Aspetar would like to welcome 𝗟𝗲𝗼 𝗠𝗲𝘀𝘀𝗶, @gigiodonna1 , @SergioRamos , @AchrafHakimi and @GWijnaldum to the @PSG_inside family #PSGxMESSI سبيتار يرحب بكل من ليونيل ميسي، جيانلويجي دوناروما، سيرخيو راموس، أشرف حكيمي، جورجينيو وينالدوم لإنضمامهم لعائلة نادي باريس سان جيرمان

Watch | @SpursOfficial midfielder @HarryWinks speaking about his rehabilitation @Aspetar

📸 🇧🇷 Brazilian and SC Internacional footballer, Gabriel Girotto Franco,  has arrived at Aspetar to undertake a comprehensive assessment and rehab sessions.💪 @SCInternacional

🗣️ Don’t miss this exclusive interview with @SpursOfficial midfielder @HarryWinks during his recovery at @Aspetar #COYS

🇩🇿🇩🇿وفد من المنتخب #الجزائري لكرة القدم يضم اللاعبين رامي بن سبعيني وسفيان بن دبكة والطاقم الطبي يزور سبيتار🇶🇦🇶🇦 سبيتار هو الشريك الطبي الرسمي للاتحاد الجزائري لكرة القدم 🇩🇿✊ @LesVerts

🇧🇷 🔛 Gabriel Girotto Franco, #Brazilian and @SCInternacional footballer, recently completed his assessment and rehabilitation programme at Aspetar. 🗣️ Here are his thoughts on the care he received here.

مقابلة حصرية مع أسطورة الكرة الايطالية باولو مالديني piped.video/watch?v=CpjA2Z6-… @MaldiniNews #سبيتار #الكرة_الايطالية #اخبار_الرياضة

🇧🇷🇧🇷 توقيع إتفاقية شراكة طبية بين نادي أنترناسيونال البرازيلي والمستشفى الرائد في الطب الرياضي سبيتار aspetar.com/ar/about-us/pres…

We are happy to see #Moroccan and @RCAofficiel footballer; Abdelilah Hafidi, getting back in the game after his recovery journey at Aspetar. سعداء بعودة لاعب كرة القدم المغربي والرجاء البيضاوي عبد الإله الحفيظي إلى الميادين، بعد رحلة علاجه في سبيتار. #DimaRaja

Aspetar Hamstring Protocol Is Out Now! Containing 35 videos and a booklet with full details. Full playlist 👉👉 bit.ly/2j3ySxH

🇩🇿🇩🇿 نجم المنتخب الجزائر وفريق يه سي ميلان إسماعيل بن ناصر يواصل برنامجه التأهيلي في سبيتار، الشريك الطبي الرسمي للاتحاد الجزائري لكرة القدم @IsmaelBennacer @LesVerts

Brazilian football club SC Internacional & Aspetar, are thrilled to announce a groundbreaking international agreement that aims to foster knowledge exchange and promote research and innovation in the field of Sports Medicine. 🔗👉 aspetar.com/en/about-us/pres… @SCInternacional 🇧🇷🇧🇷

. @HarryWinks @SpursOfficial and England midfielder. _________________ #COYS @Spurs_ID @aspirezone @SkySportsNews @Daily_Hotspur @premierleague @BenDinnery @physioroom @TottenhamArb @SkySportsPL @Aspire_Academy #Qatar #EPL

The Rehabilitation Department in #Aspetar is integral to our multidisciplinary approach to #athlete management. Utilising an evidence-based model, experienced practitioners aim to return #patients to their pre-injury #lifestyle as quickly and safely as possible.

لاعبا الرجاء البيضاوي محمود بن حليب ومحمد دويك، والأردني منذر أبو عمارة يواصلون العلاج في سبيتار @RCAofficiel players, Mahmoud Benhalib, @DouikMohammed and Jordanian player Monther Abu Amara continues their rehabilitation at Aspetar.

Excellence in Sports Medicine

Hamstring Injury ... A Clinician’s Guide 🗒️ ✍️– Written by Anthony G Schache, and @RodWhiteley 🔗👉 bit.ly/3mMIYXm

🇩🇿🇩🇿 ▶️27-Match unbeaten… ▶️▶️11 years of continuous Medical support…. Aspetar is proud Official Medical Partner of the #Algerian Football Federation Congratulations to the African Champions for breaking a new record. @LesVerts #123VivaLAlgerie

HELPING STARS SHINE BRIGHT AGAIN @waydedreamer

“Having an injury is a nightmare for any player!” Algerian international and @boro footballer @adleneguedioura chatted to beIN SPORTS about his preference for Aspetar to recover and stay at the top of his form, and what’s next. @beinsports_mena @aspirezone

بعد اجراءه لعملية جراحية في سبيتار، محمد الدويك لاعب الرجاء المغربي يستأنف رحلة علاجه ويوجه رسالة خاصة للجماهير. @RCAofficiel @DouikMohammed #DimaRaja #COVID19

**Free Access** New paper on the Aspetar journal website: 👉👉 An inside look at ‘swimmer's shoulder’ @adelbridge67 @HoltKylie

OpenAccess Aspetar hamstring protocol Booklet 📚 bit.ly/2jPW3xD developed by Aspetar's experts @RodWhiteley @arnlaugw @NicolvanDyk

Our radiologists provide a complete range of diagnostic & treatment imaging services, with an emphasis on quality nitter.app/cards/18ce…

#SaturdayLearning 🎥📚 ''Doctor - I'm tired" .... The Approach to the Fatigue Athlete - An Update Watch More 👉👉 bit.ly/2h1ZHGH

🆕 & #OpenAccess The ankle syndesmosis pivot shift “Are we reviving the #ACL story?” @ttampere and @PdHooghe

Exclusive #Interview with #Italian football legend, Paolo #Maldini piped.video/watch?v=ZcOhd8XT… … @MaldiniNews #Legend #Aspetar

. @rcaofficiel player, Mohamed Douik, continues his post-surgery rehabilitation programme in Aspetar. --- لاعب الرجاء الرياضي المغربي محمد الدويك يواصل رحلة علاجه في سبيتار بعد العملية على مستوى الغضروف والرباط الصليبي #DimaRaja

🇩🇿⚽️ Congratulation to #Algeria national football team for reaching the second stage of the African Cup of Nations 2019. Aspetar is the official medical partner of the Algerian Football Federation. @LesVerts #123VivaLAlgerie #LesVerts #LesFennecs #TeamDz #CAN2019

