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POSTER ABSTRACTS - ISAKOS

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and female soccer players between 10 and 75 of<br />

flexion. Using average deviation values, a onetailed<br />

t-test performed at each interval<br />

determined that there was a statistically<br />

significant difference between the two<br />

populations at multiple angles with the greatest<br />

statistical significance (95% confidence level)<br />

noted between 10 and 30 degrees of knee flexion--<br />

the position where most ACL injuries are believed<br />

to occur. Moreover, there was no statistical<br />

difference between 40 and 60 degrees of knee<br />

flexion, the proported safe zone from ACL injury.<br />

CONCLUSION: Women and men at the collegiate<br />

level exhibit statistically different proprioception<br />

abilities when measured in a closed chain, i.e., a<br />

functionally relevant position. This is particularly<br />

evident at those knee flexion angles that generally<br />

correlate with the risk of ACL injury, namely less<br />

than 30 degrees of knee flexion. Moreover, no<br />

statistical differences were noted between flexion<br />

angles of 40 and 60 degrees, angles associated<br />

with the least risk of ACL injury.<br />

E-poster w/ Standard #430<br />

Effects of Physiotherapy versus Home Based<br />

Rehabilitation on Outcomes after Anterior<br />

Cruciate Ligament Reconstruction<br />

Erik Hohmann, Rockhampton, QLD AUSTRALIA,<br />

Presenter<br />

Kevin Tetsworth, Brisbane, Queensland<br />

AUSTRALIA<br />

Adam Bryant, Rockhampton, Queensland<br />

AUSTRALIA<br />

Musculoskeletal Research Unit, CQU,<br />

Rockhampton, QLD, AUSTRALIA<br />

Long-term outcome of anterior cruciate ligament<br />

reconstruction is dependent on surgical technique<br />

and post-operative rehabilitation. Whilst surgical<br />

techniques are well established rehabilitation<br />

protocols are largely dependent on the surgeon´s<br />

preference. Studies also suggested that noncompliant<br />

patients progressed more rapidly with<br />

fewer motion problems without compromise of<br />

knee stability and outcome. This raises the<br />

question as to the necessity of supervised<br />

rehabilitation in non-professional athletes. The<br />

purpose of this study was to establish whether<br />

there was a difference between a group of patients<br />

who underwent rehabilitation supervised by a<br />

physicial therapist after anterior cruciate ligament<br />

reconstruction with a group who performed unsupervised,<br />

home based rehabilitation. Fifty ACL<br />

deficient patients underwent anterior cruciate<br />

ligament reconstruction with bone-patella tendon<br />

graft performed by the same surgeon were<br />

randomly allocated to the physical therapy or<br />

home based group. Pre and post surgery all<br />

patients were assessed up by an independent<br />

examiner.IKDC, Lysholm and Tegner scores were<br />

assessed pre-surgery, three, six, nine and twelve<br />

months post surgery. Bilateral concentric and<br />

eccentric isokentic strength testing for the<br />

quadriceps and hamstring muscles and single leg<br />

hop tests were performed. Repeated measures of<br />

ANOVA revealed no significant differences<br />

(p

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