or an accelerated rehab protocol. This study aimed to compare the performance of both autografts and ACLR after various follow-ups.
The study was carried out through a randomised control trial in which 160 ACLR patients were randomly assigned either to a standard rehabilitation protocol or an accelerated rehab protocol. The isokinetic concentric quadriceps test and performance were evaluated before surgery and 4, 6, 8, 12, and 24 months following ACLR.
The results showed that patients randomized into an accelerated rehab protocol scored significantly higher on the LSI for strength and hop than those assigned to a standard rehab protocol. The accelerated group also experienced a greater improvement in range of motion as well as increased knee extension compared to nonaccelerated individuals.
Although more research is required to confirm that an accelerated protocol can improve strength, it appears to be a promising option to traditional rehab protocols. This approach can be used with other soft tissues injuries to reduce scar tissue and accelerate healing.
ARPWave
ARPWave uses low-voltage direct electric current to penetrate damaged muscle tissue and dissolve existing scar tissue. This device helps to retrain the muscles to relax and lengthen, reducing pain and inflammation as healing occurs.
ARPwave is a class 2 FDA-approved medical device that treats musculoskeletal injuries and disorders. It is effective in treating arthritis, sprains, strains, hip-flexor injuries and back pain.
Robert Priebe, a chiropractor at Integrated Pain Consultants, uses ARP Wave in his practice to diagnose and treat injuries. He treats the neurological disconnects that exist between muscles and brain, rather than treating the pain-causing area.
He can treat patients who have injuries that do not respond to other treatments like drugs, rehab or surgery. This is a great option for people who are looking for a less-invasive way to resolve their injuries and improve health outcomes.
The ARPwave System is a revolutionary combination that combines bioelectrical currents, active range of motion and exercise techniques to accelerate the body’s own natural recovery capacity. ARPwave is a medical device classified by the FDA in class 2. It can reduce healing times from weeks to days.
Patients of any age who have musculoskeletal disorders or injuries that do not respond to other treatments can benefit from this system. This system may be helpful for athletes who want to avoid surgery in order to get back on their field.
ARPWave is unique amongst other treatments because it targets the muscles and nerve connections of the nervous system in a coordinated manner, reducing pain and increasing mobility. It also boosts physical performance. This innovative treatment approach is scientifically proven to be effective in treating sports-related injuries such as knee and sprain/strain injuries, whiplash, and more.
Results
It is not yet known whether ACL reconstruction surgery can accelerate recovery. The ideal path for rehabilitation after ACLR is influenced by many factors such as the patient’s age, gender, graft (allograft, autograft), surgical method, and any associated injuries.
This study aimed to determine whether accelerated rehabilitation training was effective in patients who underwent ACLR using either hamstring or bone-patellar-tendon-bone as a graft. Researchers investigated whether speeding rehabilitation would improve strength and functional symmetry, without affecting the graft’s laxity.
At randomization, 160 ACLR patients with either HT grafts or BPTB grafts received either accelerated or standard rehabilitation. The SLH and knee flexion concentric quadriceps strength were assessed at each time point. To compare groups within the same time period and between grafts, linear mixed models were used.
Researchers found that comparing the standard group with the accelerated group revealed higher mean LSI values at 4, 6, 8, 12 and 24 months after surgery. However, at other times, there was no significant difference.
The accelerated group also had significantly higher Lysholm scores than the standard group for pain, symptoms, daily activities, and quality-of-life. The findings indicate that patients with isolated lesions of the meniscus or with ACL and meniscus injuries might benefit more from accelerated postoperative rehabilitation than their counterparts.
The data from the longitudinal athlete monitoring including routine testing was analyzed in order to develop a neuromuscular recovery model after ACLR. This was fitted with separate additive mixed effect models (GAMMs). The models included the main effects of the surgical technique as well as an average recovery profile for two athletes who had ACLR.
Conclusions
ACL injuries are one of the worst knee injuries that athletes can suffer. They cause significant time off from sports, functional impairments and reduced quality of living, as well as financial burdens and early osteoarthritis. ACL reconstructions can have both physical and psychological effects, which makes adherence to rehabilitation and participation essential for a successful clinical outcome [5-7].
A review of the literature on adherence and participation post-ACL reconstruction revealed that different patient factors affect both. Patients can still achieve positive outcomes despite these challenges. However, more research is needed to identify personal, treatment, and environmental barriers/enablers to improve the quality of rehabilitation outcomes.
Monitoring neuromuscular recovery in athletes after ACLR can be a valuable tool to track individual recovery. The surgical technique may have a significant impact on the accuracy of forecasting recovery for each athlete.
This study used a longitudinally collected database of patient monitoring to create a model for neuromuscular recovery. This model can help predict the neuromuscular recovery for individual athletes after ACLR. It provides clinicians with valuable insights into each athlete’s rate of recovery so that they can provide appropriate rehab.
The GAMM was used to fit AIs that had main effects for surgical techniques, an exponential term for time since surgery (days), as well as random intercepts for the athletes. These models explained 43% to 91% of the difference in recovery profiles.
The results show that a performance-based recovery program for young athletes who have had ACL reconstructions can improve strength and reduce the risk of retear. This can result in improved athletic performance and a shorter time for returning to previous levels of performance after surgery, as well increased scholarship or professional opportunities.
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