🔊📽️@fcbarcelona and #French World champion @dembouz has left #Doha after completing his treatment at Aspetar. ⚽️⚽️⚽️ 🇫🇷 Le champion du monde, joueur du FC Barcelone, Ousmane Dembélé est reparti de Doha après avoir terminé ses soins à Aspetar. #Barça #barcelona #Dembélé #Qatar

📘Check out the latest Aspetar Sports Medicine Journal, This issue’s targeted topic is “The Athlete’s Knee” Team of authors comprising some of the world’s top orthopaedic surgeons You can access all content online anytime and anywhere, free of charge 👉👉aspetar.com/journal/articles…

سعدنا بزيارة رئيس الإتحاد #الجزائري السيد عمارة شرف الدين الى سبيتار، وفخورون جدا بما حققه المنتخب الجزائري طيلة فترة شراكتنا معهم المستمرة منذ 11 عاما، سبيتار هو داعم وشريك طبي للاتحاد الجزائري خاصة في المنافسات الكبيرة، ونفخر كثيرا بما حققه في الأعوام الأخيرة. @LesVerts

French #rugby national team U18 and U20 in their training camp at Aspetar in preparation for the upcoming 2018 championships. @SixNationsRugby @FFRugby #XVdeFrance #6Nations #France7 #nationalteam #Qatar #SportsMed #Frenchrugby

Aspetar’s Sports Science Department encompasses an international team of expert, world-class physicians & scientists qualified in Physiology, Psychology, Strength and Conditioning, Sports and Performance Nutrition and Podiatry.

Great resource --- Aspetar hamstring protocol 📚 👉 bit.ly/2jPW3xD  📹 👉 bit.ly/2j3ySxH  #Sharingknowledge @NicolvanDyk

‘Modern’ HTO is indicated in younger patients presenting initial medial osteoarthritis of the knee and even in cases where it is associated with other surgical procedures, not only reduces painful symptoms, but can ensure that the patient can perform sport at a recreational level

Rehabilitation After ACL Reconstruction ... The Aspetar Way In Aspetar, our Mission is to assist all athletes achieve their maximum performance and full potential. We aim to give each athlete the individualised support they need based on their injury, their goals and their lifestyle to optimise outcomes as efficiently as possible. The Aspetar Way is our approach to ensure these aims are achieved with consistency and repeatability to the highest level throughout our team for every athlete: Individualised Approach. ▶️ Assessment Guided Rehabilitation. ▶️ Multidisciplinary Team (MDT) Contribution. ▶️ Address multiple physical qualities concurrently. ▶️ Focus on motor learning and development rather than training. Individualised Approach Although ACL injury is unfortunately frequent in many sports involving landing, pivoting and contact, the journey after injury is a very unique experience for every athlete. While injury to the ACL is a consistent theme with all, there are a variety of ways each athlete may deviate from the time of injury: ▶️ Level of trauma to other structures in the knee ▶️ Disuse and deconditioning post injury and post surgery ▶️ Graft type used (patellar, hamstring, quadriceps) ▶️ Post operative precautions ▶️ Athlete motivation and goals ▶️ Demands of sports they are returning to ▶️ Previous training history ▶️ Response to training stimulus ▶️ Social Support (Work/Family/Financial Commitments and Constraints). Our approach is also individualised to that athlete’s injury history to ensure we use the time afforded by ACL rehabilitation to target all deficits relating to previous injury not only those related to the current knee injury. Our approach is to modify our exercise selection, programming, periodisation and support to fit these individual differences while helping all to achieve their common goal as effectively and efficiently as possible. Assessment Guided Rehabilitation Before starting on any journey it is essential to have clarity about what the end of the process should look like and the steps required to get there. While many rehabilitation processes know where to begin the journey, and commence with clear direction, they often lose their way or fail to complete the journey, ultimately compromising the athlete’s outcomes. The end of the rehabilitation journey for most athletes, the clinicians, and various stakeholders that are supporting them is: ▶️ To return to their pre-injury sport ▶️ To do so with the absence of symptoms (pain or instability) in the knee ▶️ To minimise the risk of subsequent injury to either knee ▶️ To return to their preinjury levels of performance (or higher) Focus on Quality vs Quantity – its not what you do but the way that you do it! There is regular feedback on the quality of execution of each exercise in the program as much as the number of sets and repetitions. This helps the athlete avoid: 1⃣ - Rushing through the exercises to complete the prescribed dosage but without the quality to achieve the technical changes and motor patterns 2⃣- Not recognising the exercise is no longer technically challenging (i.e. landing exercise) or is not intense enough (leg press for a 10RM but athlete could do 4-5  more repetitions at the prescribed weight) this not achieving the desired adaptation 3⃣- Not listening to their body during the exercise execution for example either aggravating their anterior knee during a quadriceps strengthening exercise or feeling the load/strain in their lumbar spine instead of their hamstrings during a deadlift or bridge exercise for example.. SUMMARY During ACL rehabilitation, our processes should match the goals of each individual athlete, provide clarity on the key physical outcomes we want to achieve, and track their progress throughout. Physiotherapists are required to utilise their entire rehabilitation skillset to develop all the relevant qualities concurrently giving us the best chance of supporting each athlete to achieve their maximum performance and full potential after injury while being supporting each member of the MDT in completing their roles and responsibilities. Furthermore, systems can be reviewed and refined on an annual basis to further enhance our standard of care as our clinical practice, technology and research evolve over time. ✍️– Written by @enda_king 🔗Read Full Paper 👉 aspetar.com/Journal/viewarti…

Layer to layer : from skin to joint, conducted by Dr @PLandreau and Dr @kalkhelaifi with a great hands on interaction with our leading physiotherapists. #3DSurgicalAnatomy

أنهى جيمس موريسون صانع ألعاب وست بروميتش ألبيون الإنجليزي برنامجاً علاجياً مكثفاً في سبيتار، على أمل التخلص من إصابة بوتر أخيليس التي أقعدته عن المشاركة في منافسات الدوري الإنجليزي على مدى خمسة أشهر . وصرح موريسون خلال مقابلته الأولى مع الفريق الإعلامي لسبيتار قائلاً

Congratulations to Paris Saint-Germain, CHAMPIONS OF FRANCE! 🏆❤️💙 Lifting the Ligue 1 trophy for the 12th time is a historic achievement. 👏🏆 Aspetar is proud to be their Official Medical Partner and support them on their journey to success! @PSG_inside

🏎️ Great to have Joshua Duerksen, Formula 2 driver from Paraguay, at Aspetar to experience our athletes' services and facilities. Wishing you a strong and successful season ahead! #F2 #RoadToF1 @JoshuaDuerksen1

👨‍⚕️👨‍⚕️Aspetar Surgical Team of Experts Specialising in both Arthroscopic & Open Surgical Techniques provide World – Class Surgical Care

Looking for a career in Sports Medicine? We offer #PhD positions guided by Aspetar Sports Groin Pain Centre. nitter.app/cards/18ce…

🥇✨Thrilled to have Olympic champion Kaylia Nemour visit Aspetar! Inspiring moments with Ismael Bennacer .

