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Unknown  |  1992-06-06  |  161.0 KB

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hex view
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|00005120| 70 6f 72 74 65 64 20 69 | 6e 20 66 75 74 75 72 65 |ported i|n future|
|00005130| 20 73 74 75 64 69 65 73 | 2c 20 69 74 20 77 6f 75 | studies|, it wou|
|00005140| 6c 64 20 69 6e 64 69 63 | 61 74 65 0d 0a 74 68 61 |ld indic|ate..tha|
|00005150| 74 20 70 6f 73 74 6f 70 | 65 72 61 74 69 76 65 20 |t postop|erative |
|00005160| 72 65 68 61 62 69 6c 69 | 74 61 74 69 6f 6e 20 70 |rehabili|tation p|
|00005170| 72 6f 67 72 61 6d 73 20 | 73 68 6f 75 6c 64 20 62 |rograms |should b|
|00005180| 65 20 67 65 61 72 65 64 | 20 6d 6f 72 65 20 74 6f |e geared| more to|
|00005190| 77 61 72 64 0d 0a 61 76 | 6f 69 64 69 6e 67 20 66 |ward..av|oiding f|
|000051a0| 6c 65 78 69 6f 6e 20 63 | 6f 6e 74 72 61 63 74 75 |lexion c|ontractu|
|000051b0| 72 65 20 62 79 20 70 6c | 61 63 69 6e 67 20 61 20 |re by pl|acing a |
|000051c0| 68 69 67 68 20 70 72 69 | 6f 72 69 74 79 20 6f 6e |high pri|ority on|
|000051d0| 20 74 68 65 20 6d 61 69 | 6e 74 65 6e 61 6e 63 65 | the mai|ntenance|
|000051e0| 20 6f 66 0d 0a 66 75 6c | 6c 20 6b 6e 65 65 20 65 | of..ful|l knee e|
|000051f0| 78 74 65 6e 73 69 6f 6e | 2e 0d 0a 0d 0a 50 6f 73 |xtension|.....Pos|
|00005200| 74 2d 43 6f 6d 6d 65 6e | 74 0d 0a 0d 0a 20 20 20 |t-Commen|t.... |
|00005210| 20 20 54 68 65 20 61 75 | 74 68 6f 72 73 20 70 72 | The au|thors pr|
|00005220| 65 73 65 6e 74 20 61 20 | 63 61 6e 64 69 64 20 70 |esent a |candid p|
|00005230| 6f 72 74 72 61 79 61 6c | 20 6f 66 20 74 68 65 20 |ortrayal| of the |
|00005240| 6e 6f 74 20 75 6e 63 6f | 6d 6d 6f 6e 20 63 6f 6e |not unco|mmon con|
|00005250| 73 74 65 6c 6c 61 74 69 | 6f 6e 0d 0a 6f 66 20 63 |stellati|on..of c|
|00005260| 6f 6d 70 6c 69 63 61 74 | 69 6f 6e 73 20 61 73 73 |omplicat|ions ass|
|00005270| 6f 63 69 61 74 65 64 20 | 77 69 74 68 20 41 43 4c |ociated |with ACL|
|00005280| 20 72 65 63 6f 6e 73 74 | 72 75 63 74 69 6f 6e 20 | reconst|ruction |
|00005290| 75 73 69 6e 67 20 61 6e | 20 69 6e 66 72 61 70 61 |using an| infrapa|
|000052a0| 74 65 6c 6c 61 72 0d 0a | 74 65 6e 64 6f 6e 20 67 |tellar..|tendon g|
|000052b0| 72 61 66 74 2e 20 20 41 | 6c 74 68 6f 75 67 68 20 |raft. A|lthough |
|000052c0| 74 68 65 79 20 64 65 73 | 63 72 69 62 65 20 61 20 |they des|cribe a |
|000052d0| 63 6f 72 72 65 6c 61 74 | 69 6f 6e 20 62 65 74 77 |correlat|ion betw|
|000052e0| 65 65 6e 20 6b 6e 65 65 | 20 66 6c 65 78 69 6f 6e |een knee| flexion|
|000052f0| 0d 0a 63 6f 6e 74 72 61 | 63 74 75 72 65 2c 20 70 |..contra|cture, p|
|00005300| 61 74 65 6c 6c 61 20 66 | 65 6d 6f 72 61 6c 20 70 |atella f|emoral p|
|00005310| 61 69 6e 2c 20 61 6e 64 | 20 71 75 61 64 72 69 63 |ain, and| quadric|
|00005320| 65 70 73 20 77 65 61 6b | 6e 65 73 73 2c 20 74 68 |eps weak|ness, th|
|00005330| 65 79 20 66 61 69 6c 65 | 64 20 74 6f 0d 0a 61 64 |ey faile|d to..ad|
