precautions - ruptured post cruciate ligament

[Fyzzio]

Hunter,
maybe you should think twice before you post replies ....
You are misinterpreting what I wrote, your comments are rude and your attitude is appalling.
Regrads,
Fyzzio

[msk101]

HI Fyzzio,

As far as precautions go for a PCL deficient knee they are similar to ACL. Avoid sharp or steep declines that require maximal eccentric quads loading and exert a shearing force on the knee, also a full squat is not ideal as you've already covered. I would also not recommend high velocity kicking (eg a ball or karate style) although it doesn't sound like something your client would be doing. The other thing to watch for is open chain full knee extension due to the shearing forces as well, similarly with high loading hamstring curls from a full knee extension position ... make sure the quads are active as well... start from a 10degree flexed position if you're going to do this as an exercise, however i'd suggest there are more functional closed chain exercises that would be better for you client.

People can quite happily live without a PCL but i would emphasise quads and hamstring co-contraction coordination and strength to increase muscular stability of the knee. I wouldn't encourage the patient to full lock weightbear on the knee because without a PCL that will exert considerably more force on the ACL and isn't ideal when it comes to unlocking.... locking a PCL deficient knee is actually more like hyper extension locking which i would avoid. Avoid pivoting or twisting on that leg as well. Go for muscular strength and cocontraction with quads and hams.

Hope that helps.

Cheers
Msk101

[Fyzzio]

Thanks, mate,
that was great advise!!!
Cheers,
Fyzzio