📹🇩🇿 في مقابلة حصرية ..نجم المنتخب الجزائري يوسف عطال يتحدث عن رحلته العلاجية في سبيتار و إعجابه بقطر، و عودته للميادين مع ناديه نيس الفرنسي. @LesVerts #LesVerts

‘Le menu à la carte’ in patella instability ... The risk factors for athletes with closed epiphyses, treatment options, outcomes and complications – and return to sport.

Rehabilitation of the tennis athlete 🎾🎾 – Written by Aaron Sciascia, USA 👉👉 aspetar.com/journal/viewarti… #AusOpen #Tennis #rehab #SportsMedicine #Sportsmed

The 400m world record holder 🥇Star athlete @WaydeDreamer ! Come back stronger 💪 wish you a speedy recovery

البروفيسور بيترفيردونك جراحة الركبة سيتواجد الخبير الزائر حصريا في سبيتار في الفترة ما بين 12–16 نوفمبر nitter.app/cards/18ce…

#TDF2018 #RaceToWin 🍗 🍌💧 Nutritional strategies for the Tour de France 👉👉 aspetar.com/journal/viewarti… ✍️Written by @JamesyMorton, @MarcFell1

RT: Work in professional Soccer? Complete our survey ‘The perceptions & application of recovery monitoring tools 👉 bit.ly/2xNQsNj

#StarsAtAspetar🥇🥇 🗨️🗨️ Sir @mo_farah four-time Olympic gold medalist is back to #Doha.. listen to what he said about Aspetar during his participation in the Diamond League Doha 2015. #SirMo #Qatar @aspirezone

A Periodised Recovery Strategy Framework for the Elite Football Player What, why and when? ➡️Principles of Recovery ➡️Rev.of Recovery Techniques ➡️Recovery for in-season vs. pre-season ✍️ Written by: @spswgreg @GlynHowatson @DrRobinThorpe 🔗Article➡️ aspetar.com/journal/viewarti…

HAMSTRING INJURY 🏃‍♂️💥 📚 A Clinician’s Guide — evidence-informed, athlete-focused. A clinical framework for managing hamstring injuries — combining research with real-world experience to create personalized treatment plans for every athlete. ✍️– Anthony G Schache & @RodWhiteley 🔗👉 bit.ly/3mMIYXm

Hamstring Injury ... A Clinician’s Guide 🗒️🖊️ ✍️– Written by Anthony G Schache, and @RodWhiteley 🔗 #OpenAccess 👉 bit.ly/3mMIYXm

Velocity-based Rehabilitation After ACL Reconstruction ...Testing and Training ✍️ – Written by @PierreSamozino and Brice Picot ---- Anterior cruciate ligament (ACL) ruptures are frequent in sport. As only two thirds of athletes return to the same level of play and the rate of reinjury could reach 20%, their burden is high. One possible explanation of these poor results is the loss of muscle function associated with long term (> 6 months) reduced activity following ACL reconstruction (ACLR). An inability to recover muscle force or power, especially in the lower limb, could lead to an increased risk of reinjury as well as reduced possibility of return to sport (RTS) at the same level of play. Objective criteria are necessary to prevent reinjuries and optimize chances of successful RTS. Mounting evidence suggests that RTS decision-making process should include objective assessments rather than purely time-based criteria. Several evaluations exist to help clinicians make valid decision for RTS following ALCR such as patient reported outcome measures, clinical measures, isokinetic evaluations and various hop tests In the context of ACLR rehabilitation, most muscle strengthening protocols aimed to target force capacities, but rarely at high velocities (e.g. leg extension, Nordic-hamstring, bench press, squat). If the exercise modalities specific to improve the ‘force’ side of the FV relationship have been well documented, training force capacities at high velocity is less well-described. However, such training modalities can be helpful in rehabilitation where injured athletes may display a larger force impairment at high than at low velocities. For this kind of training, the objective is to reach high movement or contraction velocity during the exercise, therefore using low loads or resistance. When focusing on the lower limb in the context of rehabilitation after ACLR, this can be a challenge since the body mass (associated to inertia) and the body weight (associated to resistance during a vertical movement) correspond to high mechanical constraints, thus often limiting the movement velocity too much to reach high velocity zone. Note that a bilateral vertical jump without additional load is associated with force and velocity outputs in the middle of the entire FV spectrum. This is even more pronounced during single-leg exercises. To overcome this, several modalities have been proposed: Exercises with low/no load and without movement of the body mass (e.g. leg press) Exercises with assistance (negative loads or elastic band) Exercises with low pneumatic resistance, or exercises performed in the horizontal direction (horizontal squat). Whatever the task, notably with low load, maximal effort removing deceleration phase at the end of the movement allow the athlete to reach higher velocities while producing some force throughout the movement (with bar throw or jump34). If some of these modalities require some very specific equipment, not always available for clinician in daily practice, other modalities can be easily set up: jump with elastic band or Swiss ball to unload body weight, or horizontal jump while being supine on a rolling device (e.g. long sliding board) and pushing with the feet onto a wall. The latter modalities, shown to target similar velocities as during a vertical jump with an assistance of ~30% of body mass, offer the possibility to do bi-or uni-lateral push-offs, to use rubber bands to add resistance or assistance, to remove the high-constraint landing phase and to perform lower limb extension safely and very early in the rehabilitation process . ACL injuries are frequent in sports and practitioners need to optimize the rehabilitation process in order to improve RTS at the same level of play and decrease the rate of reinjury. When focusing on force production capacities (one piece of the complex RTS puzzle), a velocity-based rehabilitation approach could help to have an entire view of the alteration and recovery of the lower limb strength from low to high velocities and to monitor and individualize training modalities regarding the athlete’s needs and the sport activity demands in terms of performance or injury prevention. Force-velocity profile testing and velocity-based training can contribute to this kind of approach and may be applied in practice by clinicians using simple and easy-to-use methods. Further studies should establish some normative values in terms of deficits in force capacities at both high and low velocities and test the effectiveness of such a velocity-based rehabilitation to help the practitioner in the decision-making process. 🔗Read Full Paper👉 aspetar.com/Journal/viewarti…