|00005340| 64 72 65 73 73 20 74 68 | 65 20 71 75 65 73 74 69 |dress th|e questi|
|00005350| 6f 6e 20 61 73 20 74 6f | 20 77 68 65 74 68 65 72 |on as to| whether|
|00005360| 20 6f 72 20 6e 6f 74 20 | 74 68 65 20 69 6e 69 74 | or not |the init|
|00005370| 69 61 74 69 6e 67 20 63 | 61 75 73 65 20 63 6f 75 |iating c|ause cou|
|00005380| 6c 64 20 62 65 20 61 6e | 0d 0a 6f 76 65 72 63 6f |ld be an|..overco|
|00005390| 6e 73 74 72 61 69 6e 65 | 64 20 6b 6e 65 65 20 72 |nstraine|d knee r|
|000053a0| 65 73 75 6c 74 69 6e 67 | 20 66 72 6f 6d 20 73 75 |esulting| from su|
|000053b0| 62 6f 70 74 69 6d 61 6c | 20 67 72 61 66 74 20 70 |boptimal| graft p|
|000053c0| 6c 61 63 65 6d 65 6e 74 | 2e 2d 2d 4a 2e 53 2e 20 |lacement|.--J.S. |
|000053d0| 54 6f 72 67 2c 0d 0a 4d | 2e 44 2e 0d 0a 24 55 6e |Torg,..M|.D...$Un|
|000053e0| 69 71 75 65 5f 49 44 7b | 59 52 42 31 32 39 30 36 |ique_ID{|YRB12906|
|000053f0| 7d 0d 0a 24 54 69 74 6c | 65 7b 41 6e 61 6c 79 73 |}..$Titl|e{Analys|
|00005400| 69 73 20 6f 66 20 52 65 | 68 61 62 69 6c 69 74 61 |is of Re|habilita|
|00005410| 74 69 6f 6e 20 54 65 63 | 68 6e 69 71 75 65 73 20 |tion Tec|hniques |
|00005420| 41 66 74 65 72 20 41 6e | 74 65 72 69 6f 72 20 43 |After An|terior C|
|00005430| 72 75 63 69 61 74 65 20 | 52 65 63 6f 6e 73 74 72 |ruciate |Reconstr|
|00005440| 75 63 74 69 6f 6e 7d 0d | 0a 24 41 75 74 68 6f 72 |uction}.|.$Author|
|00005450| 7b 41 6e 64 65 72 73 6f | 6e 2c 20 41 46 0d 0a 4c |{Anderso|n, AF..L|
|00005460| 69 70 73 63 6f 6d 62 2c | 20 41 42 7d 0d 0a 24 41 |ipscomb,| AB}..$A|
|00005470| 66 66 69 6c 69 61 74 69 | 6f 6e 7b 53 74 20 54 68 |ffiliati|on{St Th|
|00005480| 6f 6d 61 73 20 48 6f 73 | 70 2c 20 4e 61 73 68 76 |omas Hos|p, Nashv|
|00005490| 69 6c 6c 65 7d 0d 0a 24 | 4a 6f 75 72 6e 61 6c 7b |ille}..$|Journal{|
|000054a0| 41 6d 20 4a 20 53 70 6f | 72 74 73 20 4d 65 64 7d |Am J Spo|rts Med}|
|000054b0| 0d 0a 24 56 6f 6c 75 6d | 65 7b 31 37 7d 0d 0a 24 |..$Volum|e{17}..$|
|000054c0| 50 61 67 65 7b 31 35 34 | 2d 31 36 30 7d 0d 0a 24 |Page{154|-160}..$|
|000054d0| 44 61 74 65 7b 4d 61 72 | 63 68 2d 41 70 72 69 6c |Date{Mar|ch-April|
|000054e0| 20 31 39 38 39 7d 0d 0a | 24 59 42 56 6f 6c 7b 31 | 1989}..|$YBVol{1|
|000054f0| 39 39 30 20 59 65 61 72 | 20 42 6f 6f 6b 20 6f 66 |990 Year| Book of|
|00005500| 20 53 70 6f 72 74 73 20 | 4d 65 64 69 63 69 6e 65 | Sports |Medicine|
|00005510| 7d 0d 0a 24 43 68 61 70 | 74 65 72 7b 31 30 2d 38 |}..$Chap|ter{10-8|
|00005520| 37 7d 0d 0a 24 59 42 45 | 64 69 74 6f 72 7b 44 72 |7}..$YBE|ditor{Dr|
|00005530| 73 2e 20 53 68 65 70 68 | 61 72 64 2c 20 45 69 63 |s. Sheph|ard, Eic|
|00005540| 68 6e 65 72 2c 20 53 75 | 74 74 6f 6e 2c 20 61 6e |hner, Su|tton, an|
|00005550| 64 20 54 6f 72 67 2c 20 | 43 6f 6c 2e 20 41 6e 64 |d Torg, |Col. And|
|00005560| 65 72 73 6f 6e 2c 20 61 | 6e 64 20 4d 72 2e 20 47 |erson, a|nd Mr. G|
|00005570| 65 6f 72 67 65 7d 0d 0a | 24 54 61 62 6c 65 7b 7d |eorge}..|$Table{}|
