title: A protocol of rehabilitation after ACL reconstruction using a hamstring autograft in the first month after surgery--a preliminary report.
abstract: BACKGROUND
  The purpose of this paper is to present a protocol of rehabilitation after ACL reconstruction using a hamstring autograft in the first month after surgery. The program enables the patient to return early to everyday activities (school, sedentary work) without crutches or a stabilizer.
  
  
  METHODS
  The program has been developed in accordance with rehabilitation protocols employed at Karolinska Institute in Sweden and Prof. Shelbourne's Clinic in the USA. The study group included 31 patients (18 men and 13 women).
  
  
  RESULTS
  Patients rehabilitated in the Department according to our program achieved stable gait patterns and were able to step up and down within four to seven weeks.
  
  
  CONCLUSIONS
  Early patient mobilization after ACL reconstruction is possible and does not cause any negative effects provided that the patient, doctor and physiotherapist cooperate very closely.
authors.affiliation: Olsztyńska Szkoła Wyzsza im. J. Rusieckiego, Olsztyn. biernatryszard@yahoo.pl
authors.forename: Ryszard
authors.initials: R
authors.lastname: Biernat
authors.forename: Mariusz
authors.initials: M
authors.lastname: Wołosewicz
authors.forename: Wiesław
authors.initials: W
authors.lastname: Tomaszewski
mesh_terms: D000293:Adolescent; D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D004434:Early Ambulation; D005260:Female; D005684:Gait; D006801:Humans; D007718:Knee Injuries / Q000534:rehabilitation*; D008297:Male; D053580:Muscle Strength; D018482:Muscle, Skeletal / Q000637:transplantation; D026741:Physical Therapy Modalities; D011434:Proprioception; D016059:Range of Motion, Articular; D014182:Transplantation, Autologous