Sports Rehab and Sports Conditioning Studies

Meniscus Tear Knee Injury - Adam

Objective

Post meniscus tear surgery recovery.

Background

Twenty-four year old Adam, a teacher and star cricket player sustained a serious impact injury to his right knee when bowling during training. A scan revealed he had a cartilage tear and 50% damage to his anterior cruciate ligament (ACL).

Following an op to remove the damaged cartilage, he was told he may not play cricket again and he might also need further ACL surgery. A week after the operation, Adam was limping, unable to weight-bear or bend his knee and extremely concerned about his recovery. He reported that he felt down about his injury and that, as a Type 1 diabetes sufferer that normally exercises every day, his general health had been significantly affected.

Programme

  • Treatment: HYDRO PHYSIO treadmill sessions

Outcomes

Adam's programme began with manual physiotherapy for realignment and to restore mobility and function. To strengthen the weakened supporting muscles, he started with gentle walking in the Underwater Treadmill, at a slow speed (3 kph) and with the water level high (1000 mm). The water provided the ideal environment as he could exercise pain-free and without putting stress on the injured knee. As Adam progressed through his programme, the water level in the treadmill was gradually dropped to 600 mm and the speed increased to 8 kph, making the exercise increasingly more intense. He has gone from having difficulties with walking to running on a normal treadmill and has now returned to training for the new cricket season.

Wrestler's Knee Surgery - Kulvinder

Objective

Intensive pre and post knee surgery rehabilitation.

Background

Thirty year old professional wrestler Kulvinder sustained a serious knee injury during a match. The knee dislocated causing multiligament damage and a lateral plateau fracture

Programme

  • Duration: 30 minutes per session
  • Water Temperature: 31˚C
  • Speed: 1.0 to 7.0kph as sessions developed
  • Depth: 1000mm
  • Resistance Jets: Not activated
  • Direction: Forward and reverse
  • Number of Sessions: 20 pre-op and 20 post-op

Outcomes

Re-constructive knee surgery was postponed for two months to allow the ligaments to begin repairing. An intensive 10-day programme began to prepare for surgery. Strengthening supporting muscles, improving flexibility and reducing the swelling aiding post-op recovery. Kulvinder walked in the Underwater Treadmill and performed knee exercises in the Wellbeing Pool twice daily.

Pre-op the consultant commented on the "exceptional physiotherapy" he had undergone and confirmed that the posterior crutiate ligament (PCL) and lateral collateral ligament (LCL) were fully repaired. The medial collateral ligament (MCL) had repaired itself but was slightly loose and required surgery, along with a new donor anterior cruciate ligament (ACL).After surgery, Kulvinder continued an intensive 10-day rehabilitation programme. He progressed to walking without crutches and reducing his limp, fast-tracking his road to recovery.

Sacroiliitis - Pat

Objective

Recovery from sacroiliitis to enable a return to competing in triathlons.

Background

A keen triathlete, Pat experienced severe sudden onset hip pain that forced her to stop training and began to affect her quality of life. Sacroiliitis is caused by the excessive pounding of running on roads.

Programme

  • HYDRO PHYSIO Treadmill
  • Wellbeing Pool

Outcomes

Hydrotherapy sessions in the underwater treadmill then helped her to build strength through effective exercise with reduced force through her hips and lumbar spine. As Pat progressed, the intensity of the training was boosted by extending the session time, increasing the speed and slightly dropping the water-level. By the end of her programme, she was running for 50 minutes at varied speeds of up to 10kph and a water level of 1000mm.

Step-up exercises in the wellness pool helped to strengthen her hip muscles to safeguard against this issue happening again.

Pat made a full recovery and has successfully returned to taking part in triathlons and Iron Man events.

ACL Surgery rehabilitation - Harsimran

Objective

Rehabilitation following a football injury which resulted in knee surgery to repair the anterior cruciate ligament (ACL).

Background

Harsimran underwent reconstructive knee surgery three weeks before his first HYDRO PHYSIO session. Following the operation, he was on two crutches with minimal weight bearing on his leg and forced to sit around doing nothing.

Programme

  • Duration: 20 minutes
  • Water Temperature: 31˚C
  • Speed: 0.5kph gradually increased to 3.0kph
  • Depth: 1145mm
  • Resistance Jets: Not activated
  • Direction: Forwards, backwards and sideways
  • Number of Sessions: 3

Outcomes

Walking pain-free on the treadmill enabled Harsimran to walk forwards, backwards and sideways dynamically as well as performing squats and single leg squats in the second. The water-based exercise allowed the joints to be loosened off, muscles to be cushioned and foot lift went from barely off the treadmill to at least 10cms.