|00005580| 0d 0a 24 43 6f 6d 6d 65 | 6e 74 61 74 6f 72 7b 4a |..$Comme|ntator{J|
|00005590| 2e 53 2e 20 54 6f 72 67 | 2c 20 4d 2e 44 2e 7d 0d |.S. Torg|, M.D.}.|
|000055a0| 0a 0d 0a 43 6f 70 79 72 | 69 67 68 74 20 28 63 29 |...Copyr|ight (c)|
|000055b0| 20 59 65 61 72 62 6f 6f | 6b 20 4d 65 64 69 63 61 | Yearboo|k Medica|
|000055c0| 6c 20 50 75 62 6c 69 73 | 68 65 72 73 2c 20 49 6e |l Publis|hers, In|
|000055d0| 63 2e 2c 20 31 39 39 30 | 0d 0a 0d 0a 31 39 39 30 |c., 1990|....1990|
|000055e0| 20 59 65 61 72 20 42 6f | 6f 6b 20 6f 66 20 53 70 | Year Bo|ok of Sp|
|000055f0| 6f 72 74 73 20 4d 65 64 | 69 63 69 6e 65 20 28 52 |orts Med|icine (R|
|00005600| 29 0d 0a 0d 0a 43 68 61 | 70 74 65 72 20 31 30 2d |)....Cha|pter 10-|
|00005610| 2d 49 6e 6a 75 72 69 65 | 73 0d 0a 0d 0a 4c 6f 77 |-Injurie|s....Low|
|00005620| 65 72 20 45 78 74 72 65 | 6d 69 74 79 20 61 6e 64 |er Extre|mity and|
|00005630| 20 4b 6e 65 65 0d 0a 0d | 0a 2d 2d 2d 2d 2d 2d 2d | Knee...|.-------|
|00005640| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005650| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005660| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005670| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005680| 2d 2d 2d 2d 2d 2d 2d 0d | 0a 41 6e 61 6c 79 73 69 |-------.|.Analysi|
|00005690| 73 20 6f 66 20 52 65 68 | 61 62 69 6c 69 74 61 74 |s of Reh|abilitat|
|000056a0| 69 6f 6e 20 54 65 63 68 | 6e 69 71 75 65 73 20 41 |ion Tech|niques A|
|000056b0| 66 74 65 72 20 41 6e 74 | 65 72 69 6f 72 20 43 72 |fter Ant|erior Cr|
|000056c0| 75 63 69 61 74 65 20 52 | 65 63 6f 6e 73 74 72 75 |uciate R|econstru|
|000056d0| 63 74 69 6f 6e 0d 0a 0d | 0a 41 6e 64 65 72 73 6f |ction...|.Anderso|
|000056e0| 6e 20 41 46 3b 20 4c 69 | 70 73 63 6f 6d 62 20 41 |n AF; Li|pscomb A|
|000056f0| 42 0d 0a 28 53 74 20 54 | 68 6f 6d 61 73 20 48 6f |B..(St T|homas Ho|
|00005700| 73 70 2c 20 4e 61 73 68 | 76 69 6c 6c 65 29 0d 0a |sp, Nash|ville)..|
|00005710| 41 6d 20 4a 20 53 70 6f | 72 74 73 20 4d 65 64 20 |Am J Spo|rts Med |
|00005720| 31 37 3a 31 35 34 2d 31 | 36 30 2c 20 4d 61 72 63 |17:154-1|60, Marc|
|00005730| 68 2d 41 70 72 69 6c 20 | 31 39 38 39 0d 0a 2d 2d |h-April |1989..--|
|00005740| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005750| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005760| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005770| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005780| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 0d 0a 0d 0a |--------|----....|
|00005790| 41 62 73 74 72 61 63 74 | 0d 0a 0d 0a 20 20 20 20 |Abstract|.... |
|000057a0| 20 4e 75 6d 65 72 6f 75 | 73 20 72 65 68 61 62 69 | Numerou|s rehabi|
|000057b0| 6c 69 74 61 74 69 6f 6e | 20 74 65 63 68 6e 69 71 |litation| techniq|
|000057c0| 75 65 73 20 68 61 76 65 | 20 62 65 65 6e 20 61 64 |ues have| been ad|
|000057d0| 76 6f 63 61 74 65 64 20 | 66 6f 72 20 70 61 74 69 |vocated |for pati|