#ParisOlympics 🗼 Calf Muscle Injuries In Track and Field Athletes "The calf is strong but make sure its strong enough to run" The calf works hard during all running speeds. Compare these loads to traditional gym-based calf exercises and the rehabilitation journey becomes increasingly challenging. Given the calf’s high capacities, it can be difficult to assess the competency of tissue tolerance to loading after CMSI, be wary of apparent resolution of clinical signs and symptoms in the early stages of rehabilitation as an indicator to commence running or progress rehabilitation faster. Your clinical assessment and tracking of a CMSI can be deceptive if a rigorous approach is not used. Historically, simple and low-load clinical tests offer insight into the status of recovery for lower limb muscle injuries. However, given the inherent force-generating capacity of the calf muscles, it is unreliable to use manual muscle testing or hand-held dynamometry as strength measures that can accurately guide rehabilitation progression. Quantifying strength (bent and straight knee) across a wider spectrum of qualities is recommended to better determine capacity, such as maximal voluntary isometric strength, loaded strength-endurance (isotonic), and foundation strength-endurance (single leg heel raise repetitions to failure at 60 bpm). Power and the stretch-shortening cycle are considered to a greater extent after strength-resolution. ✍️– Written by Brady Green, @EvanJeanguyot and @DrTaniaPizzari 🔗 Read More 👉 journal.aspetar.com/en/archi…

🔓Return to sport after criteria-based rehabilitation of Acute Adductor injuries in male athletes: A prospective cohort study. 🔗Article👉 bit.ly/2P4RnUL 📂Treatment Protocol 👉 bit.ly/2P4vhBT ✍️@aserner @AdamWeirSports @Jltol @KThorborg @PerHolmich @roaldotten

An Anterior Cruciate Ligament (ACL) injury can push the world cup away from footballers. @PLandreau #WorldCup #ACL #RTP #football

Concussion is brain injury, which can be compared with a bruised or strained muscle or ligament. It is known as “the hidden injury” because it has no visible signs like bleeding or limping ℹ️ Hiding or ignoring concussion can delay recovery & affect your performance #Concussion

Sport Concussion Assessment Tool 5 (SCAT5) demonstrated by Aspetar ... An immediate on-field and off-field assessment tool 🧠 ▶️ Watch the full video 👉📽️ piped.video/gNoadxx37_E @LouiDoc @NicolvanDyk

Is It Possible To Quantify Tendon Loads in Rehabilitation? ⤵️ A Practical Approach to Managing Patellar Tendinopathy in the Competing Athlete ------ Patellar tendinopathy (PT) is one of the most common injuries in jumping sports. A higher prevalence has been observed in elite compared to youth and recreational athletes with substantial impact in elite volleyball (45%), basketball (32%) and track and field (23%). High jumping demands and a better jumping ability have been associated with PT. but its real burden is unknown. Epidemiology studies usually capture only time-loss injuries, however most athletes with PT at the elite level keep training and competing with ongoing symptoms for long periods of time. Although high training loads are necessary for high performance, staying on the right side of the fine line between performance enhancement and injury risk remains a challenge for athletes. Competitive sports are dynamic and complex systems, and one size will never fit all. Patellar tendinopathy is always a challenge for the athlete, the medical practitioner and the technical staff, so performance, health and coaching need to be integrated and work collaboratively. This approach is intended to provide a practical framework for the management of the competitive athlete with PT based on sound clinical reasoning and load quantification. Understanding what exercise characteristics produce better tendon adaptations and how high load magnitudes can be achieved without interfering other aspects of training is key in the athlete. A clear element of subjectivity may exist in selecting the domains for the quantification of tensile and plyometric loads (others could have been considered), as well as for defining its characteristics and scoring exercises and training activities. However, beyond its scientific validity, clinical models are intended to be practical and open for customization as long as they facilitate the management of PT rehabilitation. ✍️ – Written by @PhysioDMSilvan & @ProfJillCook 🔗Read More 👉 journal.aspetar.com/en/archi…

📸 كيليان مبابي، مهاجم المنتخب الفرنسي بطل العالم لكرة القدم ونادي باريس سان جيرمان يزور #سبيتار لهدف التعافي. @KMbappe #PSG

#TDF2018 🚴‍♂️ #RaceToWin Practical recommendations for endurance #cycling in hot/humid environments @Dave_VO2Project read More 👉👉 bit.ly/2iaKoqW #TourDeFrance

🔝🩺 Aspetar has everything you need to get moving, and stay moving, all under one roof📍 . . . 🔴🔵 #Aspetar is the Official Medical Partner of @PSG_inside

Aspetar,the Official Medical Partner of @PSG_inside ,would like to welcome them in #Doha bit.ly/1QP4whh