The extension lag on the supporting leg went from -15º to -5º and flexion in the knee went from 30º to 90º after just two sessions.

Salter Harris Fracture - Elizabeth

Objective

Rehabilitation following an ankle fractured playing football.

Background

Elizabeth fractured her left fibula playing football, she was finding it difficult to walk and experiencing a lot of pain.

Programme

  • Duration: 30 minutes
  • Water Temperature: 31˚C
  • Speed: 5.0kph gradually increased to 9.0kph
  • Depth: 1100mm down to 600mm
  • Resistance Jets: Not activated
  • Direction: Forwards, backwards and sideways
  • Number of Sessions: 6

Outcomes

Elizabeth’s fractured ankle was taking its time to heal and walking was continuing to be a problem. She was unable to run and was also in quite significant pain. For the first three sessions, the water-level was at 1100mm to give Elizabeth plenty of support whilst building up her strength and confidence. She was able to exercise pain-free and progressed well without risking further injury to her ankle. Later the water-level was dropped to 600mm and Elizabeth was running at a speed of 9.0kph with the resistance jets activated, making this a high-intensity workout. She is now fully recovered and has returned to playing football.

Meniscus Tear Knee Injury - Sam

Objective

Rehabilitation following knee surgery for a meniscus tear injury.

Background

Sam sustained a knee injury when skiing he was diagnosed as having a meniscus tear, unusually it was a horizontal tear and he had to undergo complex surgery to thin the medial meniscus.

Programme

  • HYDRO PHYSIO Treadmill
  • Wellbeing Pool

Outcomes

Physiotherapy revealed that Sam had instability around his hip joint and lower part of his spine which made the left leg weaker and forced the right leg to compensate. Aquatic therapy was not only to rehabilitate the injured right knee but to strengthen the left leg and build his core muscles.

In the underwater treadmill, Sam started with the water level high and a slower speed of 5kph. He moved dynamically – forwards, backwards and sideways – to work on his supporting muscles and used hand weights to increase the resistance. He also performed exercises such as knee raises to improve his range of movement and strengthen the muscles.

By the fifth session, Sam was running at a speed of 8.0kph with the resistance jets activated and the water level dropped to 800mm.

Riding Injury Shoulder Surgery - Christoper

Objective

Rehabilitation following shoulder surgery (Weaver-Dunn Procedure).

Background

A horse riding accident left Christopher with a dislocated acromioclavicular joint, which required reconstructive shoulder surgery. Recovery time was estimated at 12 and 16 weeks, but the need to return to work sooner led him to a more proactive approach towards his rehabilitation.

Programme

  • Duration: 30 minutes per session
  • Water Temperature: 32˚C
  • Speed: 2.5kph gradually increasing to 7.0kph
  • Depth: 1100mm
  • Resistance Jets: Not activated
  • Direction: Forwards and backwards
  • Number of Sessions: 8

Outcomes

Ten days post op Christopher began Aquatic therapy in the HYDRO Treadmill. Christopher started walking at a slow pace with the water-level high, which increased the buoyancy and fully supported his shoulder. The walking motion gently exercised his shoulder and allowed only moderate movement.

Part of Christopher's treatment included sessions in the wellness pool as exercises in the 38ºC water assisted with the internal and external rotation of the shoulder and active range of movement.

After three sessions, Christopher could remove his sling and after his seventh session he reported that he felt 80% better. He was fully recovered after just eight sessions.

Riding Injury Fractured Femur - Karen

Objective

Fractured femur rehabilitation following a horse riding accident.

Background

Karen fractured the neck of her femur, falling off a horse, the bone required pinning. Three weeks post surgery she was still on crutches and finding it difficult to mobilise, Karen needed to rehabilitate and return to work as soon as possible.

Programme

  • HYDRO PHYSIO Treadmill
  • Wellbeing Pool

Outcomes

Karen's programme was centred around rebuilding muscle strength, following the operation and period of inactivity during her recuperation. Sessions in the HYDRO PHYSIO treadmill allowed her to exercise in the safe, supportive environment that the water provided. As Karen progressed, the intensity of the training was boosted by gradually dropping the water-level and increasing the speed. Step-up exercises in the wellness pool helped to strengthen her glutes and hip muscles as well as promoting healing and the union of the bone itself.

After just three sessions, Karen was off her crutches and after six sessions, she was almost fully recovered.