|000057e0| 65 6e 74 73 20 77 68 6f | 0d 0a 68 61 76 65 20 75 |ents who|..have u|
|000057f0| 6e 64 65 72 67 6f 6e 65 | 20 61 6e 74 65 72 69 6f |ndergone| anterio|
|00005800| 72 20 63 72 75 63 69 61 | 74 65 20 6c 69 67 61 6d |r crucia|te ligam|
|00005810| 65 6e 74 20 28 41 43 4c | 29 20 72 65 63 6f 6e 73 |ent (ACL|) recons|
|00005820| 74 72 75 63 74 69 6f 6e | 2e 20 20 41 20 63 6f 6d |truction|. A com|
|00005830| 70 61 72 69 73 6f 6e 0d | 0a 77 61 73 20 6d 61 64 |parison.|.was mad|
|00005840| 65 20 6f 66 20 74 68 65 | 20 65 66 66 65 63 74 69 |e of the| effecti|
|00005850| 76 65 6e 65 73 73 20 6f | 66 20 35 20 6d 65 74 68 |veness o|f 5 meth|
|00005860| 6f 64 73 20 6f 66 20 41 | 43 4c 20 72 65 68 61 62 |ods of A|CL rehab|
|00005870| 69 6c 69 74 61 74 69 6f | 6e 3a 0d 0a 74 72 61 6e |ilitatio|n:..tran|
|00005880| 73 63 75 74 61 6e 65 6f | 75 73 20 65 6c 65 63 74 |scutaneo|us elect|
|00005890| 72 69 63 61 6c 20 6e 65 | 72 76 65 20 73 74 69 6d |rical ne|rve stim|
|000058a0| 75 6c 61 74 69 6f 6e 2c | 20 69 6d 6d 6f 62 69 6c |ulation,| immobil|
|000058b0| 69 7a 61 74 69 6f 6e 20 | 69 6e 20 66 6c 65 78 69 |ization |in flexi|
|000058c0| 6f 6e 2c 0d 0a 69 6d 6d | 6f 62 69 6c 69 7a 61 74 |on,..imm|obilizat|
|000058d0| 69 6f 6e 20 69 6e 20 65 | 78 74 65 6e 73 69 6f 6e |ion in e|xtension|
|000058e0| 2c 20 65 6c 65 63 74 72 | 69 63 61 6c 20 6d 75 73 |, electr|ical mus|
|000058f0| 63 6c 65 20 73 74 69 6d | 75 6c 61 74 69 6f 6e 20 |cle stim|ulation |
|00005900| 28 45 4d 53 29 2c 20 61 | 6e 64 0d 0a 63 6f 6e 74 |(EMS), a|nd..cont|
|00005910| 69 6e 75 6f 75 73 20 70 | 61 73 73 69 76 65 20 6d |inuous p|assive m|
|00005920| 6f 74 69 6f 6e 2e 20 20 | 46 69 76 65 20 67 72 6f |otion. |Five gro|
|00005930| 75 70 73 20 6f 66 20 32 | 30 20 70 61 74 69 65 6e |ups of 2|0 patien|
|00005940| 74 73 20 65 61 63 68 20 | 77 68 6f 20 68 61 64 20 |ts each |who had |
|00005950| 75 6e 64 65 72 67 6f 6e | 65 0d 0a 74 68 65 20 73 |undergon|e..the s|
|00005960| 61 6d 65 20 41 43 4c 20 | 72 65 63 6f 6e 73 74 72 |ame ACL |reconstr|
|00005970| 75 63 74 69 6f 6e 20 70 | 72 6f 63 65 64 75 72 65 |uction p|rocedure|
|00005980| 20 77 65 72 65 20 65 76 | 61 6c 75 61 74 65 64 3b | were ev|aluated;|
|00005990| 20 65 61 63 68 20 75 6e | 64 65 72 77 65 6e 74 20 | each un|derwent |
|000059a0| 31 20 6f 66 20 74 68 65 | 0d 0a 72 65 68 61 62 69 |1 of the|..rehabi|
|000059b0| 6c 69 74 61 74 69 6f 6e | 20 70 72 6f 63 65 64 75 |litation| procedu|
|000059c0| 72 65 73 2e 20 20 54 68 | 65 20 70 61 74 69 65 6e |res. Th|e patien|
|000059d0| 74 73 20 77 65 72 65 20 | 65 76 61 6c 75 61 74 65 |ts were |evaluate|
|000059e0| 64 20 62 79 20 63 6c 69 | 6e 69 63 61 6c 0d 0a 61 |d by cli|nical..a|
|000059f0| 73 73 65 73 73 6d 65 6e | 74 2c 20 76 6f 6c 75 6d |ssessmen|t, volum|
|00005a00| 65 74 72 69 63 20 74 68 | 69 67 68 20 6d 65 61 73 |etric th|igh meas|
|00005a10| 75 72 65 6d 65 6e 74 73 | 2c 20 69 6e 73 74 72 75 |urements|, instru|
|00005a20| 6d 65 6e 74 65 64 20 76 | 61 72 75 73 2d 76 61 6c |mented v|arus-val|