The Why, What and When of Objective Testing after ACL Reconstruction --------- Why are we Testing? The purpose of testing after ACL reconstruction is often questioned is it to predict new injuries or assess an athlete's readiness to return to the game? Although certain sports medicine tests are associated with an increased risk of injury, accurately predicting injuries remains challenging. Furthermore, conflicting findings exist in the literature regarding the effectiveness of passing a battery of tests in reducing the rates of new anterior cruciate ligament (ACL) injuries Secondary prevention Less than half of our ACL injured athletes are competing at the same level 3 years after their injury has been “fixed”. What is stopping the rest? We’ve been overlooking a myriad of other injuries that about half of the athletes after ACL reconstruction (ACLR) suffer on attempting to return to sport. Subsequent injuries do not include only ACL injuries. Literature reports short-term (muscle injuries) and long-term (meniscal or chondral injuries and osteoarthritis (OA))consequences of ACL injury and reconstruction that require our attention. By focusing solely on the rates of second ACL injuries, we might overlook the real problems: other injuries preventing our athletes from resuming their sports activities. Monitor progress during rehabilitation When athletes are preparing to return to sport after an ACLR, it is essential to address any remaining deficiencies in their physical and psychological condition. These deficiencies can manifest in different areas such as strength, range of motion, joint laxity, performance, functional ability and capacity, as well as psychological readiness. To accurately identify these areas of improvement, it is crucial to use tests and metrics with sufficient sensitivity. By continuously monitoring the progression of these metrics during the rehabilitation process, athletes can track their improvement and ensure a comprehensive recovery that addresses all aspects affected by the ACLR. Performance And if they eventually return, will they be the same? According to UEFA studies, although 87% of professional football players are still playing three years after an injury, only 65% of them have regained their pre-injury performance levels. This disparity highlights the extent of the problem. If achieving a successful return to performance is the ultimate goal of surgery and rehabilitation, it appears that our current methods are falling short. Is there room for improvement in these return to performance rates? Unfortunately, the existing criteria mentioned in the literature offer limited assistance. Only a small proportion of studies have reported performance metrics at the time of return to sport. Objective performance metrics at the time of return to sport are essential to enhance secondary prevention and accurately evaluate an athlete’s readiness to perform at their full potential. Testing Components • Clinical Assessment • Patient-reported outcome measures • Strength • Motor control • Why all the fuss with vertical jumps? • Horizontal hop landing • Change of direction mechanics • Biomechanical analysis Discharge Criteria Completion of the rehabilitation protocol and clearance to return to sport is not the same as return to competition. We propose minimum criteria required for a professional athlete to be cleared from the clinic/hospital setting and start training with their club, whereupon they should then gradually return to full participation. These criteria should be adjusted and individualised according to their previous activity level. Our proposed discharge criteria are based on our clinical experience, research findings and our normative data. It's important to acknowledge that the decision to return to training is not always straightforward and may be influenced by various factors outside the realm of pure medical considerations. By embracing informed and shared decision-making, athletes can navigate these complex choices, ensuring their well-being, while also considering the demands and pressures of the competitive environment they operate in. Is Symmetry Important? The goal of rehabilitation is to return the athlete back to normal. It is difficult to define normal, as this is different for each patient. Loading asymmetries may predispose athletes for subsequent injury. So far, it is unknown if and how long the observed loading asymmetries during rehabilitation and at the time to return to sport persist after they return to sport. This is highly relevant as it is unknown if these asymmetries can be related to future injuries or more chronic pathological knee conditions like meniscus or chondral failure signs, or early OA. Whereas moderate mechanical loading is crucial for maintaining healthy cartilage, abnormal joint loading (either insufficient loading or high-intensity joint loading) increases the risk of OA. Our goal during the rehabilitation is to restore those asymmetries. Clinicians should use asymmetry metrics on an individual level and by comparing to the noise of each test and each metric. Normally, the clinician does not have preoperative test values to set the end goals for each patient38. Achieving symmetry is an important goal during rehabilitation, but equally important is to return the athlete to their previous level of performance. We suggest that the uninvolved limb should be monitored during rehabilitation, and both limbs should reach matched-control normative values in the absence of pre-operative data. Testing Tips While manual muscle testing is commonly used, it is not the optimal option for precise and accurate measurements. Hand-held dynamometer is a must-have tool in every physical therapy clinic. Furthermore, for ACL and other lower and upper limb injuries, the use of force plates becomes necessary to gather more comprehensive data. We are currently witnessing a shift in the way we approach testing and data collection, with the increasing accessibility of portable labs such as smartphones. This advancement in technology allows us to gather and analyse data with ease, reducing the need for specialized biomechanists or engineers. It presents us with an opportunity to expand our testing capabilities beyond basic measurements like girth and range of motion. As healthcare professionals, it is crucial for us to embrace this new era and leverage these opportunities to benefit our athletes. To ensure effective testing, it is important to establish a regular testing schedule, such as every six weeks or two months. It is vital not to skip testing days, even if there are limitations due to insurance or other reasons. Testing should be integrated into the rehabilitation session, as it not only benefits the patient but also provides the clinician with a roadmap for guiding the rehabilitation process. Standardization is key in testing. It is advisable to standardize the tests themselves, the tester performing the assessments, and the order in which the tests are conducted. Testing requires practice to minimize variability. Therefore, it is important to test only the tasks that the patient has trained before, as testing unfamiliar tasks may yield inaccurate results. It is also beneficial to create a database of normative data. If working within a club, aim to establish a normative database specific to your athletes, including measures of strength, jump metrics, and other performance indicators. If pre-injury data is not available, consider referencing normative data from the literature. However, keep in mind that each athlete is unique, and certain metrics can vary significantly depending on factors such as sex, sport, position, age, and more. 🔗Read More▶️ journal.aspetar.com/en/journ… ------------ – Written by @RoulaKotsifaki

Groin Pain Classification in Athletes | Doha Agreement Defined clinical entities for groin pain: adductor-related, iliopsoas-related, inguinal-related and pubic-related groin pain. ▶️Iliopsoas-related groin pain iliopsoas-related groin pain is more likely if there is pain on resisted hip flexion AND/OR pain on stretching the hip flexors. ▶️Inguinal-related groin pain Pain location in the inguinal canal region AND tenderness of the inguinal canal. No palpable inguinal hernia is present. inguinal-related groin pain is more likely if the pain is aggravated with resistance testing of the abdominal muscles OR on Valsalva/cough/sneeze. ▶️Pubic-related groin pain Local tenderness of the pubic symphysis and the immediately adjacent bone. The group felt that there was no particular resistance test that specifically provoked symptoms related to pubic-related groin pain that could be used in conjunction with palpation. 🎯 The Doha agreement is the most standardized, clinically focused classification system⬇️ 🔗 Full Paper 👉 bjsm.bmj.com/content/49/12/7…