|00005a30| 67 75 73 20 73 74 72 65 | 73 73 0d 0a 74 65 73 74 |gus stre|ss..test|
|00005a40| 69 6e 67 2c 20 4b 54 2d | 31 30 30 30 20 61 72 74 |ing, KT-|1000 art|
|00005a50| 68 72 6f 6d 65 74 65 72 | 20 6d 65 61 73 75 72 65 |hrometer| measure|
|00005a60| 6d 65 6e 74 73 2c 20 61 | 6e 64 20 43 79 62 65 78 |ments, a|nd Cybex|
|00005a70| 20 49 49 20 6d 75 73 63 | 6c 65 20 65 76 61 6c 75 | II musc|le evalu|
|00005a80| 61 74 69 6f 6e 2e 0d 0a | 20 20 20 20 20 50 61 74 |ation...| Pat|
|00005a90| 69 65 6e 74 73 20 72 65 | 63 65 69 76 69 6e 67 20 |ients re|ceiving |
|00005aa0| 74 72 61 6e 73 63 75 74 | 61 6e 65 6f 75 73 20 65 |transcut|aneous e|
|00005ab0| 6c 65 63 74 72 69 63 61 | 6c 20 6e 65 72 76 65 20 |lectrica|l nerve |
|00005ac0| 73 74 69 6d 75 6c 61 74 | 69 6f 6e 20 77 65 72 65 |stimulat|ion were|
|00005ad0| 20 6e 6f 74 0d 0a 61 62 | 6c 65 20 74 6f 20 72 65 | not..ab|le to re|
|00005ae0| 64 75 63 65 20 74 68 65 | 20 61 6d 6f 75 6e 74 20 |duce the| amount |
|00005af0| 6f 66 20 74 68 65 20 70 | 61 69 6e 20 6d 65 64 69 |of the p|ain medi|
|00005b00| 63 61 74 69 6f 6e 20 6e | 65 65 64 65 64 2c 20 6e |cation n|eeded, n|
|00005b10| 6f 72 20 64 69 64 20 74 | 68 65 79 20 68 61 76 65 |or did t|hey have|
|00005b20| 0d 0a 69 6d 70 72 6f 76 | 65 6d 65 6e 74 20 69 6e |..improv|ement in|
|00005b30| 20 61 6e 79 20 63 6c 69 | 6e 69 63 61 6c 6c 79 20 | any cli|nically |
|00005b40| 6d 65 61 73 75 72 61 62 | 6c 65 20 70 61 72 61 6d |measurab|le param|
|00005b50| 65 74 65 72 20 6f 66 20 | 70 65 72 66 6f 72 6d 61 |eter of |performa|
|00005b60| 6e 63 65 2e 20 20 54 68 | 6f 73 65 0d 0a 74 72 65 |nce. Th|ose..tre|
|00005b70| 61 74 65 64 20 69 6e 20 | 65 78 74 65 6e 73 69 6f |ated in |extensio|
|00005b80| 6e 20 61 6e 64 20 74 68 | 6f 73 65 20 74 72 65 61 |n and th|ose trea|
|00005b90| 74 65 64 20 69 6e 20 66 | 6c 65 78 69 6f 6e 20 68 |ted in f|lexion h|
|00005ba0| 61 64 20 73 69 6d 69 6c | 61 72 20 6d 65 61 73 75 |ad simil|ar measu|
|00005bb0| 72 65 73 20 6f 66 0d 0a | 73 74 61 62 69 6c 69 74 |res of..|stabilit|
|00005bc0| 79 2e 20 20 48 6f 77 65 | 76 65 72 2c 20 33 20 70 |y. Howe|ver, 3 p|
|00005bd0| 61 74 69 65 6e 74 73 20 | 74 72 65 61 74 65 64 20 |atients |treated |
|00005be0| 69 6e 20 65 78 74 65 6e | 73 69 6f 6e 20 72 65 71 |in exten|sion req|
|00005bf0| 75 69 72 65 64 20 6d 61 | 6e 69 70 75 6c 61 74 69 |uired ma|nipulati|
|00005c00| 6f 6e 2c 0d 0a 77 68 65 | 72 65 61 73 20 6e 6f 20 |on,..whe|reas no |
|00005c10| 70 61 74 69 65 6e 74 73 | 20 74 72 65 61 74 65 64 |patients| treated|
|00005c20| 20 69 6e 20 66 6c 65 78 | 69 6f 6e 20 6e 65 65 64 | in flex|ion need|
|00005c30| 65 64 20 6d 61 6e 69 70 | 75 6c 61 74 69 6f 6e 2e |ed manip|ulation.|
|00005c40| 20 20 53 74 72 65 6e 67 | 74 68 20 64 65 63 72 65 | Streng|th decre|
|00005c50| 61 73 65 0d 0a 64 75 72 | 69 6e 67 20 69 6d 6d 6f |ase..dur|ing immo|
|00005c60| 62 69 6c 69 7a 61 74 69 | 6f 6e 20 77 61 73 20 6d |bilizati|on was m|
|00005c70| 69 6e 69 6d 69 7a 65 64 | 20 62 79 20 45 4d 53 2c |inimized| by EMS,|
|00005c80| 20 62 75 74 20 45 4d 53 | 20 64 69 64 20 6e 6f 74 | but EMS| did not|
|00005c90| 20 72 65 64 75 63 65 20 | 61 74 72 6f 70 68 79 2e | reduce |atrophy.|
|00005ca0| 0d 0a 50 61 74 69 65 6e | 74 73 20 74 72 65 61 74 |..Patien|ts treat|
|00005cb0| 65 64 20 77 69 74 68 20 | 45 4d 53 20 61 6c 73 6f |ed with |EMS also|
|00005cc0| 20 68 61 64 20 73 69 67 | 6e 69 66 69 63 61 6e 74 | had sig|nificant|
|00005cd0| 6c 79 20 67 72 65 61 74 | 65 72 20 72 61 6e 67 65 |ly great|er range|
|00005ce0| 20 6f 66 20 6d 6f 74 69 | 6f 6e 20 74 68 61 6e 0d | of moti|on than.|
|00005cf0| 0a 74 68 6f 73 65 20 74 | 72 65 61 74 65 64 20 77 |.those t|reated w|
|00005d00| 69 74 68 20 65 78 74 65 | 6e 73 69 6f 6e 20 6f 72 |ith exte|nsion or|
|00005d10| 20 66 6c 65 78 69 6f 6e | 20 61 6e 64 20 65 61 72 | flexion| and ear|
|00005d20| 6c 79 20 6c 69 6d 69 74 | 65 64 20 6d 6f 74 69 6f |ly limit|ed motio|
|00005d30| 6e 2e 20 20 43 6f 6d 70 | 61 72 65 64 20 74 6f 0d |n. Comp|ared to.|
|00005d40| 0a 61 6c 6c 20 6f 74 68 | 65 72 20 67 72 6f 75 70 |.all oth|er group|
|00005d50| 73 2c 20 45 4d 53 20 70 | 61 74 69 65 6e 74 73 20 |s, EMS p|atients |
|00005d60| 68 61 64 20 61 20 73 69 | 67 6e 69 66 69 63 61 6e |had a si|gnifican|
|00005d70| 74 20 72 65 64 75 63 74 | 69 6f 6e 20 69 6e 20 74 |t reduct|ion in t|
|00005d80| 68 65 20 69 6e 63 69 64 | 65 6e 63 65 20 6f 66 0d |he incid|ence of.|
|00005d90| 0a 70 61 74 65 6c 6c 6f | 66 65 6d 6f 72 61 6c 20 |.patello|femoral |
|00005da0| 63 72 65 70 69 74 61 74 | 69 6f 6e 2e 20 20 49 6e |crepitat|ion. In|
|00005db0| 20 63 6f 6d 70 61 72 69 | 73 6f 6e 20 77 69 74 68 | compari|son with|
|00005dc0| 20 69 6d 6d 6f 62 69 6c | 69 7a 61 74 69 6f 6e 20 | immobil|ization |
|00005dd0| 69 6e 20 65 78 74 65 6e | 73 69 6f 6e 2c 0d 0a 63 |in exten|sion,..c|
|00005de0| 6f 6e 74 69 6e 75 6f 75 | 73 20 70 61 73 73 69 76 |ontinuou|s passiv|
|00005df0| 65 20 6d 6f 74 69 6f 6e | 20 72 65 64 75 63 65 64 |e motion| reduced|
|00005e00| 20 74 68 65 20 72 65 71 | 75 69 72 65 6d 65 6e 74 | the req|uirement|
|00005e10| 20 66 6f 72 20 6d 61 6e | 69 70 75 6c 61 74 69 6f | for man|ipulatio|
|00005e20| 6e 2c 20 62 75 74 20 69 | 74 20 77 61 73 0d 0a 6e |n, but i|t was..n|
|00005e30| 6f 74 20 61 73 20 65 66 | 66 65 63 74 69 76 65 20 |ot as ef|fective |
|00005e40| 61 73 20 65 61 72 6c 79 | 20 6c 69 6d 69 74 65 64 |as early| limited|
|00005e50| 20 72 61 6e 67 65 20 6f | 66 20 6d 6f 74 69 6f 6e | range o|f motion|
|00005e60| 2e 0d 0a 20 20 20 20 20 | 54 68 65 20 62 65 73 74 |... |The best|
|00005e70| 20 72 65 68 61 62 69 6c | 69 74 61 74 69 6f 6e 20 | rehabil|itation |
|00005e80| 70 72 6f 67 72 61 6d 20 | 66 6f 72 20 70 61 74 69 |program |for pati|
|00005e90| 65 6e 74 73 20 61 66 74 | 65 72 20 41 43 4c 20 72 |ents aft|er ACL r|
|00005ea0| 65 63 6f 6e 73 74 72 75 | 63 74 69 6f 6e 0d 0a 69 |econstru|ction..i|