🔓 #OpenAccess Enhancing Neuromuscular Function Post ACL Reconstruction Human skeletal muscles are biological motors that drive movement and function, in turn, causing functional capacity to be highly dependent on our muscles’ strength capacity. Consequently, muscle strength impairments after anterior cruciate ligament (ACL) injury contribute to persistent functional losses and an increased risk for ACL reinjury. However, muscle strength should be considered as an umbrella term that encapsulates several distinct physiological and biomechanical muscle force parameters. For example, maximal muscle strength is typically measured as the peak force or torque generated in a maximum voluntary contraction (MVC), and it can be measured in eccentric, isometric or concentric muscle actions. Maximal muscle strength is determined, in part, by the physiological cross-sectional area of the target muscles and the magnitude of neural drive from the central nervous system, notably motor unit recruitment discharge rate modulation. Moreover, maximal functional muscle strength capacity is influenced by the contractile properties of skeletal muscle dictated to a great extent by the force-velocity and force-length relationships. The reliability of explosive strength testing after ACL injury especially in the context of routine athlete monitoring, is highly dependent on the methodological approach. As reviewed elsewhere, there are several considerations that can be used to help increase the reliability of explosive strength testing. ------- Key points include: ------- ▶️ Ensuring that athletes are instructed to develop torque “fast and hard” during burst contractions (i.e., fast rapid explosive isometric contractions). ▶️ Completing a minimum of three repetitions for MVC testing and 10 repetitions when using the burst contraction method. ▶️ Use a mean value of 3-5 attempts to quantify explosive strength and ▶️ As values for the average slope may be hampered by poor reliability especially for assessments of early phase RTD, consider using a time-locked analysis (i.e., measure torque at discrete time points). Conclusion: In conclusion, the aim of this paper was to highlight the importance of assessing the explosive strength capacity of the lower limb muscles along with SSC function in the vertical jump in athletes who are recovering from ACL injury. It was demonstrated that there are unique neuromuscular determinants of explosive muscle strength and SSC function, and that recovery of these physiological capacities differs from the results of assessing just maximal muscle strength after ACL injury and ACLR in isolation. Practitioners and clinicians can use explosive strength and SSC assessments to identify lagging neuromuscular function(s) in athletes with ACL injury with the goal of prescribing targeted strength training protocols to reduce deficits and to identify athletes who might be at increased risk for ACL reinjury. Taken together, explosive strength and SSC testing may be used to provide sensitive mechanical biomarkers of post-ACL injury recovery that can complement existing return-to-sport and return-to-performance testing practices that include measures of maximal muscle strength, psychological readiness, and sport-specific movement biomechanics. 🔗Read Full Paper 👉 aspetar.com/Journal/viewarti… ✍️ Written by : Matthew J Jordan, Per Aagaard, Chris Bishop, Zachary McClean, Nathaniel Morris, Nathan Boon-van Mossel, Kati Pasanen, Ricardo da Silva Torres, Walter Herzog.

Sports Specific Rehabilitation... Following this structure the sports specific football program in Aspetar comprises 5 field-based training stages: 1.         linear movement, 2.        multidirectional movement, 3.        soccer-specific technical skills, 4.        soccer-specific movement, and 5.        practice simulation. At the conclusion of these stages the athlete will then follow a progressive return to team practice and gradual return to competitive match play. This process allows the player to focus on regaining football-specific movement with physical, technical, and tactical performance while developing psychological readiness to perform. Sports-specific on-field rehabilitation plays a crucial role in an athlete’s journey to recover from ACL reconstruction and return to their pre-injury level of sports participation. The process involves mimicking the chaotic on-field environment to build confidence and improve performance. The rehabilitation process which started with slow, controlled in-plane movements culminates with the on-field stage which progressively exposes athletes to out-of-plane movements in a less controlled competitive environment. As such, on-field rehabilitation offers an essential addition to the rehabilitation program that aligns rehabilitation principles with sport-specific performance needs, facilitating a safe and effective return to play. By focusing on movement quality, physical conditioning, sport-specific skills, and progressive development of chronic training load, athletes are mentally and physically preparing for their return to full team training and then competitive match play. The incorporation of the five stages of on-field rehabilitation helps ensure a well-structured and successful return-to-sport plan for athletes following ACL reconstruction. 🔗 Read Full Article 👉 journal.aspetar.com/en/journ… ✍️ – Written by Konstantinos Defteraios

خلال زيارته اليوم لـ سبيتار: رئيس الاتحاد #الجزائري لكرة القدم🇩🇿🇩🇿 السيد شرف الدين عمارة 🗨️ "سبيتار أفضل مستشفى رياضي في العالم وهو شريك في انجازات #المنتخب_الجزائري "

**Free Access** New Excellent Evidence-based paper on return to play after ACL injury in footballers by @MarkusWalden and @clare_ardern #ReturntoPlay #ACL #RTP

#AspetarTuesdayLecture 📽️📚 Elbow Injuries in Overhand Athletes: Valgus Instability ... by Dr @joshdinesmd ✅ The importance of the ligament, pathophysiology, physical exam, treatment, outcomes and ways to improve results post surgery. ✅ Watch More 👉 piped.video/watch?v=AaRnXdyM…

🔥 👀 #HotoffThepress & #OpenAccess 🔓 Aspetar clinical practice guideline on rehabilitation ACLR What are the components of rehabilitation after ACLR? Clinical practice guideline based on 140 RCTs and agreement by 29 expert clinicians 🔗👉 bit.ly/3jsNITC 👇 👇

The Role Of Hydrotherapy After ACL Reconstruction The early phase of rehabilitation after ACL Reconstruction is crucial for laying the groundwork for a successful recovery. During this phase, the primary goals are to manage pain and swelling, restore range of motion (ROM), regain basic movement patterns, and improve overall function. The Benefits Of Hydrotherapy In ACL Rehabilitation ▶️Reduced Weight-Bearing Stress ▶️Hydrostatic pressure ▶️Improved Range of Motion ▶️Enhanced Muscle Strength and Endurance ▶️Neuromuscular Re-education ▶️Conditioning Hydrotherapy Exercises For ACL Rehabilitation ▶️Gait Re- education ▶️Strength ▶️Balance ▶️Motor control ▶️Jumps and Plyometrics ▶️Running At the end of the Hydrotherapy rehab phase the patient should be able to start running on the AlterG and start progress to more than 50% body weight. If there is any flare up during this early running phase the patient may referred back for a running progression in the pool for 2 weeks. After finishing the hydrotherapy protocol patient can be referred to hydro for recovery as part of his path to discharge. Hydrotherapy is a valuable tool in the rehabilitation after ACL reconstruction. Its benefits in reducing weight-bearing stress, improving range of motion, enhancing muscle strength, promoting neuromuscular re-education, and reducing pain which makes it an integral component of a comprehensive rehabilitation program. When implemented under the guidance of a qualified healthcare professional, hydrotherapy can significantly expedite the recovery process and facilitate a safe return to sport and daily activities for individuals with ACL injuries. 🔗 Read More 👉 journal.aspetar.com/en/journ… ✍️ Written by Mansour Otayek

📽️📚 #AspetarTuesdayLecture -- The Latarjet procedure: Why is it good for athletes? Watch More 👉👉 bit.ly/2eO9gbM

🆕 #AspetarTuesdayLecture Athletic Groin Pain - Am I Targeting the Victim or the Culprit? 🗣️ @enda_king , Head of Elite Performance & Development - Aspetar 🔗 Full video 👉 piped.video/DTFNs3RVw3o #GroinPain

Aspetar's world-class sports medicine physicians are experienced in a wide range of sports, and can immediately treat any injury with the support of the latest technology and excellent facilities.