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|00005f00| 72 6f 6c 6f 6e 67 65 64 | 20 69 6d 6d 6f 62 69 6c |rolonged| immobil|
|00005f10| 69 7a 61 74 69 6f 6e 20 | 69 73 20 6e 6f 74 20 6f |ization |is not o|
|00005f20| 6e 6c 79 20 75 6e 6e 65 | 63 65 73 73 61 72 79 2c |nly unne|cessary,|
|00005f30| 20 69 74 20 69 73 20 64 | 65 74 72 69 6d 65 6e 74 | it is d|etriment|
|00005f40| 61 6c 2e 0d 0a 0d 0a 50 | 6f 73 74 2d 43 6f 6d 6d |al.....P|ost-Comm|
|00005f50| 65 6e 74 0d 0a 0d 0a 20 | 20 20 20 20 54 68 69 73 |ent.... | This|
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|00005f90| 20 73 74 75 64 79 2c 20 | 74 68 65 20 72 65 73 75 | study, |the resu|
|00005fa0| 6c 74 73 0d 0a 6f 66 20 | 77 68 69 63 68 20 77 65 |lts..of |which we|
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|00005fc0| 61 70 70 72 6f 70 72 69 | 61 74 65 20 73 74 61 74 |appropri|ate stat|
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|00005fe0| 2e 20 20 41 20 6d 61 6a | 6f 72 20 70 72 6f 62 6c |. A maj|or probl|
|00005ff0| 65 6d 0d 0a 63 6f 6e 63 | 65 72 6e 73 20 74 68 65 |em..conc|erns the|
|00006000| 20 66 61 69 6c 75 72 65 | 20 6f 66 20 74 68 65 20 | failure| of the |
|00006010| 61 75 74 68 6f 72 73 20 | 74 6f 20 69 64 65 6e 74 |authors |to ident|
|00006020| 69 66 79 20 74 68 65 20 | 74 65 63 68 6e 69 71 75 |ify the |techniqu|
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|00006040| 72 65 63 6f 6e 73 74 72 | 75 63 74 69 6f 6e 2e 20 |reconstr|uction. |
|00006050| 20 54 68 69 73 20 69 73 | 20 69 6d 70 6f 72 74 61 | This is| importa|
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|00006070| 65 63 61 75 73 65 20 74 | 68 65 69 72 20 63 6f 6e |ecause t|heir con|
|00006080| 63 6c 75 73 69 6f 6e 20 | 74 68 61 74 0d 0a 22 54 |clusion |that.."T|
|00006090| 68 65 20 6f 70 74 69 6d | 61 6c 20 72 65 68 61 62 |he optim|al rehab|
|000060a0| 69 6c 69 74 61 74 69 6f | 6e 20 70 72 6f 67 72 61 |ilitatio|n progra|
|000060b0| 6d 20 69 6e 63 6c 75 64 | 65 64 20 45 4d 53 20 61 |m includ|ed EMS a|
|000060c0| 6e 64 20 69 6d 6d 6f 62 | 69 6c 69 7a 61 74 69 6f |nd immob|ilizatio|
|000060d0| 6e 20 69 6e 20 66 6c 65 | 78 69 6f 6e 0d 0a 77 69 |n in fle|xion..wi|
|000060e0| 74 68 20 65 61 72 6c 79 | 20 72 61 6e 67 65 20 6f |th early| range o|
|000060f0| 66 20 6d 6f 74 69 6f 6e | 22 20 63 61 6e 20 61 70 |f motion|" can ap|
|00006100| 70 6c 79 20 6f 6e 6c 79 | 20 74 6f 20 74 68 69 73 |ply only| to this|
|00006110| 20 70 72 6f 63 65 64 75 | 72 65 20 61 6e 64 20 6e | procedu|re and n|
|00006120| 6f 74 20 74 6f 20 61 6c | 6c 0d 0a 41 43 4c 20 72 |ot to al|l..ACL r|
|00006130| 65 63 6f 6e 73 74 72 75 | 63 74 69 76 65 20 70 72 |econstru|ctive pr|
|00006140| 6f 63 65 64 75 72 65 73 | 2e 2d 2d 4a 2e 53 2e 20 |ocedures|.--J.S. |
|00006150| 54 6f 72 67 2c 20 4d 2e | 44 2e 0d 0a 24 55 6e 69 |Torg, M.|D...$Uni|
|00006160| 71 75 65 5f 49 44 7b 59 | 52 42 31 32 39 30 37 7d |que_ID{Y|RB12907}|
|00006170| 0d 0a 24 54 69 74 6c 65 | 7b 41 72 74 68 72 6f 73 |..$Title|{Arthros|
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|00006190| 6c 65 61 73 65 20 66 6f | 72 20 50 61 74 65 6c 6c |lease fo|r Patell|
|000061a0| 61 72 20 50 61 69 6e 20 | 6f 72 20 49 6e 73 74 61 |ar Pain |or Insta|
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|000061c0| 7b 41 67 6c 69 65 74 74 | 69 2c 20 50 0d 0a 50 69 |{Agliett|i, P..Pi|
|000061d0| 73 61 6e 65 73 63 68 69 | 2c 20 41 0d 0a 42 75 7a |saneschi|, A..Buz|
|000061e0| 7a 69 2c 20 52 0d 0a 47 | 61 75 64 65 6e 7a 69 2c |zi, R..G|audenzi,|
|000061f0| 20 41 0d 0a 41 6c 6c 65 | 67 72 61 2c 20 4d 7d 0d | A..Alle|gra, M}.|
|00006200| 0a 24 41 66 66 69 6c 69 | 61 74 69 6f 6e 7b 55 6e |.$Affili|ation{Un|
|00006210| 69 76 20 6f 66 20 46 6c | 6f 72 65 6e 63 65 2c 20 |iv of Fl|orence, |
|00006220| 49 74 61 6c 79 7d 0d 0a | 24 4a 6f 75 72 6e 61 6c |Italy}..|$Journal|
|00006230| 7b 41 72 74 68 72 6f 73 | 63 6f 70 79 7d 0d 0a 24 |{Arthros|copy}..$|
|00006240| 56 6f 6c 75 6d 65 7b 35 | 7d 0d 0a 24 50 61 67 65 |Volume{5|}..$Page|
|00006250| 7b 31 37 36 2d 31 38 33 | 7d 0d 0a 24 44 61 74 65 |{176-183|}..$Date|
|00006260| 7b 31 39 38 39 7d 0d 0a | 24 59 42 56 6f 6c 7b 31 |{1989}..|$YBVol{1|
|00006270| 39 39 30 20 59 65 61 72 | 20 42 6f 6f 6b 20 6f 66 |990 Year| Book of|
|00006280| 20 53 70 6f 72 74 73 20 | 4d 65 64 69 63 69 6e 65 | Sports |Medicine|
|00006290| 7d 0d 0a 24 43 68 61 70 | 74 65 72 7b 31 30 2d 38 |}..$Chap|ter{10-8|
|000062a0| 38 7d 0d 0a 24 59 42 45 | 64 69 74 6f 72 7b 44 72 |8}..$YBE|ditor{Dr|
|000062b0| 73 2e 20 53 68 65 70 68 | 61 72 64 2c 20 45 69 63 |s. Sheph|ard, Eic|
|000062c0| 68 6e 65 72 2c 20 53 75 | 74 74 6f 6e 2c 20 61 6e |hner, Su|tton, an|
|000062d0| 64 20 54 6f 72 67 2c 20 | 43 6f 6c 2e 20 41 6e 64 |d Torg, |Col. And|
|000062e0| 65 72 73 6f 6e 2c 20 61 | 6e 64 20 4d 72 2e 20 47 |erson, a|nd Mr. G|
|000062f0| 65 6f 72 67 65 7d 0d 0a | 24 54 61 62 6c 65 7b 7d |eorge}..|$Table{}|
|00006300| 0d 0a 24 43 6f 6d 6d 65 | 6e 74 61 74 6f 72 7b 4a |..$Comme|ntator{J|
|00006310| 2e 53 2e 20 54 6f 72 67 | 2c 20 4d 2e 44 2e 7d 0d |.S. Torg|, M.D.}.|
|00006320| 0a 0d 0a 43 6f 70 79 72 | 69 67 68 74 20 28 63 29 |...Copyr|ight (c)|
|00006330| 20 59 65 61 72 62 6f 6f | 6b 20 4d 65 64 69 63 61 | Yearboo|k Medica|
|00006340| 6c 20 50 75 62 6c 69 73 | 68 65 72 73 2c 20 49 6e |l Publis|hers, In|
|00006350| 63 2e 2c 20 31 39 39 30 | 0d 0a 0d 0a 31 39 39 30 |c., 1990|....1990|
|00006360| 20 59 65 61 72 20 42 6f | 6f 6b 20 6f 66 20 53 70 | Year Bo|ok of Sp|
|00006370| 6f 72 74 73 20 4d 65 64 | 69 63 69 6e 65 20 28 52 |orts Med|icine (R|
|00006380| 29 0d 0a 0d 0a 43 68 61 | 70 74 65 72 20 31 30 2d |)....Cha|pter 10-|
|00006390| 2d 49 6e 6a 75 72 69 65 | 73 0d 0a 0d 0a 4c 6f 77 |-Injurie|s....Low|
|000063a0| 65 72 20 45 78 74 72 65 | 6d 69 74 79 20 61 6e 64 |er Extre|mity and|
|000063b0| 20 4b 6e 65 65 0d 0a 0d | 0a 2d 2d 2d 2d 2d 2d 2d | Knee...|.-------|
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