🔓#OpenAccess Change of Direction Following ACL-R: What Tests, Variables, and Rehabilitation Strategies Are Essential? Bonus: The criteria and the main activities/exercises implemented during rehabilitation to restore change of direction mechanics while improving change of direction performance. 🔗▶ Full article 👉 aspetar.com/Journal/viewarti… ✍️Written by @jb_marques78 and @s_janks

Congratulations to the Algerian Football Federation for the achievements at #CAFAwards2019 🇩🇿Men’s National Team of the Year. 🇩🇿Men’s Manager of the Year. 🇩🇿Goal of the Year. 🇩🇿Interclub Player of the Year. Aspetar is proud Medical partner of the Algeria Football Federation

#WorldCup Ankle Sprain: a nightmare that still hurts footballers during big tournaments. @PdHooghe #SportsMedicine #AnkleSprain #SportsMed

Calf Muscle Injuries In The Athlete ✍️Written by: Carles Pedret, Stefano Palermi, Sandra Mechó, Gulraiz Ahmad, and Justin C. Lee. Calf injuries are among the most common musculoskeletal issues in sports, particularly affecting amateur athletes due to frequent engagement in activities requiring explosive lower-limb movements. These injuries often involve the triceps surae complex, a key functional unit comprising the medial and lateral gastrocnemius, the soleus, and their distal extension into the Achilles tendon. Understanding the anatomy and interplay of these structures is critical for accurate diagnosis, effective management, and minimizing return-to-play (RTP) time. Accurate and early diagnosis is fundamental to optimizing outcomes. While ultrasound (US) is a widely used and accessible first-line imaging modality, especially effective for identifying injuries to the medial gastrocnemius and the plantaris, it has limitations in evaluating deeper structures such as the soleus. In such cases, magnetic resonance imaging (MRI) is considered the gold standard. Despite advancements in imaging techniques, a standardized approach to prognosis and management particularly for soleus injuries, remains elusive due to the complex anatomy and variability in injury patterns. This article provides a comprehensive, evidence-based overview of calf injuries, emphasizing anatomical variability, clinical presentation, imaging techniques, and management strategies. By integrating clinical and imaging insights, it aims to equip clinicians with practical tools to improve diagnosis, streamline treatment, and facilitate a safe return to sport. 🔗Read Full Article ➡️ journal.aspetar.com/en/archi…

INJURY PREVENTION IN FOOTBALL ⚽️ -------------- 🟥The bad news: Football, at all levels, carries a substantial risk of injury—some severe and even career-threatening. 🟩The good news: Many injuries can be prevented—even serious ones. A team will suffer one injury every second match and one anterior cruciate ligament (ACL) injury a serious, career-threatening condition over time. Acute injuries dominate over overuse injuries. This pattern is key to preventing injuries: acute knee (especially ACL), thigh (hamstring), groin, and ankle injuries should be a priority. ℹ️As a practitioner, you need to be aware of the typical injury patterns in football. Injury prevention programs are effective they reduce the risk of injury and lower healthcare costs. ↘️ EXERCISE-BASED INJURY PREVENTION PROGRAMS↙️ 🏃‍♂️Warm-up programs Structured exercise programs prevent injuries in general. They are often designed to be used as warm-up programs; this makes it easier to include them in the team’s training routine. One specific target for all programs designed for football is ACL injuries, for reasons outlined above. Excessive valgus stress to the knee is one of the major risk factors. So, controlling movements that cause excessive dynamic valgus of the knee is a key part of any ACL injury prevention program. 🧎Strength training programs Specific strength-training programs are designed to target specific injuries, mainly based on eccentric exercises. The hamstrings are one example since muscle strains in the posterior thigh are the most common injury in football. Hamstring injuries also often recur, again and again. The exercise best studied and most commonly used to prevent hamstring strains is the Nordic Hamstring Exercise. This exercise is also included in both the 11+ and Knäkontroll programs. 🤼‍♂️Other exercise-based programs Multi-component programs based on a variety of movement patterns are more efficient than single component programs in reducing overall injury risk. Such programs and movements can target different neuromuscular qualities such as core and dynamic stability, static and dynamic balance, flexibility, plyometric strength, impact force control during landing after a jump, control of valgus and varus stresses on the knee and ankle, pelvic control. In general, all the programs based on various forms of neuromuscular training are effective for ACL injury prevention ↘️NON-EXERCISE-BASED INJURY PREVENTION MODALITIES↙️ 💤 Sleep Sleep is associated with the risk of injury. Players who sleep less than 7 hours daily have an increased risk of injury compared to those who sleep longer. If this sleep deprivation is sustained for at least 14 days, the risk of musculoskeletal injury is 1.7 times greater. However, we do not know if sleep loss predisposes the athlete to specific musculoskeletal injuries. Poor sleep quality also affects performance, increases the risk of injury and negatively affects recovery after training. Following a sleep hygiene protocol can be helpful in reducing injury risk. 🥤Nutrition, hydration, and supplements Nutrition is essential for improving the health, performance, and recovery of athletes. A player’s hydration deficit at the beginning of a match can compromise performance. It is important to maintain a fluid balance before, during, and after exercise, as it will minimize the risk of hyperthermia and exertional heat illness. Whether sports supplements have any role in injury prevention is not known and there is always the risk of supplements contamination and doping rule violations for athletes. 🏋️‍♂️Training load Athletes participating in elite sports are exposed to high training loads. Poor load management represents a major risk factor for injury. Insufficient respect for the balance between loading and recovery can lead to prolonged fatigue, abnormal training responses (maladaptation), and an increased risk of injury and illness. High loads can positively or negatively influence injury risk in athletes. Load must always be prescribed on an individual and flexible basis. Athletes respond significantly better to small increases (and decreases) than more significant loading fluctuations. 🩹Taping and bracing The use of tape and brace to prevent musculoskeletal injuries or re-injuries is common in sports. Taping and bracing are individually linked to an approximately 50% reduction in ankle sprains, but like balance training, this effect is limited to players with a recent sprain (within the last 12 months). We do not know which is best, taping or bracing. Bracing is arguably the cheaper option but taping is better tolerated by football players who want optimal ball control. 👟Football shoes Footwear is an integral piece of protective equipment. Players should select footwear based on comfort, traction and stability, while protecting from injury. Shoes should fit well and be wide enough to accommodate the foot. Natural leather uppers will “shape’ around the foot, while synthetic materials will not. The combination of shoe type, outsole groups (studs) and type of grass affect rotational traction, which is linked to increased lower extremity injury risk. Players should have multiple shoes with varied outsole configurations available. 🔘Shin guards Shin guards effectively prevent minor (contusions) and severe (fractures) injuries to the lower leg. and are mandatory during football matches since 2015. The main function of shin guards is to protect the soft tissues and bones in the lower extremities from external impact, provide shock absorption and facilitate energy dissipation. However, they are only effective if they fit the player well and are worn properly. 🔗Full Article👉bit.ly/3XW9QHh ✍️ – Written by RoaldBahr , Bahar Hassanmirzaei, Montassar Tabben, Mokhtar Chaabane, Souhail Chebbi, Raouf Nader Rekik, Ramadan Daoud, Yorck Olaf Schumacher and Karim Chamari.

Happy National Day from Aspetar family, check out our tribute to Qatar! ‘’Promise of Prosperity and Glory’’ تهنئة خاصة من عائلة سبيتار بمناسبة اليوم الوطني لدولة قطر #ابشروا_بالعز_والخير #QatarNationalDay @NDQatar #QND2017 #درب_الساعي #اليوم_الوطني_قطر #اليوم_الوطني

#OpenAccess Managing Patellar Tendinopathy In-season Patellar Tendinopathy (PT) in court-based sports is a condition in which athletes often try to ‘get comfortable with being uncomfortable’. This condition mainly affects athletes involved in repetitive movements involving the stretch-shortening cycle such as jumping and landing, making it also known as ‘jumper’s knee’ A review by Nutarelli et al., which included 8684 athletes from a variety of sports demonstrated that around 1589 (18.3%) suffered from PT. Of these symptomatic athletes, about 731 (46%) were playing a court-based sport. In running based sports, such as football, where jumping demands are much lower, only 95 athletes experienced similar complaints. PT issues are common in handball players due to the nature of the game requiring numerous accelerations/decelerations, changes of direction and jumping and landing activities involving one or both lower limbs. Physiotherapists understand that rest can help reduce symptoms, but this often comes with the cost of missing game time. The return to play time for court-based athletes suffering from PT has been shown to be on average 60 days, greatly varying depending on the severity of symptoms. This often leads to difficult discussions with team managers who understand players missing game time can have an impact on overall team standings Athletes who suffer from PT can be difficult to manage during a competitive season. Reviewing the athlete’s strength and power capabilities, the biomechanical characteristics of specific landing and jumping activities and his/her plyometric capacity should help clinicians identify the possible causes of the PT symptoms. 🔗Full article 👉 journal.aspetar.com/en/archi… ✍️– Written by @BrendanButler4 & Claudio Palumbo

Groin pain is part of the game! Have a free read of our thoughts on groin pain in football in the Aspetar journal: aspetar.com/journal/viewarti… An easy read, but with a lot of scientific support incorporated. ✍️: @aserner @WillemHeijboer @AdamWeirSports @zarkov_dr

@AchrafHakimi & @SergioRamos successfully completed their medical check before joining @PSG_inside We wish them all the best in their new journey... #Aspetar is the Official Medical Partner of Paris Saint-Germain #WelcomeSergio #WelcomeAchraf 🔴🔵

Aspetar’s sports science experts enhancing athlets performance through a range of sport science & medical services nitter.app/cards/18ce…

Welcome Dr Enda King, Head of Elite Performance and Development . . We are excited to have you as part of Aspetar team. @enda_king

New! Intramuscular tendon injury is not associated with an increased hamstring reinjury rate within 12 months after return to play. @AvanderMade @RodWhiteley @AdamWeirSports @Jltol @BJSM_BMJ

🆕 #OpenAccess 📢Get Your Free Copy Now!📂📩 📕 The Aspetar ACL Rehabilitation Protocol The Aspetar ACL Rehabilitation Protocol outlines the key physical qualities that need to be addressed during rehabilitation. It specifies when these qualities should be introduced, highlights key milestones along the journey, and establishes criteria marking the completion of rehabilitation and the return to baseline sporting participation. In Aspetar it is our mission to assist all athletes achieve their maximum performance and full potential. Specific to Anterior Cruciate Ligament (ACL) rehabilitation we aim to help every athlete, regardless of their participation level, get back to their desired sport and activity as quickly and safely as possible. In addition, we want to advance the standard of ACL rehabilitation worldwide 🔗Get Your Copy 👉 aspetar.com/acl-rehab-protoc…

Pls RT> Looking for a career in Sports Medicine? We offer PhD positions guided by Aspetar Sports Groin Pain Centre 👉 bit.ly/2wP7BpB

🆕 #AspetarTuesdayLecture 🎯 Training to Optimize Muscle and Tendon Structure After a Thigh Muscle Injury 🦵📈 By 🗣️ Prof Keith Baar @MuscleScience 🖥️ 🔗 Full Video 👉 piped.video/HWSquZWDc5E?feature…

. @SheffieldUnited and Algerian National Team player @AdleneGUEDIOURA finishes his treatment at Aspetar and returns back to his club. We wish him a quick return to play.

التسجيل للمؤتمر الأول للطب الرياضي لدول مجلس التعاون الخليجي ما زال مستمراً..احجز مقعدك الآن bit.ly/1ZVYpcm

تتنوع مجريات أيامنا وتختلف تفاصيلها رغم كوننا جميعا أعضاء فريق واحد ويندرج هذا التنوع والثراء أيضاً على قصصنا كأفراد amp.twimg.com/v/92bb5606-76d…

Read this very interesting article about: “Treatment Options for Acromioclavicular Joint Separation” Read the full article: aspetar.com/journal/viewarti… #SportsMed #SportsRehab #Aspetarjournal #Injury #SportsSurgery #SportsMedicine #ACL

The Role of Foot-Ankle complex in rehabilitation after ACLReconstruction The foot-ankle complex have received comparatively less focus, despite a mounting body of evidence suggesting that they can significantly influence ACLR rehabilitation outcomes, spanning from an understanding of injury mechanisms to considerations of performance enhancement. MIRACLES key metric related to the foot-ankle complex that clinicians should focus on throughout their rehabilitation following ACLR. ✍️– Written by @r_tourillon & @FFrunsanteperf 🔗Read More 👉 aspetar.com/Journal/viewarti…